Risk factors for mortality and morbidity in Syrian refugee children with penetrating abdominal firearm injuries: an 1-year experience
| dc.authorid | 0000-0003-2327-4250 | |
| dc.contributor.author | Tuşat, Mustafa | |
| dc.contributor.author | Özmen, İsmail | |
| dc.contributor.author | Demirtaş, Mehmet Semih | |
| dc.contributor.author | Ateş, Can | |
| dc.contributor.author | Öztürk, Ayşe Betül | |
| dc.contributor.author | Author profile preview | |
| dc.contributor.author | Başar, Dilek | |
| dc.date.accessioned | 2023-09-28T05:53:57Z | |
| dc.date.available | 2023-09-28T05:53:57Z | |
| dc.date.issued | 2023 | |
| dc.department | Tıp Fakültesi | |
| dc.description.abstract | Despite improvements in technology and surgical techniques, abdominal injuries caused by firearms in children are traumatic with high complication rates and mortality. In this study, factors affecting mortality and complications in penetrating abdominal firearm injuries caused by high-velocity bullets and shrapnel in children as a result of the civil war in Syria were evaluated. METHODS: This study was conducted as a case series with 53 patients admitted to Kilis State Hospital with penetrating abdominal firearm injuries between January 2016 and February 2017. Patients aged between 6 months and 17 years who suffered penetrating abdominal firearm injuries (PAFI) as a result of the civil war in Syria in the state hospital in Kilis Türkiye border province with Syria and were transferred to our hospital and operated on were included in the evaluation. Patients’ sociodemographic information, time to surgery, number of abdominal organs injured, type of firearm causing injury, presence of large vessel injury and extremity injury, presence of thoracic injury requiring thoracotomy in addition to laparotomy, colostomy, penetrating abdominal trauma index, pediatric trauma score (PTS), and shock status were evaluated. RESULTS: In our study, it was found that a high penetrating abdominal trauma index significantly increased complication rates and mortality (P<0.001 and P=0.002, respectively). In addition, it was found that lower PTSs significantly increased the development of complications and mortality (P=0.001 and P[removed]8, whereas mortality was observed in 27.3% of patients with a PTS?8, and this result was statistically significant (P=0.003). Shock significantly increased mortality, and no patient who was not in shock died (P<0.001). In our study, it was determined that the increase in the number of injured intra-abdominal organs had a significant effect on both complications and mortality (P[removed] | |
| dc.identifier.doi | 10.14744/tjtes.2023.70658 | |
| dc.identifier.endpage | 1060 | en_US |
| dc.identifier.issn | 1306-696X | |
| dc.identifier.issue | 9 | en_US |
| dc.identifier.pmid | 37681717 | |
| dc.identifier.scopusquality | Q3 | |
| dc.identifier.startpage | 1051 | en_US |
| dc.identifier.uri | 10.14744/tjtes.2023.70658 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12451/10990 | |
| dc.identifier.volume | 29 | en_US |
| dc.identifier.wos | WOS:001070452100009 | |
| dc.identifier.wosquality | Q4 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Turkish Association of Trauma and Emergency Surgery | |
| dc.relation.ispartof | Ulusal Travma ve Acil Cerrahi Dergisi | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject | Child | |
| dc.subject | Firearm Injury | |
| dc.subject | Morbidity | |
| dc.subject | Mortality | |
| dc.subject | Penetrating Abdominal Injury | |
| dc.title | Risk factors for mortality and morbidity in Syrian refugee children with penetrating abdominal firearm injuries: an 1-year experience | |
| dc.title.alternative | Penetran abdominal ateşli silah yaralanması olan Suriyeli mülteci çocuklarda mortalite ve morbidite için risk faktörleri: Bir yıllık deneyim | |
| dc.type | Article |
