Utility and Efficacy of Trauma Scoring Systems in Multiple Trauma Children with Cranial Computed Tomography

Abstract

Introduction:To assess the association between cranial computed tomography (CCT) findings and Glasgow Coma scale (GCS), and abbreviated injury scale (AIS) and to investigate the efficacy of GCS for determination of the indication of CT in pediatric polytrauma patients.Methods:This retrospective study was performed using the data of patients who admitted to the emergency department between February 2017 and June 2018. The 120 pediatric patients due to polytrauma were reviewed for demographic, clinical and radiological information. The relationship between GCS, AIS, and the presence of findings consistent with polytrauma in CCT was evaluated.Results:Patients with positive findings on computed tomography (CT) had significantly higher AIS (p<0.001) and AIS squared (p<0.001) compared to those of patients without positive CT findings for trauma. The GCS and AIS squared scores were found to be significantly associated with positive findings for trauma in CT scans.Conclusion:Trauma score systems such as GCS and AIS were associated with the presence of trauma in CCT in pediatric patients.

Keywords

• multiple trauma
• computed tomography
• glasgow coma scale