Literature DB >> 26568689

Evaluation of forensic cases admitted to pediatric intensive care unit.

Burcu Bursal Duramaz1, Hamdi Murat Yıldırım2, Hasan Serdar Kıhtır2, Osman Yeşilbaş2, Esra Şevketoğlu2.   

Abstract

AIM: This study aimed to determine the epidemiological and clinical characteristics of pediatric forensic cases to contribute to the literature and to preventive health care services.
MATERIAL AND METHODS: Pediatric forensic cases hospitalized in our pediatric intensive care unit below the age of 17 years were reviewed retrospectively (January 2009-June 2014) . The patients were evaluated in two groups as physical traumas (Group A) and poisonings (Group B). The patients' age, gender, complaints at presentation, time of presentation and referral (season, time) and, mortality rates were determined. Cases of physical trauma (Group A) were classified as traffic accidents, falling down from height, falling of device, drowning, electric shock, burns and child abuse. Poisonings (Group B) were classified as pharmaceuticals, pesticides, other chemicals and unknown drug poisonings.
RESULTS: Two hundred twenthy cases were included. The mean age was 5.1+3.1 years. One hundred fifteen (%52.5) of the cases were male and 105 (%47.5) were female. Group A consisted of 62 patients and Group B consisted of 158 patients. The patients presented most frequently in summer months. The most common reason for presentation was falling down from height (12.7%) in Group A and accidental drug poisoning (most frequently antidepressants) in Group B. The mortality rate was 5%.
CONCLUSION: Forensic cases in the pediatric population (physical trauma and poisoning) are preventable health problems. Especially, preventive approach to improve the environment for falling down from height must be a priority. Increasing the awareness of families and the community on this issue, in summer months during which forensic cases are observed most frequently can contribute to a reduction in the number of cases.

Entities:  

Keywords:  Forensic case; poisoning; trauma

Year:  2015        PMID: 26568689      PMCID: PMC4629921          DOI: 10.5152/TurkPediatriArs.2015.2399

Source DB:  PubMed          Journal:  Turk Pediatri Ars


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