Analysis of pediatric forensic cases presented to emergency department

Year 2013, Volume: 48 Issue: 3, 235 - 240, 01.10.2013

Ömer Faruk Demir Kemal Aydın Feruza Turan Aynur Yurtseven Bülent Erbil Betül Gülalp

Abstract

Aim: Emergency services are departments where forensic cases are first admitted and their examination diagnosis and treatments are performed This study aimed to evaluate demographic and epidemiologic characteristics reasons for presentation admission time and hospitalization and mortality rates in pediatric forensic cases presented to an emergency department Material and Method: Pediatric forensic cases below the age of 16 years who were admitted to an emergency department of a training research hospital within a 1 year period were evaluated retrospectively The cases were evaluated in two groups as traumatic traffic accidents assault occupational accident sharp object injury falls from high gunshot injuries and non traumatic suicide attempt carbon monoxide intoxication admissions Results: 1494 cases were included The mean age was 8 8 plusmn;4 37 years and 66 n=986 of the cases were male The majority of the cases 29 5 were in the 7 10 year age group The most common reason for presentation was traffic accident 76 4 followed by fall from high 12 7 and assault 6 1 Cases were mostly admitted in the evenings and summer months Of the cases 9 2 was hospitalized and 1 9 required intensive care unit stay; mortality rate was 0 4 Conclusions: Most forensic cases in childhood are preventable health problems Identification of forensic case profiles of each region is needed to develop new strategies take preventive measures and provide appropriate treatment approaches in emergency departments Turk Arch Ped 2013; 48: 235 240

Keywords

Child abuse, emergency medicine, pediatric forensic, traffic accident

Acil servise başvuran çocuk adli olguların analizi

Abstract

Amaç: Acil servisler adli olguların ilk başvurduğu tetkik tanı ve tedavilerinin yapıldığı yerlerdir Bu çalışmanın amacı bir eğitim araştırma hastanesi acil servisine başvuran çocuk adli olguların demografik epidemiyolojik özelliklerini ortaya koymak başvuru nedenlerini başvuru zamanlarını ve yatış ve ölüm oranlarını belirlemektir.

Gereç ve Yöntem: Bir eğitim araştırma hastanesinde acil servise bir yıl içinde başvuruda bulunan 16 yaş altı olan çocuk adli olgular geriye dönük olarak değerlendirildi Çocuk adli olgular; travmatik olan trafik kazaları darp iş kazası kesici delici alet yaralanması yüksekten düşme ateşli silah yaralanması ve diğer ve travmatik olmayan çocuk adli olgular intihar girişimi karbonmonoksit entoksikasyonu olarak iki grupta incelendi.

Bulgular: Bu çalışmada değerlendirilen 1494 çocuk adli olguların yaş ortalaması 8 8 plusmn;4 37 yıl olup bu çocuk adli olguların 66 rsquo;sı erkekti n=986 Çalışmada en fazla başvuru 7 10 yaş grubunda idi 29 5 En sık başvuru nedeni trafik kazası 76 4 olarak saptandı bunu 12 7 ile yüksekten düşme ve 6 1 ile darp izledi Çocuk adli olguların en fazla yaz aylarında ve akşam saatlerinde başvurduğu gözlendi Olguların 9 2 rsquo;sinin yatırılarak tedavi edildiği ve 1 9 rsquo;una yoğun bakım yatışı gerektiği ve ölüm oranının 0 4 olduğu saptandı.

Çıkarımlar: Çocukluk çağındaki adli olguların büyük çoğunluğu önlenebilir sağlık sorunlarıdır Yeni yöntemlerin geliştirilmesi koruyucu önlemlerin alınması ve acil servislerde uygun tıbbi yaklaşım sağlanabilmesi için her bölgenin adli olgu tutumlarının belirlenmesi önemlidir.

Keywords

Acil servis, çocuk istismarı, çocuk adli olgu, trafik kazası

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