Pediatric blunt abdominal injury: Age is irrelevant and delayed operation is not detrimental

Journal of Trauma

Volumn 63, Issue 3, 2007, Pages 608-614

  Tataria, Monika ^a   Nance, Michael L ^b   Holmes, James H ^c   Miller, Charles ^a   Mattix, Kelly D ^d   Brown, Rebeccah L ^e   Mooney, David P ^f   Scherer, L R Tres ^d   Groner, Jon I ^f   Scaife, Eric R ^g   Spain, David A ^a   Brundage, Susan I ^a  

^a UNIVERSITY OF UTAH   (United States)

^b STANFORD UNIVERSITY   (United States)

^c UNIVERSITY OF PENNSYLVANIA   (United States)

^d UNIVERSITY OF TEXAS   (United States)

^e INDIANA UNIVERSITY   (United States)

^f UNIVERSITY OF CINCINNATI   (United States)

^g OHIO STATE UNIVERSITY   (United States)

Author keywords

Blunt abdominal trauma; Kidney; Liver; Nonoperative management; Pancreas; Pediatric trauma; Solid organ injury; Spleen

Indexed keywords

ABDOMINAL INJURY; ADOLESCENT; ADULT; AGE; ARTICLE; BLOOD TRANSFUSION; BLUNT TRAUMA; CHILD; COMPARATIVE STUDY; FEMALE; GLASGOW COMA SCALE; HEMODYNAMICS; HUMAN; INFANT; INJURY SCALE; LENGTH OF STAY; MALE; MORTALITY; PRESCHOOL CHILD; REGISTER; RETROSPECTIVE STUDY; STATISTICAL MODEL; STATISTICS; TIME; TREATMENT OUTCOME;

ABDOMINAL INJURIES; ADOLESCENT; ADULT; AGE FACTORS; BLOOD TRANSFUSION; CHILD; CHILD, PRESCHOOL; FEMALE; GLASGOW COMA SCALE; HEMODYNAMICS; HUMANS; INFANT; INJURY SEVERITY SCORE; LENGTH OF STAY; LINEAR MODELS; MALE; REGISTRIES; RETROSPECTIVE STUDIES; TIME FACTORS; TREATMENT OUTCOME; WOUNDS, NONPENETRATING;

EID: 38449118479     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/TA.0b013e318142d2c2     Document Type: Article

References (36)

1. Upadhyaya P, Simpson JS. Splenic trauma in children. Surg Gynecol Obstet. 1968;126:781-790.
2. Bond SJ, Eichelberger MR, Gotschall CS, Sivit CJ, Randolph JG. Nonoperative management of blunt hepatic and splenic injury in children. Ann Surg. 1996;223:286-289.
3. Delius RE, Frankel W, Coran AG. A comparison between operative and nonoperative management of blunt injuries to the liver and spleen in adult and pediatric patients. Surgery. 1989;106:788-792; discussion 792-793.
4. Jobst MA, Canty TG Sr, Lynch FP. Management of pancreatic injury in pediatric blunt abdominal trauma. J Pediatr Surg. 1999;34:818-823; discussion 823-824.
5. Karp MP, Cooney DR, Pros GA, Newman BM, Jewett TC Jr. The nonoperative management of pediatric hepatic trauma. J Pediatr Surg. 1983;18:512-518.
6. Malhotra AK, Fabian TC, Croce MA, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg. 2000;231:804-813.
7. Nance ML, Lutz N, Carr MC, Canning DA, Stafford PW. Blunt renal injuries in children can be managed nonoperatively: outcome in a consecutive series of patients. J Trauma. 2004;57:474-478; discussion 478.
8. Stylianos S. Outcomes from pediatric solid organ injury: role of st and ardized care guidelines. Curr Opin Pediatr. 2005;17:402-406.
9. Nance ML, Holmes JH, Wiebe DJ. Timeline to operative intervention for solid organ injuries in children. J Trauma. 2006;61:1389-1392.
10. Powell M, Courcoulas A, Gardner M, et al. Management of blunt splenic trauma: significant differences between adults and children. Surgery. 1997;122:654-660.
11. Schwartz MZ, Kangah R. Splenic injury in children after blunt trauma: blood transfusion requirements and length of hospitalization for laparotomy versus observation. J Pediatr Surg. 1994;29:596-598.
12. Hurtuk M, Reed RL II, Esposito TJ, Davis KA, Luchette FA. Trauma surgeons practice what they preach: the NTDB story on solid organ injury management. J Trauma. 2006;61:243-254; discussion 254-255.
13. Wilson RH, Moorehead RJ. Management of splenic trauma. Injury. 1992;23:5-9.
14. Potoka DA, Schall LC, Ford HR. Risk factors for splenectomy in children with blunt splenic trauma. J Pediatr Surg. 2002;37:294-299.
15. King H, Shumacker HB Jr. Splenic studies. I. Susceptibility to infection after splenectomy performed in infancy. Ann Surg. 1952;136:239-242.
16. Wesson DE, Filler RM, Ein SH, Shandling B, Simpson JS, Stephens CA. Ruptured spleen--when to operate? J Pediatr Surg. 1981;16:324-326.
17. Pearl RH, Wesson DE, Spence LJ, et al. Splenic injury: a 5-year update with improved results and changing criteria for conservative management. J Pediatr Surg. 1989;24:121-124; discussion 124-125.
18. Pachter HL, Guth AA, Hofstetter SR, Spencer FC. Changing patterns in the management of splenic trauma: the impact of nonoperative management. Ann Surg. 1998;227:708-717; discussion 717-719.
19. Gaines BA, Ford HR. Abdominal and pelvic trauma in children. Crit Care Med. 2002;30 (Suppl 11):S416-S423.
20. Holmes JH, Wiebe DJ, Tataria M, et al. The failure of nonoperative management in pediatric solid organ injury: a multi-institutional experience. J Trauma. 2005;59:1309-1313.
21. Knudson MM, Maull KI. Nonoperative management of solid organ injuries. Past, present, and future. Surg Clin North Am. 1999;79:1357-1371.
22. Stylianos S, Egorova N, Guice KS, Arons RR, Oldham KT. Variation in treatment of pediatric spleen injury at trauma centers versus nontrauma centers: a call for dissemination of American Pediatric Surgical Association benchmarks and guidelines. J Am Coll Surg. 2006;202:247-251.
23. Davis DH, Localio AR, Stafford PW, Helfaer MA, Durbin DR. Trends in operative management of pediatric splenic injury in a regional trauma system. Pediatrics. 2005;115:89-90
24. Jacobs IA, Kelly K, Valenziano C, Pawar J, Jones C. Nonoperative management of blunt splenic and hepatic trauma in the pediatric population: significant differences between adult and pediatric surgeons? Am Surg. 2001;67:149-154.
25. Myers JG, Dent DL, Stewart RM, et al. Blunt splenic injuries: dedicated trauma surgeons can achieve a high rate of nonoperative success in patients of all ages. J Trauma. 2000;48:801-805; discussion 805-806.
26. Pachter HL, Spencer FC, Hofstetter SR, Liang HG, Coppa GF. Significant trends in the treatment of hepatic trauma. Experience with 411 injuries. Ann Surg. 1992;215:492-500; discussion 500-502.
27. Pachter HL, Hofstetter SR. The current status of nonoperative management of adult blunt hepatic injuries. Am J Surg. 1995;169:442-454.
28. Pachter HL, Knudson MM, Esrig B, et al. Status of nonoperative management of blunt hepatic injuries in 1995: a multicenter experience with 404 patients. J Trauma. 1996;40:31-38.
29. Pachter HL, Feliciano DV. Complex hepatic injuries. Surg Clin North Am. 1996;76:763-782.
30. Bergren CT, Chan FN, Bodzin JH. Intravenous pyelogram results in association with renal pathology and therapy in trauma patients. J Trauma. 1987;27:515-518.
31. Flaherty L, Jurkovich GJ. Minor splenic injuries: associated injuries and transfusion requirements. J Trauma. 1991;31:1618-1621.
32. Partrick DA, Bensard DD, Moore EE, Karrer FM. Nonoperative management of solid organ injuries in children results in decreased blood utilization. J Pediatr Surg. 1999;34:1695-1699.
33. Robinson WP III, Ahn J, Stiffler A, et al. Blood transfusion is an independent predictor of increased mortality in nonoperatively managed blunt hepatic and splenic injuries. J Trauma. 2005;58:437-444; discussion 444-445.
34. Moore FA, Moore EE, Sauaia A. Blood transfusion. An independent risk factor for postinjury multiple organ failure. Arch Surg. 1997;132:620-624; discussion 624-625.
35. Claridge JA, Sawyer RG, Schulman AM, McLemore EC, Young JS. Blood transfusions correlate with infections in trauma patients in a dose-dependent manner. Am Surg. 2002;68:566-572.
36. Hebert PC, Wells G, Blajchman MA, et al. A multicenter, r and omized, controlled clinical trial of transfusion requirements in critical care. Transfusion requirements in critical care investigators, Canadian Critical Care Trials Group. N Engl J Med. 1999;11 340:409-417.