Predictors of the outcome of severe polytrauma in children: a retrospective cohort multicenter study

Introduction. Severe polytrauma is the most common cause of deaths in children, but there are currently no objective criteria for predicting outcome severe pediatric ICU patients and identifying a high-risk group. Objectives study to identify features clinical laboratory status intensive care measures children with polytrauma, which determine critical condition. Materials methods. Design: A retrospective cohort multicenter uncontrolled study. 230 were examined. The age was 9.5 (4–14) years. score on Abbreviated Injury Score (AIS) 34 points, Pediatric Traumatic (PTS) — 5 (2–8) points. As primary outcome, duration control mechanical ventilation length stay evaluated. Secondary divided into recovery, presence neurological deficiency death. Results. Minimum treatment noted short-term sedation during day, an AIS less than 30 points PTS more intracranial hematoma (ICH) associated doubling ICU. maximum statistically significant difference mean values revealed when assessing effect following features: catecholamine index (F = 109.4; p 0.000); transfusion volume freshly frozen plasma 42.0; 0.000) erythrocytes 33.4; 0.000). Conclusions. need prolonged sedation, thirty five ICH increase adverse outcome. use high doses catecholamines massive blood first day independent predictors death children.