Orthopedic injuries commonly affect children during earthquakes, but reports about them are rare. This setting may lead to different standards of care, but guidelines are still missing in this field. A systematic review was performed to: (1) assess type and body distribution of pediatric earthquake-related injuries, treatment performed, length of stay, and complications; and (2) identify starting points to define standards of care. PubMed database was researched for papers (1999-2014 period) in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Inclusion criteria were: English, French, Spanish, or Italian language and data reported about orthopedic lesions in children (≤18 years old). Reviews, letters, commentaries, editorials, and single case reports were excluded. Two independent reviewers selected articles after abstract and full-text reading. Traumatic injuries caused child hospital admissions ranging from 46.9% to 100.0%; 16% to 53% suffered fractures. Lower limbs mostly were involved. Soft-tissue injuries affected 55% of patients. Debridement and external fixation (EF) were the most frequent surgical treatments. Amputation rates varied from 5% to 11%. This study revealed that field hospitals should be prepared to: (1) treat mainly lower extremities fractures in children; and (2) use especially EF techniques. The presence of orthopedic surgeons familiar with pediatric traumatology should be considered.
Orthopedic injuries and their treatment in children during earthquakes : a systematic review / I. Morelli, M.G. Sabbadini, M. Bortolin. - In: PREHOSPITAL AND DISASTER MEDICINE. - ISSN 1049-023X. - 30:5(2015 Oct), pp. 478-485.
|Titolo:||Orthopedic injuries and their treatment in children during earthquakes : a systematic review|
MORELLI, ILARIA (Primo) (Corresponding)
|Parole Chiave:||amputation; earthquake; external fixation; orthopedics; pediatric trauma; systematic review; Child; Child, Preschool; Earthquakes; Hospitalization; Humans; Length of Stay; Mobile Health Units; Orthopedics; Wounds and Injuries|
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||ott-2015|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1017/S1049023X15004951|
|Appare nelle tipologie:||01 - Articolo su periodico|