Delay in diagnosis and treatment of blunt intestinal perforation does not adversely affect prognosis in the pediatric trauma patient

Journal of Trauma - Injury, Infection and Critical Care

Volumn 68, Issue 4, 2010, Pages 790-794

  Letton Jr , Robert W ^a   Worrell, Veronica ^a   Tuggle, David W ^a  

^a UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE   (United States)

Author keywords

Blunt intestinal injury; Delay in diagnosis; Intestinal perforation; Pediatric trauma

Indexed keywords

ADOLESCENT; ARTICLE; BLUNT TRAUMA; CHILDHOOD INJURY; CONTROLLED STUDY; DELAYED DIAGNOSIS; HUMAN; INJURY SCALE; INTESTINE INJURY; INTESTINE PERFORATION; INTESTINE SURGERY; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; PRIORITY JOURNAL; PROGNOSIS; THERAPY DELAY;

ABDOMINAL INJURIES; AUTOPSY; CHI-SQUARE DISTRIBUTION; CHILD; FEMALE; HOSPITALIZATION; HUMANS; INJURY SEVERITY SCORE; INTESTINAL PERFORATION; INTESTINES; LENGTH OF STAY; LONGITUDINAL STUDIES; MALE; MEDICAL RECORDS; PATIENT TRANSFER; POSTOPERATIVE COMPLICATIONS; PROGNOSIS; RETROSPECTIVE STUDIES; SURVIVAL ANALYSIS; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME; WOUNDS, NONPENETRATING; WOUNDS, PENETRATING;

EID: 77951073574     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e3181d27957     Document Type: Article

References (24)

1. Childhood injuries in the United States. Division of injury control, center for environmental health and injury control, centers for disease control. Am J Dis Child. 1990;144:627-646.
2. Nathens AB, Fantus RJ, eds. National Trauma Data Bank Pediatric Report 2008. American College of Surgeons Committee on Trauma: Chicago, IL; 2008:1-51.
3. Stylianos S. Outcomes from pediatric solid organ injury: role of standardized care guidelines. Curr Opin Pediatr. 2005;17:402-406.
4. Nwomeh BC, Nadler EP, Meza MP, Bron K, Gaines BA, Ford HR. Contrast extravasation predicts the need for operative intervention in children with blunt splenic trauma. J Trauma. 2004;56:537-541.
5. Douglas GJ, Simpson JS. The conservative management of splenic trauma. J Pediatr Surg. 1971;6:565-570.
6. Stylianos S. Evidence-based guidelines for resource utilization in children with isolated spleen or liver injury. The APSA Trauma Committee. J Pediatr Surg. 2000;35:164-167; discussion 167-169.
7. Engelhardt S, Hoyt D, Coimbra R, Fortlage D, Holbrook T. The 15-year evolution of an urban trauma center: what does the future hold for the trauma surgeon? J Trauma. 2001;51:633-637; discussion 637-638.
8. Acierno SP, Jurkovich GJ, Nathens AB. Is pediatric trauma still a surgical disease? Patterns of emergent operative intervention in the injured child. J Trauma. 2004;56:960-964; discussion 965-966.
9. Anderson PA, Rivara FP, Maier RV, Drake C. The epidemiology of seatbelt-associated injuries. J Trauma. 1991;31:60-67.
10. Shepherd M, Hamill J, Segedin E. Paediatric lap-belt injury: a 7 year experience. Emerg Med Australas. 2006;18:57-63.
11. Newman KD, Bowman LM, Eichelberger MR, et al. The lap belt complex: intestinal and lumbar spine injury in children. J Trauma. 1990;30:1133-1138; discussion 1138-1140.
12. Stassen NA, Lukan JK, Carrillo EH, Spain DA, Richardson JD. Abdominal seat belt marks in the era of focused abdominal sonography for trauma. Arch Surg. 2002;137:718-722; discussion 722-723.
13. Nance ML, Keller MS, Stafford PW. Predicting hollow visceral injury in the pediatric blunt trauma patient with solid visceral injury. J Pediatr Surg. 2000;35:1300-1303.
14. Albanese CT, Meza MP, Gardner MJ, Smith SD, Rowe MI, Lynch JM. Is computed tomography a useful adjunct to the clinical examination for the diagnosis of pediatric gastrointestinal perforation from blunt abdominal trauma in children? J Trauma. 1996;40:417-421.
15. Fakhry SM, Brownstein M, Watts DD, Baker CC, Oller D. Relatively short diagnostic delays (-8 hours) produce morbidity and mortality in blunt small bowel injury: an analysis of time to operative intervention in 198 patients from a multicenter experience. J Trauma. 2000;48:408-414; discussion 414-415.
16. Bruny JL, Bensard DD. Hollow viscous injury in the pediatric patient. Semin Pediatr Surg. 2004;13:112-118.
17. Miller D, Garza J, Tuggle D, Mantor C, Puffinbarger N. Physical examination as a reliable tool to predict intra-abdominal injuries in brain-injured children. Am J Surg. 2006;192:738-742.
18. Cotton BA, Beckert BW, Smith MK, Burd RS. The utility of clinical and laboratory data for predicting intraabdominal injury among children. J Trauma. 2004;56:1068-1074; discussion 1074-1075.
19. Holmes JH IV, 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.
20. Frush DP. Pediatric CT: practical approach to diminish the radiation dose. Pediatr Radiol. 2002;32:714-717; discussion 751-754.
21. Rice HE, Frush DP, Farmer D, Waldhausen JH; APSA Education Committee. Review of radiation risks from computed tomography: essentials for the pediatric surgeon. J Pediatr Surg. 2007;42:603-607. (Pubitemid 46589518)
22. Ong AW, McKenney MG, McKenney KA, et al. Predicting the need for laparotomy in pediatric trauma patients on the basis of the ultrasound score. J Trauma. 2003;54:503-508.
23. Suthers SE, Albrecht R, Foley D. Surgeon-directed ultrasound for trauma is a predictor of intra-abdominal injury in children. Am Surg. 2004;70:164-167; discussion 167-168.
24. Soundappan SVS, Holland AJA, Cass DT. Role of an extended tertiary survey in detecting missed injuries in children. J Trauma. 2004;57:114-118; discussion 118.