TY - JOUR
T1 - Clinical characteristics of firearm-related injuries in children in Turkey
AU - Turkish Pediatric Firearm Study Group
AU - Vatansever, Göksel
AU - Yılmaz, Hayri Levent
AU - Nalbant, Tuğçe
AU - Kanğin, Murat
AU - Almış, Habip
AU - Köker, Alper
AU - Çeleğen, Mehmet
AU - Tekşam, Özlem
AU - Bozlu, Gülçin
AU - Havan, Merve
AU - Arslanköylü, Ali Ertuğ
AU - Güleryüz, Okşan Derinöz
AU - Battal, Fatih
AU - Özkaya, Pınar Yazıcı
AU - Yener, Nazik
AU - Yıldızdaş, Dinçer
AU - Duran, Rıdvan
AU - Tekin, Deniz
AU - Ulukol, Betül
AU - Kendirli, Tanıl
AU - Özdemir, İhsan
AU - Çağlayan, Utku
AU - Gün, Emrah
AU - Gökulu, Gamze
AU - Çay, Pınar
AU - Gamze, Gökalp
AU - Talay, Mehmet Nur
AU - Doğan, Fatih
AU - Dursun, Oğuz
AU - Ünal, Bahri
AU - Boyacı, Evrim Özkaraca
AU - Horoz, Özden Özgür
AU - Alakaya, Mehmet
AU - Çolak, Özlem
AU - Bardakçı, Okan
AU - Zararcı, Kazım
AU - Kaya, Hatice Elif Kınık
AU - Alaçakır, Nuri
AU - Duyu, Muhterem
AU - Şevketoğlu, Esra
AU - Akçay, Nihal
AU - Öztürk, Nilüfer Yalındağ
AU - Girgin, Feyza İnceköy
AU - Yaman, Ayhan
AU - Barlas, Ülkem Koçoğlu
AU - Yetimakman, Ayşe Filiz
AU - Yeşilbaş, Osman
AU - Kalkan, Gökhan
AU - Güneysu, Songül Tomar
N1 - Publisher Copyright:
© 2022, Turkish National Pediatric Society. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Background. A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive care units (PICU) with firearm injuries. This study is the most comprehensive analysis of firearm injuries sustained by children in Turkey to date. Methods. This multicenter, retrospective, cohort study was conducted between 2010 and 2020 with the contributions of the PEDs, PICUs, intensive care units, and surgery departments of university hospitals and research hospitals. Results. A total of 508 children were admitted to hospital with firearm-related injuries in the research period, although the medical records of only 489 could be obtained. Of the total admissions to hospitals, 55.0% were identified as unintentional, 8.2% as homicide, 4.5% as self-harm, and 32.3% as undetermined. The Glasgow Coma Scale (GCS) and ventilation support were found to be the most significant predictors of mortality, while head/neck injury, length of stay (LOS) in the hospital and surgical interventions were found to be the most significant predictors of disability. The overall mortality of firearm-related injuries was 6.3%, and the mortality for children admitted to the PICU was 19.8%. The probability of disability was calculated as 96.0% for children hospitalized with firearm injuries for longer than 75 days. Conclusions. Head/neck injury, LOS in the hospital, and surgical interventions were found to be the most significant parameters for the prediction of disability. Hospitalization exceeding 6 days was found to be related to disability.
AB - Background. A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive care units (PICU) with firearm injuries. This study is the most comprehensive analysis of firearm injuries sustained by children in Turkey to date. Methods. This multicenter, retrospective, cohort study was conducted between 2010 and 2020 with the contributions of the PEDs, PICUs, intensive care units, and surgery departments of university hospitals and research hospitals. Results. A total of 508 children were admitted to hospital with firearm-related injuries in the research period, although the medical records of only 489 could be obtained. Of the total admissions to hospitals, 55.0% were identified as unintentional, 8.2% as homicide, 4.5% as self-harm, and 32.3% as undetermined. The Glasgow Coma Scale (GCS) and ventilation support were found to be the most significant predictors of mortality, while head/neck injury, length of stay (LOS) in the hospital and surgical interventions were found to be the most significant predictors of disability. The overall mortality of firearm-related injuries was 6.3%, and the mortality for children admitted to the PICU was 19.8%. The probability of disability was calculated as 96.0% for children hospitalized with firearm injuries for longer than 75 days. Conclusions. Head/neck injury, LOS in the hospital, and surgical interventions were found to be the most significant parameters for the prediction of disability. Hospitalization exceeding 6 days was found to be related to disability.
KW - Disability
KW - Firearm injuries
KW - Mortality
KW - Pediatric emergency medicine
KW - Pediatric intensive care
UR - http://www.scopus.com/inward/record.url?scp=85145425894&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85145425894&partnerID=8YFLogxK
U2 - 10.24953/turkjped.2021.4564
DO - 10.24953/turkjped.2021.4564
M3 - Article
C2 - 36583879
AN - SCOPUS:85145425894
SN - 0041-4301
VL - 64
SP - 971
EP - 984
JO - Turkish Journal of Pediatrics
JF - Turkish Journal of Pediatrics
IS - 6
ER -