TY  - JOUR
PY  - 2022//
TI  - Clinical characteristics of firearm-related injuries in children in Turkey
JO  - Turkish journal of pediatrics
A1  - Vatansever, Göksel
A1  - Yılmaz, Hayri Levent
A1  - Nalbant, Tuğçe
A1  - Kanğin, Murat
A1  - Almis, Habip
A1  - Köker, Alper
A1  - Çeleğen, Mehmet
A1  - Teksam, Özlem
A1  - Bozlu, Gülçin
A1  - Havan, Merve
A1  - Arslanköylü, Ali Ertuğ
A1  - Güleryüz, Okşan Derinöz
A1  - Battal, Fatih
A1  - Özkaya, Pınar Yazıcı
A1  - Yener, Nazik
A1  - Yildizdas, Dincer
A1  - Duran, Rıdvan
A1  - Tekin, Deniz
A1  - Ulukol, Betul
A1  - Kendirli, Tanıl
SP  - 971
EP  - 984
VL  - 64
IS  - 6
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. <br><br>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. <br><br>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. <br><br>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.<p />  <p>Language: en</p>
LA  - en
SN  - 0041-4301
UR  - http://dx.doi.org/10.24953/turkjped.2021.4564
ID  - ref1
ER  -