Operative vs Nonoperative Management of Pediatric Blunt Pancreatic Trauma: Evaluation of the National Trauma Data Bank

Journal of the American College of Surgeons
Maria Carmen MoraDavid B Tashjian

Abstract

Traumatic pancreatic injury is associated with significant morbidity and mortality. We evaluated the differences in outcomes among children with blunt pancreatic injuries managed operatively and nonoperatively. The National Trauma Data Bank was evaluated from 2002 to 2011. Patients less than18 years of age with blunt pancreatic injuries and Abbreviated Injury Scale (AIS) scores ≥ 3 were identified. Patients were divided into nonoperative (NO), operative (O), and delayed operative (DO; operation performed 48 hours or more after admission) groups. Outcomes evaluated were total length of stay (LOS), ICU use/LOS, complications, and death. Univariate comparisons were performed using Fisher's exact and Kruskal-Wallis rank tests. Multivariable analyses were performed using robust regression and logistic regression. There were 424 cases analyzed. Mean (± SD) age was 10.6 ± 5.3 years, and mean Injury Severity Score (ISS) was 23.4 ± 13.4. Operative groups differed by age (p = 0.002), AIS severity (p = 0.04), and concomitant head injury (p = 0.01), but were similar with regard to sex, race, and ISS. Length of stay was significantly higher in the DO group compared with the NO or O groups; the NO group had the lowest LOS (covariate-adjusted...Continue Reading

References

Jun 1, 1997·The Journal of Trauma·M S KellerD W Vane
Mar 14, 1998·Journal of Pediatric Surgery·J ShilyanskyR H Pearl
Jun 8, 1999·Journal of Pediatric Surgery·M A JobstF P Lynch
Jan 17, 2003·Critical Care Medicine·Barbara A Gaines, Henri R Ford
Sep 11, 2004·Journal of Clinical Epidemiology·Carl van WalravenGeorge A Wells
Apr 1, 2006·Pediatric Clinics of North America·Stephen WegnerDonald Van Wie
Feb 3, 2007·Journal of Pediatric Surgery·Kelly D MattixL Scherer
Jun 21, 2011·Journal of Pediatric Surgery·Michael D Paul, David P Mooney
May 25, 2013·Journal of Pediatric Surgery·Alana L BeresMary E Brindle
Aug 29, 2013·Pediatric Surgery International·Kosaku MaedaInsu Kawahara
Jan 21, 2014·Journal of the American College of Surgeons·Corey W IqbalUNKNOWN Pancreatic Trauma in Children (PATCH) Study Group

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Citations

Jul 5, 2016·Pediatric Surgery International·Bindi Naik-Mathuria
Jul 28, 2016·Journal of the American College of Surgeons·Maria E Linnaus, David M Notrica
Jul 28, 2016·Journal of the American College of Surgeons·Maria Carmen Mora, David B Tashjian
Oct 14, 2016·Acta chirurgica Belgica·Orlin BelyaevWaldemar Uhl
Apr 27, 2018·Pediatric Emergency Care·Matthew CullyM Olivia Titus
Sep 21, 2017·The Journal of Trauma and Acute Care Surgery·Bindi J Naik-MathuriaUNKNOWN the Pancreatic Trauma Study Group (PTSG) Collaborators:
Sep 10, 2017·Journal of Medical Case Reports·Fayza HaiderSharif Al Arayedh
Jun 26, 2020·Journal of Indian Association of Pediatric Surgeons·Subhankar ChakravortyKaushik Saha
Apr 3, 2021·The Journal of Trauma and Acute Care Surgery·Walter L BifflUNKNOWN WTA Multicenter Trials Group on Pancreatic Injuries

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