Yücel YAVUZ, Yusuf YÜRÜMEZ, HÜDAVERDİ KÜÇÜKER, Hüseyin FİDAN, Mevlüt KORKMAZ

Traumatic childhood deaths in Afyonkarahisar

Amaç: Bu çalışmamızın amacı, otopsi kayıtlarından yararlanarak bölgemizdeki travmaya bağlı çocukluk dönemi ölümlerinin epidemiyolojik ve bazı klinik özelliklerinin değerlendirilmesidir. Gereç ve Yöntem: 0-17 yaşları arasındaki 122 olgunun savcılık dosya belgeleri, otopsi raporları, olay yeri inceleme ve ölü muayene tutanakları incelenmiştir. Bulgular: Toplam 122 olgunun 75’i (%61.5) erkek ve yaş ortalamaları 9.1±5.4 idi. En yüksek mortalite oranının 36 olgu (%29.5) ile 5-9 yaş arasında olduğu belirlendi. En önemli ölüm sebebinin kaza (%84.4) olduğu ve kazalar içinde de en sık 73 vaka (% 59.8) ile motorlu taşıt kazalarının görüldüğü tespit edildi. Motorlu taşıt kazalarının en sık 25 olgu (%34.2) ile 5-9 yaş arasındaki çocuklarda görüldüğü saptandı. Motorlu taşıt kazalarının 38’inin (%58.0) araç dışı kaza olduğu tespit edildi. En sık yaralanan vücut bölgesinin, 85 olgu (%69.7) ile baş-boyun bölgesi olduğu belirlendi. Toplam 26 olguda (%21.3) otopsi yapıldığı saptandı. Sonuç: Çocukluk çağı travmalarında, motorlu taşıt kazalarının ve yüksekten düşmelerin ön planda olduğu ve çoğunlukla taşıt kazalarının yayaya çarpma şeklinde meydana geldiği görülmektedir. En fazla baş-boyun bölgesinin etkilendiği, ölümlerin çoğunlukla olay yerinde olduğu ve ölüm sebebinin tayininde adli dış muayenenin yeterli olduğu anlaşılmaktadır.

Afyonkarahisar’da travmaya bağlı çocukluk dönemi ölümleri

Objective: We aimed to search epidemiological and clinical properties of childhood deaths from autopsy records in Afyonkarahisar. Method: Republic prosecution files, autopsy reports, evident place investigations and death examination protocols of 122 cases among children 0 to 17 years are searched. Results: Seventy five (61.5%) of 122 were boys, and mean age of them was 9.1±5.4. The highest mortality was among children 5 to 9 years with 36 (29.5%) cases. Prominent mortality causes of trauma were motor vehicle accidents (% 59.8). The origin of mortality causes were accidents (103 cases (%84.4)), suicide (11 cases (%9.0)) and homicide (8 cases (%6.6)). Mortality from motor vehicle accidents was most frequent (%34.2) among children 5 to 9 years. Thirty five (42.0%) of motor vehicle accidents were from trauma in vehicles. The most frequent wounded sides of the body were head and neck region (69.7%). Autopcy was performed in 26 (21.3%) cases. Conclusion: Motor vehicle accidents and falls are the leading causes in childhood traumas and motor vehicle accidents were mostly as pedestrian traumas. Mostly head and neck injuries were experienced and deaths were on scene. Besides, judicious physical evaluation may be enough to diagnose the mortality cause

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