الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
P
ediatric trauma remains the most common cause of morbidity and mortality. Covid 19 pandemic period had its impact on all non-covid related conditions including trauma where changes occurred in the rate of admissions and in the overall management. However, it did not negatively impact the quality of trauma care. 107 pediatric admitted patients were included in this study.
Of all cases, 13% were managed during the peak of the pandemic, whereas 87% were reported after the recession of the wave. The male-to-female ratio was 1.7:1 (63% and 37%, respectively). The age range was from 5 months to 14 years with a median age of 6 years. The mortality rate was 2.8%. Mechanism of injury were reported as follows: falls 49.5%, AVP 28%, crush injury in the torso 10.2% and MVA 8.4%. As children are more sensitive to radiation, pediatric centers including the study center have adopted protocols with the goals of reducing radiation exposure.
The rate of triphasic abdominal CT in the study was 62.5%, whereas, after implementing the guidelines, the rate of triphasic abdominal CT was 72.9% without statistical difference. non-operative management (NOM) of solid organ injury (SOI) in children due to blunt abdominal trauma (BAT) has become standard of care in children’s hospitals in the last two decades and proved to be successful and effective in the study. NOM was applied to 83 cases (77.6%), whereas operative management was applied to 21 cases (19.6%).
Liver and spleen are the most commonly injured organs after blunt abdominal trauma, followed by renal and pancreatic injuries. The rate of NOM of blunt liver and spleen injuries (BLSI) was 96.7%, whereas that for renal injuries was 92.5%. Interventional radiology techniques sustained NOM of renal injuries in 25% of cases. Intestinal injuries management tend to be operative as in 83.3% of all intestinal injuries. ICU admission was for 83% of cases while 17 % admitted to ward.
Many childhood injuries are preventable, so Injury Prevention Programs are important to prevent future injuries from occurring by providing education and resources to parents and community members.