Blast Lung Injury in Children

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dc.authoridcelikkaya, mehmet emin/0000-0003-3324-4960
dc.authoridKorkmaz, Inan/0000-0001-6820-8199
dc.contributor.authorKorkmaz, Inan
dc.contributor.authorCelikkaya, Mehmet Emin
dc.date.accessioned2024-09-18T20:04:34Z
dc.date.available2024-09-18T20:04:34Z
dc.date.issued2023
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackgroundBombings are the most common cause of civilian deaths in wars, and unfortunately, a large proportion of civilian victims are children.ObjectiveThis study aimed to evaluate the frequency of blast lung injury (BLI), to evaluate lung injury patterns on tomographic images, and to document the relationship between blast lung and mortality in children exposed to the blast effect.MethodsThirty-six children (25.3% of pediatric patients brought to our hospital with blast injury) with BLI were included in the study. The pediatric trauma score evaluations made in the emergency department in the first admission were recorded. Lung injury findings in the computed tomography images of the patients were examined, and injuries detected in other systems were recorded.ResultsThe most common lung injury pattern was contusion (right: 69.4%, left: 80.6%). The incidence of brain damage (52.4%) and intra-abdominal injury (76.2%) in children with low pediatric trauma score value was statistically significantly higher (P = 0.049, P = 0.017, respectively). There was no statistically significant correlation between the presence of lung injury, injury patterns, and mortality. The incidence of brain damage in deceased patients (61.5%) was statistically significantly higher than the incidence of brain damage in surviving patients (26.1%) (P = 0.036). Low pediatric trauma score was observed in 11 (84.6%) of the deceased children and in 10 (43.5%) of the survivors (P = 0.016). The mean age of children with hemothorax in the right lung was statistically significantly lower than those without (P = 0.014).ConclusionOur findings revealed that pediatric BLI is common after a blast, that it is associated with other system injuries, and that a multimodal radiological approach is required in child victims.en_US
dc.identifier.doi10.1097/PEC.0000000000003021
dc.identifier.endpage720en_US
dc.identifier.issn0749-5161
dc.identifier.issn1535-1815
dc.identifier.issue9en_US
dc.identifier.pmid37463251en_US
dc.identifier.scopus2-s2.0-85169180870en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage715en_US
dc.identifier.urihttps://doi.org/10.1097/PEC.0000000000003021
dc.identifier.urihttps://hdl.handle.net/20.500.12483/8252
dc.identifier.volume39en_US
dc.identifier.wosWOS:001057981800015en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofPediatric Emergency Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectblast lungen_US
dc.subjectimagingen_US
dc.subjectradiologyen_US
dc.subjecttraumaen_US
dc.titleBlast Lung Injury in Childrenen_US
dc.typeArticleen_US

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