Pediatric vascular injury: experience of a level 1 trauma center

The Journal of Surgical Research
Casey J AllenJuan E Sola

Abstract

Our purpose was to analyze modern major vascular injury (MVI) patterns in pediatric trauma, interventions performed, and outcomes at a level 1 trauma center. From January 2000-December 2012, all pediatric admissions (≤17 y) were reviewed. Of 1928 pediatric admissions, 103 (5.3%) sustained MVI. This cohort was 85% male, age 15 ± 3 y, 55% black, 58% penetrating, injury severity score of 23 ± 15, with a length of stay of 8 (5) days. Firearm-related injury (47%) was the most common mechanism. Location of injuries included the extremities (50.5%), abdomen/pelvis (29.1%), and chest/neck (20.4%). Operative procedures included repair/bypass (71.4%), ligation (12.4%), amputation (10.5%), or temporary shunt (2.9%). Only three injuries (2.9%) were treated endovascularly. MVI patients had a mortality rate of 19.4%, higher than the overall pediatric trauma population of 3.5% (P < 0.001). After logistic regression, independent risk factors of mortality were vascular injury to the neck (odds ratio [OR]: 6.5; confidence interval (CI): 1.1-39.3), abdomen/pelvis (OR: 16.3; CI: 3.13-80.2), and chest (OR: 49.0; CI: 3.0-794.5). MVI in children more commonly results from firearm-related injury. The mortality rate associated with MVI is profoundly hi...Continue Reading

References

Sep 1, 1990·American Journal of Surgery·M K ReedS I Myers
May 1, 1983·The Journal of Trauma·K R SirinekB A Levine
Apr 16, 1998·Journal of Pediatric Surgery·C S CoxR J Andrassy
Jan 9, 2007·Journal of Pediatric Surgery·Denise B KlinknerThomas T Sato
Jun 11, 2008·The Journal of Surgical Research·Sohail R ShahBarbara A Gaines
Jul 20, 2010·Journal of Pediatric Surgery·Galinos BarmparasDemetrios Demetriades
May 26, 2011·The Journal of Trauma·Michael G CorneilleRonald M Stewart
Aug 4, 2011·Perspectives in Vascular Surgery and Endovascular Therapy·Jeremy W Cannon, Michael A Peck
Feb 26, 2013·British Journal of Haematology·Yaser A DiabNaomi L C Luban
Dec 26, 2013·The Journal of Trauma and Acute Care Surgery·Arash SafaviBellal Joseph
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Simon Peter RowlandAlun H Davies

❮ Previous
Next ❯

Citations

Apr 8, 2015·The Journal of Surgical Research·Casey J AllenKenneth G Proctor
Apr 18, 2019·International Angiology : a Journal of the International Union of Angiology·Miroslav D MarkovicLazar B Davidovic
Jan 25, 2020·The Journal of Trauma and Acute Care Surgery·James M PrietoRomeo C Ignacio
Mar 21, 2019·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Clara Chavez-AranaVicki Anderson
May 17, 2019·BMJ Case Reports·Monica AbdelmasihGraham Roche-Nagle
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini
Oct 4, 2020·The Journal of Trauma and Acute Care Surgery·Leslie KobayashiFederico Coccolini
Jun 1, 2021·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Ahmed MousaHamad Al-Game'a

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.