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Amaç: Bu çalışmanın amacı, pediatrik yoğun bakım takibi gereken travma hastalarında, travma nedenlerini ve klinik seyrini incelemek ve mülteci çocuklar özelinde demografik özellikler, travma oluşum mekanizması, travma şiddeti ve prognoz açısından olası farklılıkları değerlendirmektir. Gereç ve Yöntemler: 1 Mayıs 2020-30 Nisan 2021 tarihleri arasında çocuk yoğun bakım ünitemize travma ön tanısı ile başvuran 175 hastanın kayıtları geriye dönük olarak incelendi. Hastalar Türk vatandaşları ve Suriye vatandaşları (mülteci hastalar) olarak iki gruba ayrıldı. Elde edilen veriler bu iki grup arasında karşılaştırıldı. Bulgular: Hastaların 119’u (%68) T.C. vatandaşı ve 56’sı (%32) mülteci hastaydı. T.C. vatandaşı hastaların ortanca yaşı 6 (3-12; IQR) ve mülteci hastaların ortanca yaşı 4 (2-10; IQR) olarak saptandı (p=0.092). T.C. vatandaşlarının 70’i (%58.8), mülteci hastaların 43’ü (%76.8) erkekti (p=0.027). Araç içi trafik kazası T.C. vatandaşların 27’sinde (%22.7), mülteci hastaların 4’ünde (%7.2) görüldü ve farklılık istatistiksel olarak anlamlı bulundu (p=0.011). Mülteci hastalardaki araç dışı trafik kazası oranı T.C. vatandaşlarına göre daha fazlaydı (%23.2 ve %10; sırasıyla) (p=0.035). Travma nedeni ile 10 hasta hayatını kaybetmişti. Ölen hastaların yedisi (%5.8) T.C. vatandaşı, üçü (%5.3) göçmendi. Sonuç: Çalışmamızda mülteci çocuklarda araç dışı trafik kazasının daha fazla görüldüğünü ancak her iki grupta klinik olarak bir fark olmadığını saptadık. Göçmen sorunlarının daha dikkatli değerlendirilmesi, çocuk nüfusuna odaklı projeler ve çalışmalar, sosyo-ekonomik koşullarının iyileştirilmesi, eğitim sistemine düzenli katılımın sağlanması yaralanma oranlarını azaltabileceğini düşünmekteyiz.
Purpose: The purpose of this study is to investigate trauma causes and clinical course of trauma patients in which pediatric intensive care needs to be traumatic, and to evaluate possible differences in terms of demographic characteristics, trauma formation mechanism, trauma severity and prognosis in particular refugee children. Tools and Methods: From 1 May 2020 to 30 April 2021, the records of 175 patients with trauma pre-diagnosis were reviewed backward in our child intensive care unit. Patients were divided into two groups as Turkish citizens and Syrian citizens (immigrant patients). The results were compared between the two groups. Results: 119 patients (68) T.C. His citizen and 56 (32%) were refugees. by T.C. The average age of the citizen patients was 6 (3-12; IQR) and the average age of the refugees patients was 4 (2-10; IQR) (p=0.092). by T.C. 70 of their citizens (58.8%) and 43 of the refugee patients (76.8%) were men (p=0.027). Traffic accident T.C. In 27 of the citizens (22.7%) and in 4 of the refugee patients (7.2%) the difference was statistically significant (p=0.011). Traffic Accidents in Refugees Patients T.C. They were more than their citizens (23.2% and 10% respectively) (p=0.035). At the time of the trauma, 10 patients died. Seven of the dead patients (5.8%) T.C. Three of his citizens (5.3%) were immigrants. Result: In our study, we found that the number of unmanned traffic accidents in refugee children was increased, but there was no clinical difference in both groups. We consider that more careful assessment of immigrant issues, projects and studies focused on the children’s population, improving the socio-economic conditions, providing regular participation in the educational system can reduce the rates of injuries.
Objective: This study aimed to examine the causes and clinical course of trauma in trauma patients requiring pediatric intensive care unit (PICU) follow-up and evaluate possible differences related to demographic characteristics, trauma mechanism, trauma severity, and prognosis in refugee children. Material and Methods: The records of 175 patients admitted to our PICU between May 1, 2020 and April 30, 2021 with a preliminary diagnosis of trauma were retrospectively reviewed. The patients were divided into two groups as Turkish citizens and Syrian citizens (refugee children). The obtained data were compared between these two groups. Results: 119 (68%) were Turkish citizens and 56 (32%) were refugees. The median age of the Turkish citizens was 6 (3–12; IQR) years and the median age of the refugee patients was 4 (2–10; IQR) years (p = 0.092). Further, 70 (58.8%) of the Turkish citizens and 43 (76.8%) of the refugee patients were males (p = 0.027). In-vehicle traffic accidents were observed in 27 (22.7%) of the Turkish citizens and 4 (7.2%) of the refugee patients, with the difference being statistically significant (p = 0.011). The rate of non-vehicle traffic accident in the refugee patients was higher than that in the Turkish citizens (23.2% and 10%, respectively) (p = 0.035). Ten patients died due to trauma, of which 7 (5.8%) patients were Turkish citizens and 3 (5.3%) were refugee patients. Conclusion: In our study, we found that non-vehicle traffic accidents were more common in refugee patients, but there was no clinical difference between Turkish citizens and refugee patients. We think that more careful evaluation of immigrant problems, projects, and studies focused on the child population, improvement of socioeconomic conditions, and regular participation in the education system can reduce injury rates.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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