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Haematologic and coagulant coagulation tests should be performed in all children with moderate/severe trauma (GCS score < 9, ISS score > 15) and in all children in whom clinical signs of coagulopathy are present. The aim of this study was to assess whether these tests were performed in the whole population of children with moderate/severe trauma and in children with clinical signs of coagulopathy. A retrospective study was conducted of the paediatric trauma units of five teaching hospitals in Western Greece. The data collected included the following: demographic characteristics of the patients, aetiology of the trauma, age, sex, ISS score, GCS score at admission, ISS score at hospital discharge, truncal/extremity injury, type of injuries, mortality and length of stay in the hospital. Both diagnostic and laboratory blood tests were performed in each patient, and the results were analysed. As for the diagnostic tests, haemoglobin, platelets, and PT and aPTT were considered. As for the laboratory tests, fibrinogen, D-dimer, and fibrin degradation products were considered. Data on the total number of patients were collected, as were the data on their demographic characteristics and the results of the diagnostic and laboratory tests. Of the 219 patients, 168 (77%) were < 14 years of age and 51 (23%) were ≥ 14 years of age. The most frequent cause of the trauma was car accident (61%). In 95% of patients, haemoglobin, platelets, PT, and aPTT had been measured, and in 61% of patients, at least one coagulation test had been performed. In addition, in 90% of the patients, fibrinogen, D-dimer, and fibrin degradation products had been measured, and in 77% of patients, at least one of these tests had been performed. Of the 190 children with moderate/severe trauma, a similar haematological and coagulant analysis had been performed in all patients, and in 104 (54%) patients, at least one of the tests had been performed. Of the 51 children with clinical signs of coagulopathy, a similar haematological and coagulant analysis had been performed in all of them, and in 32 (62%) patients, at least one of the tests had been performed.

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