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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 5

Evaluation of perfusion index in pediatric trauma patients

Pediatrik travma hastalarında perfüzyon indeksinin değerlendirilmesi

Mehmet ALAKAYA
Ali Ertuğ ARSLANKÖYLÜ
Pages
593–598
Publication Date
2022-11-07
DOI
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AI Summary & Key Takeaways

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

CONCLUSION: PI can be used for non-invasive and rapid assessment of unstable patients separately or in combination with PTS in pediatric trauma patients.

📌 3 Key Takeaways

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Objective & Hypothesis:BACKGROUND: The aim of this study is to investigate the effectiveness of perfusion index (PI) measured by non-invasive pulse oximetry in the evaluation of pediatric trauma patients and to show its correlation with pediatric trauma score (PTS).
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Key Findings & Data:METHODS: Patients hospitalized in the pediatric intensive care unit due to trauma were examined between March 2017 and March 2018.
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Conclusion & Impact:CONCLUSION: PI can be used for non-invasive and rapid assessment of unstable patients separately or in combination with PTS in pediatric trauma patients.
🔬Design:Research Article
📍Scope:2017 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: The aim of this study is to investigate the effectiveness of perfusion index (PI) measured by non-invasive pulse oximetry in the evaluation of pediatric trauma patients and to show its correlation with pediatric trauma score (PTS). METHODS: Patients hospitalized in the pediatric intensive care unit due to trauma were examined between March 2017 and March 2018. Characteristic variables of the patients, Pediatric Index of Mortality 2 score, Pediatric Logistic Organ Dysfunction score, PTS, type of trauma, number of systems affected by trauma, mechanical ventilation, transfusion, hemoglobin, lactate, PI at admission, length of ICU stay, and prognosis were recorded. RESULTS: Ninety-one pediatric trauma patients were included in the study. The majority of the patients were male (64.8%), with a mean age of 99.47±71.27 months, the most common cause of trauma was an out of-vehicle traffic accident. There was a positive correlation between PI and PTS (p8, and it was statistically significant (p=0.000). CONCLUSION: PI can be used for non-invasive and rapid assessment of unstable patients separately or in combination with PTS in pediatric trauma patients.

Özet

AMAÇ: Çocuk travmalarında non invaziv pulse oksimetre ile ölçülen Perfüzyon indeksinin acil ve yoğun bakım ünitelerinde düşük pediatrik travma skoru olan hastalarda etkinliğini değerlendirmek. GEREÇ VE YÖNTEM: Bir yıllık süreçte yoğun bakım ünitesine yatırılarak takibi yapılan hastaların karekteristik değişkenleri, Pediatric Index of Mortality 2 skoru, Pediatric Logistic Organ Dysfunction skoru, pediatrik travma skoru, travma türü, travmadan etkilenen sistem sayısı, mekanik ventilatör izlemi olup olmaması, transfüze edilip edilmemesi, hemoglobin, laktat değerleri, yatış esnasında Perfüzyon indeksi değeri, yoğun bakım yatış gün süresi (gün) ve sonuç (taburcu/eksitus) kaydedildi. BULGULAR: Belirlenen süreçte 91 çocuk travma hastası sonuçlarına eksiksiz ulaşılabildi. Hastaların çoğunluğu erkek (%64.8) yaş ortalaması 99.47±71.27 aydı, yatış nedeni en çok araç dışı trafik kazasıydı. Perfüzyon indeksi ile Pediatrik travma skoru arasında pozitif yönlü bir korelasyon vardı (p8 olan grupta PI ortalaması 1.77, standart sapma 0.95 olarak saptandı ve istatistiksel olarak anlamlı idi (p=0.000). TARTIŞMA: Perfüzyon indeksi çocuk travma hastalarında tek başına veya pediatrik travma skoru ile birlikte unstabil hastaları non invaziv hızlı şekilde değerlendirmemizi sağlamaktadır.

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Cite This Article

ALAKAYA, M., ARSLANKÖYLÜ, A. E. (2022). Evaluation of perfusion index in pediatric trauma patients. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 5, 593–598. https://ajindex.com/articles/655425

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