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Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2021 June;180(6):274-9

DOI: 10.23736/S0393-3660.20.04414-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Assessment of pediatric patients presenting to the pediatric emergency service due to electrical injury: a single center experience

Ertug TOROSLU 1, 2 , Ibrahim PISKIN 2

1 Department of Pediatrics, Mus State Hospital, Mus, Turkey, 2 Department of Pediatrics, Faculty of Medicine, Bulent Ecevit University, Zonguldak, Turkey



BACKGROUND: Electrical injuries are common during childhood all over the world. Electrical injuries are classified as “high voltage” (≥1000 volt) and “low voltage” (<1000 volt) depending on the strength of the electrical current. The estimated mortality and morbidity may vary depending on the strength of the electrical current.
METHODS: In this paper, pediatric patients who had admitted to the Pediatric Emergency and Intensive Care Units of Bülent Ecevit University Medical School due to electrical injuries during a period of 4.5 years were retrospectively analyzed.
RESULTS: Of the 17 patients who were included in the study, 11 were boys and 6 were girls. The mean age was 69.14±58.52 months (10 months-161 months). While only one patient had been exposed to high voltage, 16 had been exposed to low voltage. Tachycardia was detected in 2 patients and bradycardia was detected in one patient. No electrocardiography defects were determined in the remaining patients. The mean creatine kinase (CK) values were found to be lower on admission; however, the CK values on admission was not statistically different from discharge (P>0.05).The CK values on admission were found significantly higher in patients who had a current outgoing hole on physical examination compared to those who did not have (P=0.003).No statistically significant difference was determined between the patients who had or who did not have an outgoing hole regarding CK-MB and troponin values(P>0.05).Mortality was not detected.
CONCLUSIONS: The mortality and morbidity rates are low following low voltage exposure while a short-term follow-up is sufficient. High-voltage exposure requires a multi-disciplinary approach.


KEY WORDS: Electrical injuries; Intensive care units, pediatric; Pediatrics

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