Firearm injuries in pediatric surgery: Pediatric trauma center experiences Çocuk cerrahisinde ateşli silah yaralanmaları: Pediatrik travma merkezi deneyimleri
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.31, sa.6, ss.540-547, 2025 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 6
- Basım Tarihi: 2025
- Doi Numarası: 10.14744/tjtes.2024.25224
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.540-547
- Anahtar Kelimeler: Trauma in children, firearm injuries, thoracic trauma, abdominal trauma
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: This study aimed to evaluate the epidemiological data on thoracic and abdominal firearm injuries in children treated by pediatric surgeons at a pediatric trauma center. METHODS: Children hospitalized with firearm injuries from 2015 to 2022 were retrospectively analyzed. Patient demographics, affected organs, treatment approaches, and length of hospital stay were examined. RESULTS: The mean age of the patients was 12.43±2.31 years; 27 (84.4%) were male and five (15.6%) were female. Bullet injuries were associated with higher severity and often required major surgical intervention, whereas pellet injuries were generally managed conservatively. For thoracic injuries, conservative management was effective in stable cases without immediate life-threatening complications, while abdominal injuries more often required invasive surgical procedures. Notably, unintentional firearm injuries were more common in younger children, whereas intentional injuries were more prevalent among older adolescents. This age-related pattern revealed a statistically significant correlation between age and type of firearm injury (p=0.002). Additionally, the majority of patients with thoracic injuries underwent minor surgical procedures, whereas those with abdominal injuries primarily required major surgeries. CONCLUSION: This study indicates that accidental firearm injuries are more common among younger age groups, while intentional firearm injuries tend to occur more frequently in older children.