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Journals / Harran Üniversitesi Tıp Fakültesi Dergisi / 2026 / Cilt: 21 Sayı: 2

Cardiac Evaluation of Children Presenting with Trauma

Travma ile Başvuran Çocuklarda Kardiyak Değerlendirme

Mahmut Yaman(Dicle Üniversitesi Tıp Fakültesi Acil Tıp AD)0000-0002-0783-1419
Mehmet Türe(Dicle Üniversitesi Tıp Fakültesi Çocuk Kardiyolojisi Bilim Dalı)0000-0001-8780-8122
Alper Akın(Dicle Üniversitesi Tıp Fakültesi Çocuk Kardiyolojisi Bilim Dalı)0000-0003-1587-9559
Duygu Uç(Dicle Üniversitesi Tıp Fakültesi Pediatri AD)0000-0002-1162-0323
Mehmet Sürücü(Dicle Üniversitesi Tıp Fakültesi Pediatri AD)0000-0001-5636-2009
Abdullah Şen(Dicle Üniversitesi Tıp Fakültesi Acil Tıp AD)0000-0001-6705-4079
Cahfer Güloğlu(Dicle Üniversitesi Tıp Fakültesi Acil Tıp AD)0000-0003-1100-3613
Pages
321–325
Publication Date
2024-08-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusions: Our findings highlighted the prognostic importance of cardiac troponins, especially in pediatric patients presenting with trauma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background: Trauma is a critical public health issue, particularly impacting the young and caus-ing significant financial and moral losses.
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Key Findings & Data:Approximately one-third of trauma-related hospitaliza-tions and 20-25% of trauma-related deaths are caused by serious chest injuries.
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Conclusion & Impact:Conclusions: Our findings highlighted the prognostic importance of cardiac troponins, especially in pediatric patients presenting with trauma.
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Travma · acil tıp · ekokardiyografi

Abstract

Background: Trauma is a critical public health issue, particularly impacting the young and caus-ing significant financial and moral losses. Approximately one-third of trauma-related hospitaliza-tions and 20-25% of trauma-related deaths are caused by serious chest injuries. We aimed to determine the prognostic value of changing pediatric global troponin levels in the emergency department after trauma. Materials and Methods: Patients who applied to the emergency department with complaints of trauma between January 1, 2015 and January 31, 2022 were evaluated. Records of pediatric patients between the ages of 0 and 18 were reviewed. The cause and severity of the trauma, electrocardiography and echocardiography results, and laboratory data (biochemical, hemogram, C-reactive protein, pro-BNP, CK-MB, troponin, etc.) of the patients were evaluated. This study is an observational and retrospective. Results: Falling from height was the most prevalent cause of injury, accounting for 43% of cases. Chest trauma was observed in 55 patients (56%). All patients with chest trauma exhibited ele-vated troponin levels. Troponin levels were found to be significantly higher in patients with chest trauma (p=0.011). Conclusions: Our findings highlighted the prognostic importance of cardiac troponins, especially in pediatric patients presenting with trauma.

Özet

Amaç: Travma, özellikle gençleri etkileyen, önemli finansal ve manevi kayıplara yol açan kritik bir halk sağlığı sorunudur. Travma ile ilgili hastane yatışlarının yaklaşık üçte biri ve travma kaynaklı ölümlerin %20-25'ine ciddi göğüs yaralanmaları neden olmaktadır. Travma sonrası acil servise başvuran pediatrik hastalarda troponin düzeylerinin prognostik değerini belirlemeyi amaçladık Materyal ve Metod: 1 Ocak 2015 ile 31 Ocak 2022 tarihleri arasında acil servise travma şikayetiyle başvuran hastalar değerlendirildi. 0 ile18 yaş arası çocuk hastaların kayıtları incelendi. Hastaların travma nedeni ve şiddeti, elektrokardiyografi ve ekokardiyografi sonuçları, laboratuvar verileri (biyokimyasal, hemogram, C-reaktif protein, pro-BNP, CK-MB, troponin vb.) değer-lendirildi. Bu araştırma gözlemsel ve retrospektiftir. Bulgular: Yüksekten düşme en yaygın yaralanma nedeni olarak bulundu (%43). 55 (%56) hastada göğüs travması saptandı. Göğüs travması olan tüm hastalarda troponin yüksekliği mevcuttu. Göğüs travması olan hastalarda troponin seviyeleri anlamlı olarak yüksek bulundu (p=0.011). Sonuç: Bulgularımız, özellikle travma ile başvuran pediatrik hastalarda kardiyak troponinlerin prognostik önemini vurguladı.

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Cite This Article

Yaman, M., Türe, M., Akın, A., Uç, D., Sürücü, M., Şen, A., Güloğlu, C. (2024). Cardiac Evaluation of Children Presenting with Trauma. Harran Üniversitesi Tıp Fakültesi Dergisi, Cilt: 21 Sayı: 2, 321–325. https://doi.org/10.35440/hutfd.1511938

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