| Blunt intraabdominal arterial injury in pediatric trauma patients: injury distribution and markers of outcome. | |
| | |
MedLine Citation:
|
PMID: 18485966 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The epidemiology of pediatric blunt intraabdominal arterial injury is ill defined. We analyzed a multiinstitutional trauma database to better define injury patterns and predictors of outcome. METHODS: The American College of Surgeons National Trauma Database was evaluated for all patients younger than 16 years with blunt intraabdominal arterial injury from 2000 to 2004. Injury distribution, operative treatment, and variables associated with mortality were considered. RESULTS: One hundred twelve intraabdominal arterial injuries were identified in 103 pediatric blunt trauma patients. Single arterial injury (92.2%) occurred most frequently: renal (36.9%), mesenteric (24.3%), and iliac (23.3%). Associated injuries were present in 96.1% of patients (abdominal visceral, 75.7%; major extraabdominal skeletal/visceral, 77.7%). Arterial control was obtained operatively (n = 46, 44.7%) or by endovascular means (n = 6, 5.8%) in 52 patients. Overall mortality was 15.5%. Increased mortality was associated with multiple arterial injuries (P = .049), intraabdominal venous injury (P = .011), head injury (P = .05), Glasgow Coma Score less than 8 (P < .001), cardiac arrest (P < .001), profound base deficit (P = .007), and poor performance on multiple injured outcomes scoring systems (Revised Trauma Score [P < .001], Injury Severity Score [P = .001], and TRISS [P = .002]). CONCLUSION: Blunt intraabdominal arterial injury in children usually affects a single vessel. Associated injuries appear to be nearly universal. The high mortality rate is influenced by serious associated injuries and is reflected by overall injury severity scores. |
| | |
Authors:
|
Chad E Hamner; Jonathon I Groner; Donna A Caniano; John R Hayes; Brian D Kenney |
Related Documents
:
|
8932676 - Traumatic popliteal artery thrombosis and compartment syndrome of the leg following blu... 8470266 - Atherosclerosis: current understanding of mechanisms and future strategies in therapy. 424996 - Seat belt aorta: acute dissection and thrombosis of the abdominal aorta. 20167656 - Adenosine receptor a2a deficiency in leukocytes increases arterial neointima formation ... 3936326 - Primary and secondary malposition of silicone central venous catheters. 16336426 - Treatment of unprotected left main coronary artery stenosis in the drug-eluting stent era. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of pediatric surgery Volume: 43 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2008 May |
Date Detail:
|
Created Date: 2008-05-19 Completed Date: 2008-08-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 916-23 Citation Subset: IM |
Affiliation:
|
Division of Pediatric General Surgery, Schneider Children's Hospital, New Hyde Park, NY 11040, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdomen
/
blood supply* Abdominal Injuries / classification*, epidemiology*, mortality, therapy Adolescent Arteries / injuries* Child Female Humans Incidence Male Puerto Rico / epidemiology Registries Risk Survival Rate Treatment Outcome United States / epidemiology Wounds, Nonpenetrating / classification*, epidemiology*, mortality, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pediatric endoscopic injuries: incidence, management, and outcomes.
Next Document: Using multiple imputation and propensity scores to test the effect of car seats and seat belt usage ...