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Bardak Ş, Berksoy E, Çiçek A, Demir G, Pekçevik Y, Elibol P, Verdi EG, Gökalp G, Nalbant T, Emir B. Variability of the optic nerve sheath diameter on brain computed tomography in Turkish children based on sex and age. Childs Nerv Syst 2023; 39:3551-3560. [PMID: 37010582 DOI: 10.1007/s00381-023-05943-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 03/24/2023] [Indexed: 04/04/2023]
Abstract
BACKGROUND Optic nerve sheath diameter (ONSD) measurement is a noninvasive method that can be used for intracranial pressure monitoring. Several studies have investigated normal ONSD values in children, but no general consensus has been reached yet. OBJECTIVES The aim of our study was to reveal normal ONSD, eyeball transverse diameter (ETD), and ONSD/ETD values on brain computed tomography (CT) in healthy children aged 1 month to 18 years. METHODS Children admitted to the emergency department with minor head trauma and had normal brain CT were included in the study. The demographic characteristics of the patients (age and sex) were recorded, and the patients were divided into four age groups: 1 month to 2 years, 2 to 4 years, 4 to 10 years, and 10 to 18 years. RESULTS The images of 332 patients were analyzed. When the median values of all measurement parameters (right and left ONSD, ETD, and ONSD/ETD) were compared between the right and left eyes, no statistically significant differences were found. When the same parameters were compared according to age group, the ONSD and ETD values differed significantly (values of males were found to be higher), but the ONSD proximal/ETD and ONSD middle/ETD values did not differ significantly. CONCLUSION In our study, normal ONSD, ETD, and ONSD/ETD values were determined according to age and sex in healthy children. As the ONSD/ETD index did not statistically significantly differ according to age and sex, diagnostic studies for traumatic brain injuries can be performed using the index.
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Affiliation(s)
- Şefika Bardak
- Department of Pediatric Emergency, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey
| | - Emel Berksoy
- Department of Pediatric Emergency, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey.
| | - Alper Çiçek
- Department of Pediatric Emergency, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey
| | - Gülşah Demir
- Department of Pediatric Emergency, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey
| | - Yeliz Pekçevik
- Department of Radiology, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey
| | - Pelin Elibol
- Department of Pediatric Emergency, Ege University Hospital, Bornova, Izmir, Turkey
| | - Ezgi Güvel Verdi
- Department of Radiology, Health Sciences University İzmir Tepecik Education and Research Hospital, Konak, Izmir, Turkey
| | - Gamze Gökalp
- Department of Pediatric Emergency, İzmir Katip Çelebi University, Konak, Izmir, Turkey
| | - Tuğçe Nalbant
- Department of Pediatric Emergency, İzmir Katip Çelebi University, Konak, Izmir, Turkey
| | - Büşra Emir
- Department of Biostatistics, İzmir Katip Çelebi University, Yeşilyurt, Izmir, Turkey
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Vatansever G, Yılmaz HL, Nalbant T, Kanğin M, Almış H, Köker A, Çeleğen M, Tekşam Ö, Bozlu G, Havan M, Arslanköylü AE, Güleryüz OD, Battal F, Özkaya PY, Yener N, Yıldızdaş D, Duran R, Tekin D, Ulukol B, Kendirli T. Clinical characteristics of firearm-related injuries in children in Turkey. Turk J Pediatr 2022; 64:971-984. [PMID: 36583879 DOI: 10.24953/turkjped.2021.4564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
BACKGROUND A significant number of children are injured by or die from firearm-related incidents every year, although there is a lack of global data on the number of children admitted to pediatric emergency departments (PEDs) and pediatric intensive care units (PICU) with firearm injuries. This study is the most comprehensive analysis of firearm injuries sustained by children in Turkey to date. METHODS This multicenter, retrospective, cohort study was conducted between 2010 and 2020 with the contributions of the PEDs, PICUs, intensive care units, and surgery departments of university hospitals and research hospitals. RESULTS A total of 508 children were admitted to hospital with firearm-related injuries in the research period, although the medical records of only 489 could be obtained. Of the total admissions to hospitals, 55.0% were identified as unintentional, 8.2% as homicide, 4.5% as self-harm, and 32.3% as undetermined. The Glasgow Coma Scale (GCS) and ventilation support were found to be the most significant predictors of mortality, while head/neck injury, length of stay (LOS) in the hospital and surgical interventions were found to be the most significant predictors of disability. The overall mortality of firearm-related injuries was 6.3%, and the mortality for children admitted to the PICU was 19.8%. The probability of disability was calculated as 96.0% for children hospitalized with firearm injuries for longer than 75 days. CONCLUSIONS Head/neck injury, LOS in the hospital, and surgical interventions were found to be the most significant parameters for the prediction of disability. Hospitalization exceeding 6 days was found to be related to disability.
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Affiliation(s)
- Göksel Vatansever
- Divisions of Pediatric Emergency Medicine Department of Pediatrics, Ankara University Faculty of Medicine, Ankara
| | - Hayri Levent Yılmaz
- Divisions of Pediatric Emergency Medicine Department of Pediatrics, Çukurova University Faculty of Medicine, Adana
| | - Tuğçe Nalbant
- Divisions of Pediatric Emergency Medicine, Department of Pediatrics, Tepecik Education and Research Hospital, İzmir
| | - Murat Kanğin
- Division of Pediatric Intensive Care, Department of Pediatrics, Sağlık Bilimleri University, Gazi Yasargil Training and Research Hospital, Diyarbakır
| | - Habip Almış
- Department of Pediatrics, Adıyaman University Faculty of Medicine, Adıyaman
| | - Alper Köker
- Division of Pediatric Intensive Care, Department of Pediatrics, Antalya University Faculty of Medicine, Antalya
| | - Mehmet Çeleğen
- Division of Pediatric Intensive Care, Department of Pediatrics, Afyon University Faculty of Medicine, Afyon
| | - Özlem Tekşam
- Division of Pediatric Emergency Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara
| | - Gülçin Bozlu
- Department of Pediatrics, Mersin University Faculty of Medicine, Mersin
| | - Merve Havan
- Division of Pediatric Intensive Care, Mersin City Hospital, Mersin
| | | | - Okşan Derinöz Güleryüz
- Division of Pediatric Emergency Medicine, Department of Pediatrics, Gazi University Faculty of Medicine, Ankara
| | - Fatih Battal
- Department of Pediatrics, Çanakkale Onsekiz Mart University Faculty of Medicine, Çanakkale
| | - Pınar Yazıcı Özkaya
- Division of Pediatric Intensive Care, Department of Pediatrics, Ege University Faculty of Medicine, İzmir
| | - Nazik Yener
- Division of Pediatric Intensive Care, Department of Pediatrics, Ondokuz Mayıs University Faculty of Medicine, Samsun
| | - Dinçer Yıldızdaş
- Divisions of Pediatric Intensive Care, Department of Pediatrics, Çukurova University Faculty of Medicine, Adana
| | - Rıdvan Duran
- Department of Pediatrics, Trakya University Faculty of Medicine, Edirne, Türkiye
| | - Deniz Tekin
- Divisions of Pediatric Emergency Medicine Department of Pediatrics, Ankara University Faculty of Medicine, Ankara
| | - Betül Ulukol
- Social Pediatrics and Department of Pediatrics, Ankara University Faculty of Medicine, Ankara
| | - Tanıl Kendirli
- Pediatric Intensive Care, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara
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- Turkish Pediatric Firearm Study Group
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Berksoy E, Kanik A, Çiçek A, Bardak Ş, Elibol P, Demir G, Yilmaz N, Nalbant T, Gökalp G, Yilmaz Çiftdoğan D. Clinical and laboratory characteristics of children with SARS-CoV-2 infection. Pediatr Pulmonol 2021; 56:3674-3681. [PMID: 34516721 PMCID: PMC8661911 DOI: 10.1002/ppul.25654] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 08/20/2021] [Accepted: 08/25/2021] [Indexed: 01/08/2023]
Abstract
We describe the demographic, clinical, radiological, and laboratory findings of 422 children (0-18 year-of-age) suspected of having severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection admitted to a pediatric emergency department between March 23, and July 23, 2020. We compared the characteristics of SARS-CoV-2-positive patients to SARS-CoV-2-negative patients. SARS-CoV-2 infection was confirmed in 78 (18.4%). Fever (51.2%) and cough (43.5%) were the most commonly reported signs in the SARS-CoV-2-positive patients. Isolated rhinorrhea (7.2%) was reported only in the SARS-CoV-2-negative group (p = .0014). Patients with SARS-CoV-2 infection were classified according to severity, with the percentages of asymptomatic, mild, moderate, severe, and critical cases determined to be 29.5%, 56.4%, 12.9%, 1.2%, and 0%, respectively. Of the 422 children, 128 (30.3%) underwent nasopharyngeal polymerase chain reaction testing for other respiratory viral pathogens; 21 (16.4%) were infected with viral pathogens other than SARS-CoV-2. Only one patient (4.7%) with confirmed coronavirus disease 2019 (COVID-19) disease was coinfected with respiratory syncytial virus and rhinovirus. The results indicate lower median white blood cell, neutrophil, and lymphocyte counts, lower lactate dehydrogenase, d-dimer, and procalcitonin levels in the SARS-CoV-2-positive group (p ≤ .001). Our findings confirm that COVID-19 in children has a mild presentation. In our cohort, no patient with SARS-CoV-2 infection had isolated rhinorrhea.
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Affiliation(s)
- Emel Berksoy
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Ali Kanik
- Department of Pediatrics, Faculty of Medicineİzmir Katip Çelebi ÜniversityİzmirTurkey
| | - Alper Çiçek
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Şefika Bardak
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Pelin Elibol
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Gülşah Demir
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Nisel Yilmaz
- Department of Microbiologyİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Tuğçe Nalbant
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Gamze Gökalp
- Pediatric Emergency Departmentİzmir Tepecik Education and Research HospitalİzmirTurkey
| | - Dilek Yilmaz Çiftdoğan
- Pediatric Infection Department, Faculty of Medicineİzmir Katip Çelebi ÜniversityİzmirTurkey
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Gökay SS, Kendir ÖT, Güllü UU, Nalbant T, Ekinci F, Matyar S, Ünal İ, Erdem S, Yildizdaş RD, Yilmaz HL. Myocarditis and Early Markers of Cardiac Response Associated with Scorpion Stings in Children. Wilderness Environ Med 2018; 29:471-478. [DOI: 10.1016/j.wem.2018.06.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 06/02/2018] [Accepted: 06/22/2018] [Indexed: 01/10/2023]
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