Secondary blast injury: radiological characteristics of shrapnel injuries in children

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dc.authoridKorkmaz, Inan/0000-0001-6820-8199
dc.authoridcelikkaya, mehmet emin/0000-0003-3324-4960
dc.contributor.authorKorkmaz, Inan
dc.contributor.authorCelikkaya, Mehmet Emin
dc.contributor.authorAtici, Ahmet
dc.date.accessioned2024-09-18T20:56:59Z
dc.date.available2024-09-18T20:56:59Z
dc.date.issued2023
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPurposeThe aim of this study is to examine the radiological images of child victims suffering from secondary blast injuries, to reveal organ-based injury patterns and their interrelationships, and to record mortality rates that may develop due to injured systems.MethodsA total of 65 patients with secondary blast injury due to bomb explosion were included in the study. Injury findings due to shrapnel in radiologic images of the patients were examined. Injured systems and types of injuries were recorded.ResultsThe most common injuries were intra-abdominal injuries (63%) and fractures (58.5%). Lung injury was observed in 4 (9.8%) of 41 patients with intra-abdominal injury, while 37 (90.2%) did not, and this was statistically significant (p = 0.003). The most common intra-abdominal organ injury was a small bowel injury in 23 (35.4%) patients. The coexistence of small bowel injury and large bowel injury was present in 8 patients (34.8%), and it was statistically significant (p = 0.019). A total of 14 (21.5%) of the patients died. There was no significant relationship between mortality and gender (p = 319). Brain damage was present in 10 (71.4%) of the 14 (21.5%) patients who died, which was statistically significant (p < 0.001).ConclusionOur results showed that the most common injuries were intra-abdominal injuries, damage to different organs could occur at the same time, and deaths were especially associated with brain injuries. For this reason, it should not be forgotten that CT scans will have an important place in the triage of the patient, especially in victims with shrapnel at the abdominal and cranial levels in radiography examinations.en_US
dc.identifier.doi10.1007/s10140-023-02132-x
dc.identifier.endpage313en_US
dc.identifier.issn1070-3004
dc.identifier.issn1438-1435
dc.identifier.issue3en_US
dc.identifier.pmid37039928en_US
dc.identifier.scopus2-s2.0-85152453492en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage307en_US
dc.identifier.urihttps://doi.org/10.1007/s10140-023-02132-x
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12223
dc.identifier.volume30en_US
dc.identifier.wosWOS:000967767800001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEmergency Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectShrapnel injuriesen_US
dc.subjectChildrenen_US
dc.subjectImagingen_US
dc.subjectRadiologyen_US
dc.subjectEmergencyen_US
dc.titleSecondary blast injury: radiological characteristics of shrapnel injuries in childrenen_US
dc.typeArticleen_US

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