Delay in diagnosis and treatment of blunt intestinal injury does not adversely affect prognosis in the pediatric trauma patient

Journal of Pediatric Surgery
Robert W LettonAPSA Committee on Trauma Blunt Intestinal Injury Study Group

Abstract

Blunt intestinal injury (BII) requiring surgical intervention in the pediatric trauma population remains difficult to diagnose. We sought to determine whether delay in treatment had an adverse affect on patient outcome. A multi-institutional retrospective chart review using the American Pediatric Surgical Association Committee on Trauma was initiated after Institutional Review Board approval was obtained at each of the 18 institutions. All children younger than 15 years diagnosed with a BII were identified, and only those with BII noted during surgery or autopsy from January 2002 through December 2007 were included. The data form was designed and approved before chart review, and all data were combined into one database. Three hundred fifty-eight patients were accrued into the study. Two hundred fourteen patients had sufficient data to determine the interval between injury and operation. These were divided into 4 groups (<6, 6-12, 12-24, and >24 hours) based on time from injury to intervention. Early and late complications, as well as hospital days, were compared in each group. There were 3 deaths from an abdominal source in the less-than-6-hour group and 2 in the 6-to-12-hour group. Injury Severity Score was significantly grea...Continue Reading

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Citations

Mar 28, 2012·Current Opinion in Pediatrics·Deborah Schonfeld, Lois K Lee
Nov 29, 2012·Pediatric Emergency Care·Kaveer ChatoorgoonRichard A Falcone
Feb 8, 2018·AJR. American Journal of Roentgenology·Hamza JawadVincent Mellnick
Oct 10, 2018·Journal of Veterinary Emergency and Critical Care·Helen S Philp, Gawain J C Hammond
Nov 15, 2014·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Julia ReslerThomas M Rouse
Jun 19, 2015·Pediatric Emergency Care·Christiane S EberhardtGiorgio La Scala
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Michelle K McNuttJohn B Holcomb
Mar 12, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Aaron E KornblithDavid M Jaffe
Feb 13, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Roy SpijkermanIvar G J M de Bruin
Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Chase A ArbraChristian J Streck
Oct 2, 2019·Journal of Indian Association of Pediatric Surgeons·Vijay Kumar KundalAmita Sen
Jun 23, 2020·Emergency Medicine International·Sung Yong HongKi Hoon Kim
Sep 30, 2015·Current Opinion in Critical Care·David M Notrica
Aug 31, 2020·Seminars in Pediatric Surgery·Vincent Duron, Steven Stylianos

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