The structure and feature of polytrauma in children of Barnaul

Abstract

Analysis of fatal polytrauma in children in Barnaul over the period of 11 years, study of medical records of polytrauma patients brought in to hospital and medicolegal autopsy data from the cases of fatal polytrauma in children. 685 cases of child polytrauma were registered from the year 2001 to 2011 including 88 cases of fatal polytrauma. 68 children died before admission, 20 patients hospitalized resulted in death. Most fatal cases resulted from motor vehicle incidents (61 / 69,3%), falling from a height (20 / 22,7%), criminal injuries (3 / 3,4%), home accidents (2 / 2,3%), and street injuries (2 / 2,3%). The highest lethality rate related to cases of falling from a height (18,2%), motor vehicle incidents (13,6%), criminal and street injuries (10%). The lethality rate of child polytrauma in urban area amounted to 12,8%, death rate - 7,1 per 100 000 population per year. The highest lethality rate was noted among infants (27,7%) and adolescents (16,7%). Most fatal cases resulted from motor vehicle incidents (61 / 69,3%). The highest increase of mortality rate in polytrauma is observed during summer season. Major causes of death are shock and substantial blood loss.

Keywords

• дети
• летальность
• политравма
• смертность
• children
• lethality
• polytrauma
• mortality