The utility of clinical and laboratory data for predicting intraabdominal injury among children

Journal of Trauma - Injury, Infection and Critical Care

Volumn 56, Issue 5, 2004, Pages 1068-1074

  Cotton, Bryan A ^a   Beckert, Benjamin W ^a   Smith, Monica K ^a   Burd, Randall S ^b  

^a UNIVERSITY OF MISSOURI   (United States)

^b ROBERT WOOD JOHNSON MEDICAL SCHOOL   (United States)

Author keywords

Blunt trauma; Child; Diagnosis

Indexed keywords

ALANINE AMINOTRANSFERASE;

ABDOMINAL INJURY; ABRASION; ADOLESCENT; ALANINE AMINOTRANSFERASE BLOOD LEVEL; ARTICLE; CHILD; CHILDHOOD INJURY; CLINICAL EXAMINATION; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; ECCHYMOSIS; FEMALE; HEALTH CARE COST; HEMATOCRIT; HUMAN; LABORATORY TEST; MAJOR CLINICAL STUDY; MALE; PHYSICAL EXAMINATION; PREDICTION; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; STATISTICAL MODEL; TRAFFIC ACCIDENT; AGE; ALGORITHM; BLOOD; BLUNT TRAUMA; DECISION TREE; DIAGNOSIS, MEASUREMENT AND ANALYSIS; DISCRIMINANT ANALYSIS; EMERGENCY HEALTH SERVICE; LACERATION; METABOLISM; METHODOLOGY; NONPARAMETRIC TEST; PREDICTION AND FORECASTING; PRESCHOOL CHILD; RETROSPECTIVE STUDY; STANDARD; STATISTICS; UNITED STATES; URINALYSIS; VALIDATION STUDY;

ABDOMINAL INJURIES; ACCIDENTS, TRAFFIC; AGE FACTORS; ALANINE TRANSAMINASE; ALGORITHMS; CHILD; CHILD, PRESCHOOL; DECISION TREES; DISCRIMINANT ANALYSIS; ECCHYMOSIS; FEMALE; HEMATOCRIT; HUMANS; LABORATORY TECHNIQUES AND PROCEDURES; LACERATIONS; LOGISTIC MODELS; MALE; MISSOURI; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS; RETROSPECTIVE STUDIES; STATISTICS, NONPARAMETRIC; TRAUMA CENTERS; URINALYSIS; WOUNDS, NONPENETRATING;

EID: 2942724341     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000082153.38386.20     Document Type: Article

References (19)

1. Scheidler MG, Lynch JM, Ford HR. Pediatric trauma. In: Peitzman A, Rhodes M, Schwab CW, et al, eds. The Trauma Manual. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2002.
2. Tepas JJ III, Faillace WJ. Pediatric trauma. In: Mattox K, Feliciano D, Moore E, eds. Trauma. 4th ed. New York: McGraw-Hill; 2000.
3. Rance CH, Singh SJ, Kimble R. Blunt abdominal trauma in children. J Pediatr Child Health. 2000;36:2-6.
4. Meyer DM, Thal ER, Coln D, et al. Computed tomography in the evaluation of children with blunt abdominal trauma. Ann Surg. 1993; 217:272-276.
5. Partrick DA, Bensard DD, Moore EE, et al. Ultrasound is an effective triage tool to evaluate blunt abdominal trauma in the pediatric population. J Trauma Injury Infect Crit Care. 1998;45:57-63.
6. Brenner D, Elliston C, Hall E, et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol. 2001; 176:289-296.
7. Isaacman DJ, Scarfone RJ, Kost SI, et al. Utility of routine laboratory testing for detecting intraabdominal injury in the pediatric trauma patient. Pediatrics. 1993;92:691-694.
8. Holmes JF, Sokolove PE, Brant WE, et al. Identification of children with intraabdominal injuries after blunt trauma. Ann Emerg Med. 2002;39:500-509.
9. Richards JR, Derlet RW. Computed tomography and blunt abdominal injury: patient selection based on examination, hematocrit, and hematuria. Injury. 1997;28:181-185.
10. Rodriguez A, DuPriest RW Jr, Shatney CH. Recognition of intraabdominal injury in blunt trauma victims: a prospective study comparing physical examination with peritoneal lavage. Am Surg. 1982;48:457-459.
11. Mackersie RC, Tiwary AD, Shackford SR, et al. Intraabdominal injury following blunt trauma: identifying the high-risk patient using objective risk factors. Arch Surg. 1989;124:809-813.
12. Steinberg D, Colla P. CART: Tree-Structured Nonparametric Data Analysis. San Diego, CA: Salford Systems; 1995.
13. Oldham KT, Guice KS, Kaufman RA, et al. Blunt hepatic injury and elevated hepatic enzymes: a clinical correlation in children. J Pediatr Surg. 1984;19:457-461.
14. Saladino R, Lund D, Fleisher G. The spectrum of liver and spleen injuries in children: failure of the pediatric trauma score and clinical signs to predict isolated injuries. Ann Emerg Med. 1991;20:636-640.
15. Holmes JF, Sokolove PE, Land C, et al. Identification of intraabdominal injuries in children hospitalized following blunt torso trauma. Acad Emerg Med. 1999;6:799-806.
16. Allen GS, Moore FA, Cox CS Jr, et al. Hollow visceral injury and blunt trauma. J Trauma Injury Infect Crit Care. 1998;45:69-75.
17. Sahdev P, Garramone RR Jr, Schwartz RJ, et al. Evaluation of liver function tests in screening for intraabdominal injuries. Ann Emerg Med. 1991;20:838-841.
18. Hennes HM, Smith DS, Schneider K, et al. Elevated liver transaminase levels in children with blunt abdominal trauma: a predictor of liver injury. Pediatrics. 1990;86:87-90.
19. Radiation Risks and Pediatric Computed Tomography (CT): A Guide for Health Care Providers. National Cancer Institute. Summer, 2002. Available at: http://www.cancer.gov/cancerinfo/causes/radiation-risks-pediatric-ct. Accessed April 13, 2004.