Conservative approach to the treatment of injured liver and spleen in children: Association with reduced mortality

Pediatric Surgery International

Volumn 25, Issue 7, 2009, Pages 583-586

  Feigin, Elad ^a,d   Aharonson Daniel, Limor ^b,d   Savitsky, Bela ^b,d   Steinberg, Ran ^a,d   Kravarusic, Dragan ^a,d   Stein, Michael ^c,d   Peleg, Kobi ^b,d   Freud, Enrique ^a,d  

^a SCHNEIDER CHILDREN S MEDICAL CENTER OF ISRAEL   (Israel)

^b GERTNER INSTITUTE FOR EPIDEMIOLOGY AND HEALTH POLICY RESEARCH   (Israel)

^c RABIN MEDICAL CENTER   (Israel)

^d TEL AVIV UNIVERSITY   (Israel)

Author keywords

Blunt injury; Liver; Mortality; Non operative; Spleen

Indexed keywords

ABDOMINAL INJURY; ADOLESCENT; ARTICLE; BLUNT TRAUMA; CHILD; CHILDHOOD INJURY; CONSERVATIVE TREATMENT; CONTROLLED STUDY; HUMAN; INJURY SCALE; INJURY SEVERITY; LIVER INJURY; MAJOR CLINICAL STUDY; MORTALITY; PRIORITY JOURNAL; PROGNOSIS; SPLEEN INJURY; SURGICAL APPROACH;

ABDOMINAL INJURIES; ADOLESCENT; CHILD; HUMANS; ISRAEL; LENGTH OF STAY; LIVER; REGISTRIES; SEVERITY OF ILLNESS INDEX; SPLEEN; SURGICAL PROCEDURES, OPERATIVE; TRAUMA CENTERS; WOUNDS, NONPENETRATING;

EID: 67650720413     PISSN: 01790358     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00383-009-2398-7     Document Type: Article

References (14)

1. P Upadhyaya 2003 Conservative management of splenic trauma: history and current trends Pediatr Surg Int 19 617 627 (Pubitemid 38081968)
2. NS Adzick ML Nance 2000 Medical progress: pediatric surgery. second of two parts N Engl J Med 342 1726 1732
3. S Stylianos HR Ford 2008 Outcomes in pediatric trauma care Semin Pediatr Surg 17 110 115
4. S Stylianos the APSA Trauma Committee 2000 Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury J Pediatr Surg 35 164 169 (Pubitemid 30082563)
5. MJ Leinwand CC Atkinson DP Mooney 2004 Application of the APSA evidence-based guidelines for isolated liver or spleen injuries: a single institution experience J Pediatr Surg 39 487 490 (Pubitemid 38338372)
6. S Stylianos the APSA Trauma Study Group 2002 Prospective validation of evidence-based guidelines for resource utilization in children with isolated spleen or liver injury J Pediatr Surg 37 453 456 (Pubitemid 34188171)
7. JW Meredith JS Young J Bowling 1994 Nonoperative management of blunt hepatic trauma: the exception or the rule? J Trauma 36 529 535 (Pubitemid 24118216)
8. SM Bowman FJ Zimmerman DA Christakis 2005 Hospital characteristics associated with the management of pediatric splenic injuries JAMA 294 2611 2617 (Pubitemid 41697250)
9. DP Mooney PW Forbes 2004 Variation in the management of pediatric splenic injuries in New England J Trauma 56 328 333 (Pubitemid 38295376)
10. MM Knudson J McGrath 2007 Improving outcomes in pediatric trauma care: essential characteristics of the trauma center J Trauma 63 S140 S142
11. SP Baker B O-Neill W Haddon 1994 The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care J Trauma 14 187 196
12. H Paddock JJ Tepas III ML Ramenofsky 2004 Management of blunt pediatric hepatic and splenic injury: similar process, different outcome Am Surg 70 1068 1072
13. S Stylianos 2005 Outcomes from pediatric solid organ injury: role of standardized care guidelines Curr Opin Pediatr 17 402 406 (Pubitemid 40791478)
14. AK Malhotra TC Fabian MA Croce 2000 Blunt hepatic injury: a paradigm shift from operative to non operative management in the 1990s Ann Surg 231 804 813 (Pubitemid 30350238)