Criteria for the choice of treatment and diagnosis of combined chest injuries in children
Abstract
Background. To predict the feasibility of applying video-assisted thoracoscopic surgery (VATS) in children with chest trauma using the Allgower shock index.
Materials and methods. From 2012 to 2023, 63 children with chest injuries of varying severity and localization were treated at the Pediatric Surgery Center of Samarkand State Medical University. Of these, 39 children had combined chest trauma. Thoracotomy was performed on 8 patients, and video-assisted thoracoscopic procedures on 22. The patients were aged 3 to 15 years.
Results. The patients were classified into four groups based on the Allgower shock index. Surgical decisions were made considering the severity of the patient’s condition and the shock index. The feasibility of using VATS was evaluated accordingly. Survival after chest trauma was assessed using the BBTRISS scale, which correlated with the degree of shock and trauma severity.
Conclusion. The retrospective analysis demonstrates that the Allgower shock index is a reliable predictor for the use of VATS in pediatric patients with combined chest trauma. It directly correlates with survival rates assessed by BBTRISS.
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