The Effect of Quantifying Pulmonary Contusion Extent on The Treatment Management of Blunt Chest Trauma in Children

Caner İsbir; İsa Kıllı; Yüksel Balcı; Hakan Taşkınlar; Ali Naycı

doi:10.31067/acusaglik.960197

EN

The Effect of Quantifying Pulmonary Contusion Extent on The Treatment Management of Blunt Chest Trauma in Children

Abstract

Objective: Post-traumatic pulmonary contusion in children is often asymptomatic at diagnosis and has a good prognosis. The aim of this study was to investigate the clinical significance of the extent of post-traumatic pulmonary contusions and evaluate the timing of complications to determine the safe follow-up period in children with lung contusions. Methods: The study included pediatric patients who presented to the emergency department after blunt chest trauma and had pulmonary contusion detected on chest computed tomography (CT) between January 2017 and January 2020. Based on the percentage of total lung capacity occupied on thorax CT, pulmonary contusions were classified as grade 1: <19% (mild), grade 2: 19%-27% (moderate) and grade 3: ≥28% (severe). The relationship between pulmonary contusion grade and pulmonary functional status; complications and intensive care admission was examined and the mean time to complication development was determined. Results: The mean extent of pulmonary contusion after trauma was 17.8±8.6% (min-max, 5-100%) and mild (grade 1) contusion was significantly associated with spontaneous breathing (p=0.009). Contusion grade was not associated with the development of atelectasis, pneumonia, pleural effusion, pneumothorax (p=0.719) or intensive care admission (p=0.176). The mean time to detection of complications (atelectasis, pneumonia, pleural effusion, pneumothorax) on chest X-ray was 6.33±3.78 days (range, 2-9 days). Conclusion: The results suggest that although no statistically significance between the extent of pulmonary contusion and complications, patients should be hospitalized for at least 48 hours, then followed-up with chest X-ray for 1 week due to possible complications after blunt chest trauma in children.

Keywords

Supporting Institution

non

References

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Details

Primary Language

English

Subjects

Surgery

Journal Section

Research Article

Authors

Caner İsbir ^*
0000-0003-0887-9817
Türkiye

İsa Kıllı
0000-0002-4370-9779
Türkiye

Yüksel Balcı
0000-0003-1758-9600
Türkiye

Hakan Taşkınlar
0000-0002-9737-3270
Türkiye

Ali Naycı
0000-0002-0534-1205
Türkiye

Publication Date

September 29, 2021

Submission Date

June 30, 2021

Acceptance Date

August 15, 2021

Published in Issue

Year 2021 Volume: 12 Number: 4

DOI

https://doi.org/10.31067/acusaglik.960197

IZ

https://izlik.org/JA64LD34WH

Cite

RIS / Bibtex

EndNote

İsbir C, Kıllı İ, Balcı Y, Taşkınlar H, Naycı A (September 1, 2021) The Effect of Quantifying Pulmonary Contusion Extent on The Treatment Management of Blunt Chest Trauma in Children. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12 4 714–719.

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Indian Journal of Critical Care Medicine

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Öz

The Effect of Quantifying Pulmonary Contusion Extent on The Treatment Management of Blunt Chest Trauma in Children

Abstract

Keywords

Supporting Institution

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite

Cited By

Functional status of pediatric patients with trauma and risk factors for mortality from a single center in China

Impact of the Early Use of High-flow Nasal Cannula in Patients with Post-traumatic Lung Contusion: A Randomized Clinical Trial