The Effect of Quantifying Pulmonary Contusion Extent on The Treatment Management of Blunt Chest Trauma in Children

Authors : Caner İSBİR, İsa KILLI, Yüksel BALCI, Hakan TAŞKINLAR, Ali NAYCI

Pages : 714-719

Doi:10.31067/acusaglik.960197

View : 35 | Download : 13

Publication Date : 2021-09-29

Article Type : Research Paper

Abstract :Objective: Post-traumatic pulmonary contusion in children is often asymptomatic at diagnosis and has a good prognosis. The aim of this study was to investigate the clinical significance of the extent of post-traumatic pulmonary contusions and evaluate the timing of complications to determine the safe follow-up period in children with lung contusions. Methods: The study included pediatric patients who presented to the emergency department after blunt chest trauma and had pulmonary contusion detected on chest computed tomography insert ignore into journalissuearticles values(CT); between January 2017 and January 2020. Based on the percentage of total lung capacity occupied on thorax CT, pulmonary contusions were classified as grade 1: <19% insert ignore into journalissuearticles values(mild);, grade 2: 19%-27% insert ignore into journalissuearticles values(moderate); and grade 3: ≥28% insert ignore into journalissuearticles values(severe);. The relationship between pulmonary contusion grade and pulmonary functional status; complications and intensive care admission was examined and the mean time to complication development was determined. Results: The mean extent of pulmonary contusion after trauma was 17.8±8.6% insert ignore into journalissuearticles values(min-max, 5-100%); and mild insert ignore into journalissuearticles values(grade 1); contusion was significantly associated with spontaneous breathing insert ignore into journalissuearticles values(p=0.009);. Contusion grade was not associated with the development of atelectasis, pneumonia, pleural effusion, pneumothorax insert ignore into journalissuearticles values(p=0.719); or intensive care admission insert ignore into journalissuearticles values(p=0.176);. The mean time to detection of complications insert ignore into journalissuearticles values(atelectasis, pneumonia, pleural effusion, pneumothorax); on chest X-ray was 6.33±3.78 days insert ignore into journalissuearticles values(range, 2-9 days);. Conclusion: The results suggest that although no statistically significance between the extent of pulmonary contusion and complications, patients should be hospitalized for at least 48 hours, then followed-up with chest X-ray for 1 week due to possible complications after blunt chest trauma in children.
Keywords : Child, blunt chest trauma, pulmonary contusion