Yıl: 2018 Cilt: 21 Sayı: 3 Sayfa Aralığı: 101 - 106 Metin Dili: İngilizce DOI: 10.31609/jpmrs.2018-59767 İndeks Tarihi: 04-02-2020

Clinical and Demographic Features of Pediatric Patients with Limb Loss

Öz:
Objective: Limb loss frequently leads to permanent disability and there is a lack of informationon the characteristics of children with limb loss in Turkey. This study was aimed to presentthe clinical and demographic features of pediatric patients with limb loss for helping preventiveactions of extremity loss. Material and Methods: This retrospective study comprised patients aged0-16 years at the time of injury who were admitted to the rehabilitation center for prosthesis. Analysiswas made of the demographic and clinical features including age, time since amputation, gender,etiology, level and side of the amputation. Results: Evaluation was made of 32 patients (20 boysand 12 girls) with the loss of 41 limbs. The mean age at the time of the study was 11.46 years. Acquiredamputations were seen in 23 patients (71.9%) and in the other 9 cases, congenital limb deficiencywas the cause of limb loss. Motor vehicle accident (MVA) was the leading cause of acquiredamputation in the pediatric population (28.1%). The mean age at the time of amputation relatedwith MVA, industrial injury and burning due to electric shock was 9.44, 15.25 and 5 years, respectively.There was a statistically significant difference between acquired amputation and congenitallimb deficiency in respect of time since injury (p: 0.01). Conclusion: Traumatic amputations werethe cause of limb loss in most of the pediatric patients. The leading causes of the amputation wereMVA, industrial injury and electric shock. Education of children and their parents is of paramountimportance in order to prevent acquired amputation.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Ekstremite Kaybı Olan Pediatrik Hastaların Klinik ve Demografik Özellikleri

Öz:
Amaç: Ekstremite kaybı sıklıkla kalıcı dizabiliteye neden olur ve Türkiye’de ekstremite kaybı olan çocukların karakteristikleri ile ilgili bilgi eksikliği vardır. Bu çalışmada ekstremite kaybını önleyici çalışmalara yardımcı olması için ekstremite kaybı olan pediatrik hastaların klinik ve demografik özelliklerinin sunulması amaçlanmaktadır. Gereç ve Yöntemler: Bu retrospektif çalışma populasyonu olay zamanında 0-16 yaş arasında olup protez için rehabilitasyon merkezine başvuran hastalardan oluşmaktadır. Hastaların yaş, olay sonrası geçen süre, cinsiyet, etiyoloji, ampütasyon seviyesi ve tarafını içeren demografik ve klinik özellikleri analiz edildi. Bulgular: 41 ekstremite kaybı olan 32 hasta (20 erkek ve 12 kız) değerlendirildi. Çalışma zamanındaki ortalama yaş 11.46 yıldı. Edinilmiş ampütasyon 23 (%71.9) hastada mevcuttu ve diğer 9 vakada ekstremite kaybının nedeni doğumsal ekstremite yokluğuydu. Motorlu taşıt kazaları (MTK) pediatrik popülasyonda edinilmiş ampütasyonların en önemli nedeniydi (%28.1). MTK, iş kazaları ve elektrik çarpmasına bağlı gelişen ampütasyonların ortalama oluş yaşları sırasıyla 9.44, 15.25 ve 5 yıl idi. Edinilmiş amputasyon ve doğumsal ekstremite yokluğu arasında olay sonrası geçen süre açısından istatistiksel anlamlı fark tespit edildi (p: 0.01). Sonuç: Pediatrik hastaların çoğunda ekstremite kaybının nedeni travmatik ampütasyondu. Amputasyonların en sık nedeni MTK, iş kazaları ve elektrik çarpması idi. Çocukların ve onların bakıcılarının eğitimi travmatik amputasyonların önlenmesinde büyük öneme sahiptir.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Trautwein LC, Smith DG, Rivara FP. Pediatric amputation injuries: etiology, cost, and outcome. J Trauma. 1996;41:831-8.
  • Loder RT. Demographics of traumatic amputations in children. Implications for prevention strategies. J Bone Joint Surg Am. 2004;86: 923-8.
  • Seiler JG 3rd, Richardson JD. Amputation after extremity injury. Am J Surg. 1986;152:260-4.
  • Scheidt PC, Harel Y, Trumble AC, et al. The epidemiology of nonfatal injuries among US children and youth. Am J Public Health. 1995;85:932-8.
  • Dormans JP, Azzoni M, Davidson RS, et al. Major lower extremity lawn mower injuries in children. J Pediatr Orthop. 1995;15:78-82.
  • Shapiro MJ, Luchtefeld WB, Durham RM, et al. Traumatic train injuries. Am J Emerg Med. 1994;12:92-3.
  • Rivara FP. Epidemiology of childhood injuries. I. review of current research and presentation of conceptual framework. Am J Dis Child. 1982;136:399-405.
  • Durkin MS, Laraque D, Lubman I, et al. Epidemiology and prevention of traffic injuries to urban children and adolescents. Pediatrics. 1999;103:e74.
  • Holmes MJ, Reyes HM. A critical review of urban pediatric trauma. J Trauma. 1984;24: 253-5.
  • Conner KA, Williams LE, McKenzie LB, et al. Pediatric pedestrian injuries and associated hospital resource utilization in the United States, 2003. J Trauma. 2010;68:1406-12.
  • Conner KA, McKenzie LB, Xiang H, et al. Pediatric traumatic amputations and hospital resource utilization in the United States, 2003. J Trauma. 2010;68:131-7.
  • Nelson VS, Flood KM, Bryant PR, et al. Limb deficiency and prosthetic management. 1. Decision making in prosthetic prescription and management. Arch Phys Med Rehabil. 2006;87:3-9.
  • Jain S. Rehabilitation in limb deficiency. 2. The pediatric amputee. Arch Phys Med Rehabil. 1996;77:9-13.
  • Weir S, Ephraim P, Mackenzie E. Effects of paediatric limb loss on healthcare utilisation, schooling and parental labour supply. Disabil Rehabil. 2010;32:2046- 55.
  • Rijnders LJ, Boonstra AM, Groothoff JW, et al. Lower limb deficient children in The Netherlands: epidemiological aspects. Prosthet Orthot Int. 2000;24:13-8.
  • Krajbich JI. Lower-limb deficiencies and amputations in children. J Am Acad Orthop Surg. 1998;6:358-67.
  • Bull MJ, Agran P, Gardner HG, et al; Committee on Injury and Poison Prevention. Lawn mower-related injuries to children. Pediatrics. 2001;107:1480-1.
  • Morrongiello BA. Caregiver supervision and child-injury risk: I. Issues in defining and measuring supervision; II. Findings and directions for future research. J Pediatr Psychol. 2005;30:536-52.
  • Morrongiello BA, House K. Measuring parent attributes and supervision behaviors relevant to child injury risk: examining the usefulness of questionnaire measures. Inj Prev. 2004;10: 114-8.
  • Le JT, Scott-Wyard PR. Pediatric limb differences and amputations. Phys Med Rehabil Clin N Am. 2015;26:95-108.
  • Griffet J. Amputation and prosthesis fitting in paediatric patients. Orthop Traumatol Surg Res. 2016;102:S161-75.
  • Khan MA, Javed AA, Rao DJ, et al. Pediatric traumatic limb amputation: the principles of management and optimal residual limb lengths. World J Plast Surg. 2016;5:7-14.
APA DEMIR Y, GÜZELKÜÇÜK Ü, Aydemir K, Yasar E, Aras B, TAN A (2018). Clinical and Demographic Features of Pediatric Patients with Limb Loss. , 101 - 106. 10.31609/jpmrs.2018-59767
Chicago DEMIR YASIN,GÜZELKÜÇÜK Ümüt,Aydemir Koray,Yasar Evren,Aras Berke,TAN A. Kenan Clinical and Demographic Features of Pediatric Patients with Limb Loss. (2018): 101 - 106. 10.31609/jpmrs.2018-59767
MLA DEMIR YASIN,GÜZELKÜÇÜK Ümüt,Aydemir Koray,Yasar Evren,Aras Berke,TAN A. Kenan Clinical and Demographic Features of Pediatric Patients with Limb Loss. , 2018, ss.101 - 106. 10.31609/jpmrs.2018-59767
AMA DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A Clinical and Demographic Features of Pediatric Patients with Limb Loss. . 2018; 101 - 106. 10.31609/jpmrs.2018-59767
Vancouver DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A Clinical and Demographic Features of Pediatric Patients with Limb Loss. . 2018; 101 - 106. 10.31609/jpmrs.2018-59767
IEEE DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A "Clinical and Demographic Features of Pediatric Patients with Limb Loss." , ss.101 - 106, 2018. 10.31609/jpmrs.2018-59767
ISNAD DEMIR, YASIN vd. "Clinical and Demographic Features of Pediatric Patients with Limb Loss". (2018), 101-106. https://doi.org/10.31609/jpmrs.2018-59767
APA DEMIR Y, GÜZELKÜÇÜK Ü, Aydemir K, Yasar E, Aras B, TAN A (2018). Clinical and Demographic Features of Pediatric Patients with Limb Loss. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 21(3), 101 - 106. 10.31609/jpmrs.2018-59767
Chicago DEMIR YASIN,GÜZELKÜÇÜK Ümüt,Aydemir Koray,Yasar Evren,Aras Berke,TAN A. Kenan Clinical and Demographic Features of Pediatric Patients with Limb Loss. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 21, no.3 (2018): 101 - 106. 10.31609/jpmrs.2018-59767
MLA DEMIR YASIN,GÜZELKÜÇÜK Ümüt,Aydemir Koray,Yasar Evren,Aras Berke,TAN A. Kenan Clinical and Demographic Features of Pediatric Patients with Limb Loss. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.21, no.3, 2018, ss.101 - 106. 10.31609/jpmrs.2018-59767
AMA DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A Clinical and Demographic Features of Pediatric Patients with Limb Loss. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2018; 21(3): 101 - 106. 10.31609/jpmrs.2018-59767
Vancouver DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A Clinical and Demographic Features of Pediatric Patients with Limb Loss. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2018; 21(3): 101 - 106. 10.31609/jpmrs.2018-59767
IEEE DEMIR Y,GÜZELKÜÇÜK Ü,Aydemir K,Yasar E,Aras B,TAN A "Clinical and Demographic Features of Pediatric Patients with Limb Loss." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 21, ss.101 - 106, 2018. 10.31609/jpmrs.2018-59767
ISNAD DEMIR, YASIN vd. "Clinical and Demographic Features of Pediatric Patients with Limb Loss". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 21/3 (2018), 101-106. https://doi.org/10.31609/jpmrs.2018-59767