Retrospective Analysis of Child Forensic Cases Admitted to the Pediatric Emergency Department of Tepecik Training and Research Hospital and Consulted with Orthopedics and Traumatology
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    Research Article
    P: 77-82
    August 2021

    Retrospective Analysis of Child Forensic Cases Admitted to the Pediatric Emergency Department of Tepecik Training and Research Hospital and Consulted with Orthopedics and Traumatology

    J Pediatr Emerg Intensive Care Med 2021;8(2):77-82
    1. Sağlık Bilimleri Üniversitesi, Tepecik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye
    2. Adli Tıp Kurumu, Manisa Adli Tıp Şube Müdürlüğü, Manisa, Türkiye
    3. Sağlık Bilimleri Üniversitesi, Tepecik Eğitim ve Araştırma Hastanesi, Adli Tıp Kliniği, İzmir, Türkiye
    No information available.
    No information available
    Received Date: 15.02.2020
    Accepted Date: 02.06.2020
    Publish Date: 24.06.2021
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    ABSTRACT

    Introduction:

    In this study, we aimed to reveal the demographic data and the trauma characteristics of the patients with orthopedic trauma, which is common in childhood.

    Methods:

    In our study, 117 forensic cases aged 0-18 years, who applied to the Pediatric Emergency Department of University of Health Sciences Turkey, Tepecik Training and Research Hospital between 01.01.2016 and 31.12.2016, were consulted to the orthopedics and traumatology. The demographic characteristics of the patients, the way of applying to the emergency service, the type of trauma, the characteristics of the injury that occurred, additional consultations required from other clinics, radiological imagings other than direct radiography, and hospitalization of the patients were evaluated.

    Results:

    35.9% (n=42) of the patients included in our study were girls and the average age of girls were 9.09 (±6.04) years, and the average age of boys were 11.82 (±5.05) years. It was observed that the most common injury region was upper limbs with 52.1%. There was an increase in the number of blunt traumas, penetrating device injuries and gunshot injuries at older ages. It was observed that 45.3% (n=53) of the patients were consulted to other clinics besides the orthopedics and traumatology. When the patients were consulted, it was seen that they were consulted predominantly for surgical branches, especially neurosurgery (n=38, 32.4%) and pediatric surgery (n=28, 23.9%).

    Conclusion:

    In the majority of the forensic cases in children age group who are in need of orthopedics and traumatology consultation in the emergency department, injury occurs as a result of falling from height. Especially after the age of 14 years, it was seen that blunt trauma and sharp object injuries came into prominence in forensic cases related to orthopedics and traumatology clinic.

    Keywords: Child, judicial, trauma, orthopedics and traumatology

    References

    1
    Osterman MJ, Kochanek KD, MacDorman MF, Strobino DM, Guyer B. Annual summary of vital statistics: 2012-2013. Pediatrics. 2015;135:1115-25. 
    2
    Wesson DE. Epidemiology of pediatrictrauma. In: Wesson DE, Mathuria BN (eds). PediatricTrauma: Pathophysiology, Diagnosis, andTreatment. 2nd ed. Boca Raton: CRC Press; 2017:3-6.
    3
    Köse A, Köse B, Öncü MR, Tuğrul F. Bir devlet hastanesi acil servisine başvuran hastaların profili ve başvurunun uygunluğu. Gaziantep Medical Journal. 2011;17:57-62.
    4
    Dönmez SS, Durak VA, Torun G, Köksal Ö, Aydın Ş. Acil Serviste Gerçekleştirilen Konsültasyon Sürecinin İncelenmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2017;43:23-8.
    5
    Balcı Y, Çolak B, Gürpınar K, Anolay NN, editors. Türk Ceza Kanunu’nda Tanımlanan Yaralama Suçlarının Adli Tıp Açısından Değerlendirilmesi Rehberi: Adli Tıp Uzmanları Deneği, Adli Tıp Kurumu Başkanlığı, Adli Tıp Derneği; 2019.
    6
    Korkmaz T, Kahramansoy N, Erkol Z, Sarıçil F, Kılıç A. Acil Servise Başvuran Adli Olguların ve Düzenlenen Adli Raporların Değerlendirilmesi. Med Bull Haseki. 2012;50:14-20.
    7
    Erdoğan Çetin Z, Teyin A, Birben B, Çetin B, Şahiner GG, ve ark. Acil Serviste Düzenlenen Adli Raporların Değerlendirilmesi. Bozok Med J. 2018;8:34-40.
    8
    Mönür M, Gülen M, Avci A, Satar S. 112 Ambulansı ile Çocuk Acile Getirilen Hastaların Değerlendirilmesi. Medical Journal of Bakirkoy. 2018;14:253-62.
    9
    Bozkurt S, Daraoğlu V, Okumuş M, Savrun A, Karanfil R, ve ark. Acil Serviste Düzenlenen Adli Raporların Uygunluğunun Değerlendirilmesi ve Tespit Edilen Eksiklikler. J Clin Anal Med. 2015;6:331-4.
    10
    Serinken M, Türkçüer İ, Acar K, Özen M. Acil Servis Hekimleri Tarafından Düzenlenen Adli Raporların Eksiklik ve Yanlışlıklar Yönünden Değerlendirilmesi. Ulus Travma Acil Cerrahi Derg. 2011;17:23-8.
    11
    Seviner M, Kozacı N, Ay MO, Açikalın A, Çökük A, ve ark. Acil Tıp Kliniğine Başvuran Adli Vakaların Geriye Dönük Analizi. Cukurova Medical Journal. 2013;38:250-60.
    12
    Simon TD, Bublitz C, Hambidge SJ. External causes of pediatric injury-related emergency department visits in the United States. Acad Emerg Med. 2004;11:1042-8. 
    13
    Ceylan S, Açıkel CH, Dündaröz R, Yaşar M, Güleç M, ve ark. Bir eğitim hastanesi acil servisine travma nedeniyle başvuran hastaların sıklıklarının ve travma özelliklerinin saptanması. Turkiye Klinikleri J Med Sci. 2002;22:156-61.
    14
    Akay MA, Gürbüz N, Yayla D, Elemen EL, Yıldız Ekingen N, ve ark. Acil servise başvuran pediatrik travma olgularının değerlendirilmesi. Kocaeli Med J. 2013;2:1-5.
    15
    Yıldırım Gürkan D, Sönmez E, Korkmaz M. Bir üniversite hastanesi ortopedi ve travmatoloji polikliniğine başvuran adli olguların incelenmesi. Bozok Med J. 2018;8:11-5.
    16
    Collins KA, Byard RW. Forensic pathology of infancy and childhood. 1st ed. New York: Springer; 2014.
    17
    Güzel A, Temizöz O, Aksu B, Süt N. Karasalihoğlu S. A cost analysis of radiologic imaging in pediatric trauma patients. Ulus Travma Acil Cerrahi Derg. 2010;16:313-8.
    18
    Macias CG, Sahouria JJ. The appropriate use of CT: quality improvement and clinical decision-making in pediatric emergency medicine. Pediatr Radiol. 2011;41(Suppl 2):498-504.
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