WOFAPS 2025 8th World Congress of Pediatric Surgery

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Poster - 205

Impact of Nutritional Status on Clinical Outcomes in Pediatric Urogenital Trauma: A Retrospective Analysis

Çiğdem Arslan Alıcı 1, Gürkan Bozan 2, Baran Tokar 3
1 eskisehir city hospital department of pediatric urology
2 Eskisehir Osmangazi University, School of Medicine, Departments of Pediatrics Division of Intensive Care Unit
3 Eskisehir Osmangazi Uiversity, School of Medicine, Department of Pediatric Surgery

Aim: This study aimed to evaluate the clinical outcomes of pediatric patients with urogenital trauma, with a particular focus on the relationships among nutritional status, injury severity, morbidityand mortality.

Materials and Methods: A retrospective analysis was conductedon 53 patients under 18 years of age who were admitted between2016 and 2022 with urogenital trauma. Demographics, traumamechanisms, affected organs, clinical outcomes, and body massindex (BMI)-based nutritional status were recorded. Renal trauma(RT) was graded per the American Association for the Surgery of Trauma criteria and classified as severe (Grade 4–5) or non-severe (Grade 1–3). Statistical comparisons were made between BMI groups and trauma severity regarding morbidity and mortality.

Results: RT was present in 39.6% of cases, with gross hematuriasignificantly more common in this group (p = 0.021). EGOT patients had a higher rate of surgical intervention (p = 0.004), whiletransfusion needs were more frequent in RT patients (p = 0.001). Morbidity increased with trauma severity (100% in severe vs. 5.88% in non-severe RT, p = 0.0008). Mortality occurred only in theRT group (p = 0.020), yet was associated with concurrent severe head trauma. While a relationship was observed between body weight and mortality (p = 0.0337), no significant relationship wasfound between BMI and clinical outcomes.

Conclusion: Trauma severity, rather than nutritional status, was thekey determinant of morbidity in pediatric urogenital trauma. Mortality appeared to be influenced by multisystem involvementrather than the severity of urogenital injury alone. Prospectivemulticenter studies are warranted to confirm these findings.

Keywords: Genitourinary trauma, nutritional status, body mass index, mortality, morbidity

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