ABSTRACT
Objetivo: Describir las características sociodemográficas y clínicas de los pacientes entre 0 y 15 años de edad hospitalizados en el 2011 por trauma Pediátrico en el Hospital Militar Central. Métodos: Se realizó un estudio retrospectivo descriptivo en los pacientes pediátricos del Hospital Militar Central de Bogotá, comprendido entre el 1 de enero de 2.011 y 31 de diciembre de 2.011. De un total de 1277 hospitalizados por trauma se tomaron 92 pacientes con edades comprendidas entre los 0 y 15 años de edad, de los cuales precisaron ser ingresados 81 y se incluyeron en la base de datos; con el fin de describir las características epidemiológicas de este grupo de pacientes, determinar la severidad del trauma, y si estuvo relacionado con mortalidad; así como la época del año y el horario con más prevalencia de trauma de la población estudio. Resultados: Se encontró un predominio de trauma en los varones en una relación 1.45:1 siendo el grupo de edad comprendido entre los 11- 15 años el más frecuente, con un total de 21 pacientes (26%). El 71.6% (58 casos) de los ingresos tuvieron un índice de trauma pediátrico de 8 o superior. No encontramos mortalidad asociada al trauma en la casuística estudiada. Conclusiones: El estudio permitió conocer los aspectos sociodemográficos y clínicos de la población pediátrica que se trata en el Hospital Militar Central, y los puntos a intervenir en la institución con el fin de prestar una atención de calidad en la asistencia hospitalaria; así como los posibles factores pronósticos precoces para disminuir la prevalencia de dicha patología.
Objectives: To describe the sociodemographic and clinical characteristics of patients between 0 and 15 years of age hospitalized on 2011 due to a Pediatric trauma within the Hospital Militar Central. Methods: A retrospective descriptive study was performed on pediatric patients of the Hospital Militar Central of Bogota, between January 1, 2011 and December 31, 2011. From a total number of 1277 hospitalized patients due to trauma, 92 patients were taken with ages ranging from 0 to 15 years of age, from which 81 were indicated as admitted and they were included within the database; in order to describe the epidemiological characteristics of this group of patients, by determining the severity of the trauma, and if it was related to mortality; as well as the time of the year and the Schedule with the most prevalence of the trauma of the study population. Results: A predominance was found of trauma on male with a rate of 1.45:1 with the most frequent age group ranging from 11 to 15 years of age, with a total of 21 patients (26%). 71.6% (58 cases) from the admitted patients had a pediatric trauma index of 8 or higher. We did not find mortality associated to trauma within the studied casuistry. Conclusions: The study allowed to recognize the sociodemographic and clinical aspects of the pediatric population that is treated within the Hospital Militar Central, and the points to be intervened within the institution in order to provide a high quality care within hospital assistance; as well as the potential early prognosis to reduce the prevalence of the pathology mentioned before.
Objetivo: Descrever as características sociodemográficas e clinicas dos pacientes entre 0 e 15 anos de idade internados no 2011 por causa do trauma pediátrico no Hospital Militar Central. Métodos: Um estudo retrospectivo e descritivo foi realizado nos pacientes pediátricos do Hospital Central de Bogotá, a partir de 01 de janeiro de 2011 até 31 de Dezembro de 2011. De um total de 1277 internados por trauma, 92 pacientes com idades compreendidas entre 0 e 15 anos de idade foram usados para o estudo, dos quais foi preciso incluir 81 deles na base de dados, com a finalidade de descrever as características epidemiológicas deste grupo de pacientes, determinar a gravidade do trauma e se teve alguma relação com o trauma, além da época do ano com maior prevalência de trauma na população de estudo. Resultados: Uma prevalência de trauma foi encontrada em homens numa proporção 1.45:1, com maior frequência num grupo com idades compreendidas entre os 11 e 15 anos, com um total de 21 pacientes (26%). O 71.6% (58) dos ingressos tiveram um índice de trauma pediátrico de 8 ou superior. Não foi encontrada nenhuma mortalidade associada com trauma dos casos estudados. Conclusões: O estudo permitiu conhecer os aspectos sociodemográficos e clínicos da população pediátrica que está no Hospital Militar Central, bem como os pontos para intervir na instituição com o fim de prover cuidados de qualidade, além dos possíveis fatores prognósticos iniciais para diminuir a prevalência desta patologia.
Subject(s)
Humans , Child , Adolescent , Wounds and Injuries , Child , Epidemiology , ColombiaABSTRACT
Objective To analyze the injury features of the wounded in the bullet train crash in July 23,2011 in Wenzhou of Zhejiang and explore treatment experience.Methods A total of 177 cases who were injured or died in the 7.23 Wenzhou bullet train crash were involved in the study.The age,gender,injury types,injury regions and injury severity were analyzed by using Trauma Database System V3.0 ( produced by China Trauma Data Center of Third Military Medical University). Results A total of 137 cases were admitted to our hospital within 24 hours after the bullet train crash in Wenzhou.There were 76 males and 61 females,with no significant difference.Of the 137 cases,136 survived and one died after medical treatment.The major injury types included impact injury,crush injury and heavy weight falling injury.Among the 136 survivors,108 cases were with multiple injuries,accounting for 79.4％.The most common injury region of the survivors was the chest,followed by the head and limb.The minimum trauma index (TI) was 5 points and the maximum 27 points.There were 4 cases(3.7％ )with TI ≤9 points,86 (79.6％) with 10-16 points and 18 (16.7％) with ≥ 17 points.Of all,78 cases (72.2％) had ISS score ＜ 16 points and 30 (27.8％) had ≥16 points.The minimum ISS was 3 points and maximum 75 points.There were 40 deaths including the one died after medical treatment,who were all with multiple injuries,with head injury the main cause.ConclusionsThe causes of the bullet train crashes are complicated,with high incidence of multiple injuries.The injury severity is varied,but the overall situation is not serious.Distribution of common injury regions is significantly different between the wounded and the dead.Injury triage,patient transfer and specialist treatment of the wounded should be carried out appropriately during the initial stage of medical rescue based on those injury features after the bullet train crashes.