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Pediatric vascular injury: experience of a level 1 trauma center

, : Pediatric vascular injury: experience of a level 1 trauma center. Journal of Surgical Research 196(1): 1-7

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 higher than that of the overall pediatric trauma population. These findings underscore the major public health concern of firearm-related injury in children.


PMID: 25796108

DOI: 10.1016/j.jss.2015.02.023

Other references

Bazrafcan, L.; Haghani, F.; Shokrpour, N., 2014: The summer school students' viewpoints about important factors in learning, Shiraz University of Medical Sciences. The main goal of education is learning and change in behavior which has been revolutionized in the 21st century due to the rapid and widespread changes in science. The traditional approach to education does no longer meet the learners' needs,...

Jamroz, D.; Wiliczkiewicz, A.; Lemme, A.; Orda, J.; Skorupińska, J.; Wertelecki, T., 2008: Effect of increased methionine level on performance and apparent ileal digestibility of amino acids in ducks. The experiment was conducted with 960 one-day-old ducklings fed mixtures (I control - 0.28% methionine) additionally supplemented with DL-methionine (DL-Met) at amounts: 0.03% (group II), 0.07% (III), 0.12% (IV) and 0.18% (V). The performance, car...

Monnet, A.; Baylet, R., 1951: Biological constituents of the blood in trypanosomiasis patients: cholesterinemia in trypanosomiasis. Bulletin de la Societe de Pathologie Exotique et de Ses Filiales 44(11-12): 786-793

Carcangiu, M.L.; Zampi, G.; Rosai, J., 1984: Poorly differentiated ("insular") thyroid carcinoma. A reinterpretation of Langhans' "wuchernde Struma". Twenty-five cases of a distinctive type of thyroid carcinoma are presented. The key microscopic features are: formation of solid clusters ("insulae") of tumor cells containing a variable number of small follicles; small size and uniformi...

Kolosvary, G., 1947: Die Balaniden der Adria. Annales Historico-Naturales Musei Hungarici, 40: 1-88

Strand, E., 1972: Runar - a new mildew-resistant spring wheat. Runar can be regarded as an improved Rollo. Previously designated T297-31-31 or Rollo M, it derives its mildew resistance from Triticum carthlicum. Runar is more uniform than Rollo, has significantly greater straw strength, and good resistance to...

Hianik, T.; Rybár, P.; Benediktyová, Z.; Svobodová, L.; Hermetter, A., 2004: Effects of oxidation on changes of compressibility of bovine serum albumin. The methods of ultrasound velocity and density measurements were used to study the adiabatic compressibility of bovine serum albumin (BSA) during its oxidation by the prooxidants Cu2+ and 2,2'-azobis(2-amidinopropane) hydrochloride (AAPH). We...

Wyatt, R.; Stoneburner, A., 1981: Patterns of ant-mediated pollen dispersal in Diamorpha smallii (Crassulaceae). Gene flow distances in Diamorpha smallii (Crassulaceae) effected through pollen dispersal by ants (Formica schaufussi and F. subsericea) are extremely short and their frequency distributions are strongly leptokurtic in form. Increased plant densit...

Philpot, W.N.; Dodd, F.H.; Natzke, R.P.; Miller, C.C.; Nicolai, J.H.J., 1978: Mastitis. Seven papers deal with the strategy of mastitis control; detection; prevention; elimination of infection; economics of mastitis control; factors influencing response to treatment; mastitis problem herds.

Li, W.; Mei, L.; Shurman, D.; Seykora, J., 2003: Srcasm activates Src-family tyrosine kinases in vivo and modulates EGF-dependent signaling pathways. Journal of Investigative Dermatology 121(1): 0772, July