OBJECTIVE:To identify early clinical factors that are correlated with death or severe disability in paediatric patients who have sustained an injury by hanging or strangulation.
METHODS:A retrospective review of all patient records from January 1, 1997, to September 30, 2007, was conducted. Patient records were identified by International Classification of Diseases and Related Health Problems, Tenth Revision, Canada diagnostic codes for asphyxia, strangulation, hypoxic-ischemic encephalopathy, hanging, hypoxemia, hypoxia or anoxia.
RESULTS:A total of 109 records were identified. Of these, 41 met the inclusion criteria for the study. Of 19 (46%) children who were pulse-less and received cardiopulmonary resuscitation, 16 died and the survivors were severely disabled. Of the 22 (54%) children who were found with a pulse, 18 made a full recovery.
CONCLUSIONS:Children who are pulseless at discovery for hanging injuries are at high risk of death or severe disability. Early clinical and neurophysiological indicators should be applied systematically to best guide clinicians and parents in their decision making.
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【Paediatric hanging and strangulation injuries: A 10-year retrospective description of clinical factors and outcomes.].
【小儿悬挂和绞窄损伤：临床因素和预后的10年回顾性描述。】
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目的：确定与因悬挂或绞死而受伤的小儿患者的死亡或严重残疾有关的早期临床因素。
方法：对1997年1月1日至2007年9月30日的所有患者记录进行回顾性回顾。通过国际疾病分类和相关健康问题分类（第十次修订版，加拿大）对窒息，窒息，缺氧缺血性脑病，悬挂，低氧血症，缺氧或缺氧的诊断代码确定了患者的记录。
结果：共鉴定到109条记录。其中有41个符合研究的纳入标准。在无脉搏并接受心肺复苏的19名儿童中（46％），有16人死亡，幸存者严重残疾。在发现有脉搏的22名儿童中（54％），其中18名完全康复。
结论：发现悬吊伤害而无脉搏的儿童极有可能导致死亡或严重残疾。应系统地应用早期临床和神经生理指标，以最好地指导临床医生和父母进行决策。
方法：对1997年1月1日至2007年9月30日的所有患者记录进行回顾性回顾。通过国际疾病分类和相关健康问题分类（第十次修订版，加拿大）对窒息，窒息，缺氧缺血性脑病，悬挂，低氧血症，缺氧或缺氧的诊断代码确定了患者的记录。
结果：共鉴定到109条记录。其中有41个符合研究的纳入标准。在无脉搏并接受心肺复苏的19名儿童中（46％），有16人死亡，幸存者严重残疾。在发现有脉搏的22名儿童中（54％），其中18名完全康复。
结论：发现悬吊伤害而无脉搏的儿童极有可能导致死亡或严重残疾。应系统地应用早期临床和神经生理指标，以最好地指导临床医生和父母进行决策。
