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Subject Area

General Surgery

Article Type

Original Study

Abstract

Objectives To use the BIG score to predict the mortality in the pediatric blunt trauma. Background There are many scores to predict mortality in pediatric blunt trauma and BIG score is one of them. Patients and methods This study is prospective and cross-sectional and included 50 pediatric patients with blunt trauma treated at the Emergency Department of Menoufia University Hospital. They were selected according to certain inclusion and exclusion criteria, and then, we calculated BIG score for those patients, which is calculated by a combination of results from three categories: [Glasgow Coma Scale (GCS), international normalized ratio, and base deficit]: (calculated according to the following formula: [base deficit+(2.5 × international normalized ratio)+(15 – GCS)]. Results This study included 50 cases with injuries due to blunt trauma. There were 26 (52%) boys and 24 (48%) girls with mean age of 5.16 ± 2.64 years. The median BIG score in the survivor group was 9.87, which was statistically significantly lower as compared with the nonsurvivors 36.5. The best cutoff point of BIG score to differentiate between the survivors and nonsurvivors was more than 25.37 with 75% sensitivity and 97.6% specificity. With univariate regression analysis, low GCS and high BIG score were shown as risk factors for mortality, but with multivariate regression analysis, only high BIG score was shown as independent predictors for Morris study that involved 50 patients. Conclusion This study found that pediatric BIG score could be applied in children with polytrauma for prediction of mortality with a good sensitivity and excellent specificity.

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