Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Samsun'da Üniversite Hastanesine Başvuran Çocukluk Çağı Künt Travmalarının Retrospektif Olarak Değerlendirilmesi
Retrospective Evaluation of Childhood Blunt Traumas Admitted to a University Hospital in Samsun
Elif SAZAK UYGULa , Berna AYDINb , Ahmet TURLAb , Türkan Sevgin GÜMÜŞKAPTANc
aDevon Partnership NHS Trust, Langdon Hospital, Dawlish, İngiltere
bOndokuz Mayıs Üniversitesi Tıp Fakültesi, Adli Tıp AD, Samsun, Türkiye
cGiresun İl Sağlık Müdürlüğü, Giresun, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2024;21(2):63-9
doi: 10.5336/forensic.2024-101215
Article Language: TR
Full Text
ÖZET
 Amaç: Çalışmada çocukluk yaş grubunda meydana gelen künt travmaların, travmanın oluşumu, yaralanmanın ağırlığı ve adli tıbbi ele alınış şekli açısından değerlendirilmesi amaçlandı. Gereç ve Yöntemler: 01.01.2015-01.07.2020 tarihleri arasında Ondokuz Mayıs Üniversitesi Tıp Fakültesi Acil Servisinde künt travmaya bağlı tanılarla tedavi gören 0-18 yaş grubu hastaların, hastane otomasyon sistemindeki dosya ve kayıtları geriye dönük olarak, demografik veriler, yaralanmaların meydana geliş şekilleri, meydana gelen travmaların vücut üzerindeki etkileri ve hastane sisteminde adli olgu olarak kayıtlı olup olmadığı yönünden incelendi ve elde edilen veriler analiz edildi. Bulgular: Çalışmaya dâhil edilen 1524 olgunun %64,4'ü erkek, %36,6'sı kız çocuğuydu. Çocukların ortalama yaşları 6,5±5 yıldı. Travma sonucu olgularda en çok yaralanan vücut bölgesi yüz ve üst ekstremitelerdi. Olguların %59,9'u (n: 913) yaralanmaları sonucu hastaneye yatmaları gerekmemiş, %20,6'sı (n: 314) ise yaşamsal tehlike yaratacak şekilde yaralanmıştı. Olguların %59,8'i (n: 912) ise ağırlıkları açısından basit bir tıbbi müdahale ile giderilebilecek ölçüde hafif olmayan nitelikte yaralanmalara sahipti. Olguların yalnızca %39,4'üne (n: 600) adli dosya kaydı açılmış ve 8 olgu istismar açısından değerlendirilmişti. Sonuç: Künt travmalar çocuk yaş grubunda sıklıkla karşılaşılan travmalardır. Travmanın etki derecesine bağlı olarak ciddi morbidite ve mortaliteye neden olabilmektedir. Vücut üzerinde oluşturabileceği geçici ve/veya kalıcı ağır sonuçlarla beraber künt travmatik yaralanmaların aynı zamanda istismar belirtisi olabileceği de unutulmamalıdır. Hekimlerin travmanın tıbbi yönetiminin yanı sıra adli boyutu konusunda yeterli bilgiye sahip olması bu olguların değerlendirilmesinde önemli rol oynamaktadır.

Anahtar Kelimeler: Künt travma; çocukluk çağı travmaları; adli tıp
ABSTRACT
 Objective: In this study it was aimed to evaluate the blunt traumas of the pediatric age group in terms of the occurrence of the trauma, the severity of the injury, and the way it was handled in terms of forensic medicine. Material and Methods: The files and records in the hospital automation system of patients aged 0-18, who were treated with diagnoses related to blunt trauma at the Emergency Department of Ondokuz Mayıs University Faculty of Medicine between 01.01.2015 and 01.07.2020, were retrospectively examined. The analysis focused on demographic data, how injuries occur, the impact of the traumas on the body, and whether the cases were recorded as forensic cases in the hospital system. The obtained data were analyzed. Results: 64.4% of the cases were boys, and 36.6% were girls. The mean age was 6.5±5 years. The most injured body area was the face and upper extremities. 59.9% (n: 913) of the cases did not require hospitalization, 20.6% (n: 314) were injured in a way that would endanger their life, and 59.8% (n: 912) of them have the injuries, that they could not be treated with simple medical intervention. Only 39.4% (n: 600) of the cases were processed through forensic file records, and 8 cases were evaluated in terms of abuse. Conclusion: Blunt traumas are frequently encountered in children and cause serious morbidity and mortality, which may also be a sign of abuse. It should not be forgotten that injuries caused by blunt trauma, along with the temporary and or permanent severe consequences they may have on the body, can also be a sign of abuse. Physicians' adequate knowledge of the forensic aspect as well as the medical management of trauma plays an important role in the evaluation of these cases.

Keywords: Blunt trauma; childhood injuries; forensic medicine
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