ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Management of pediatric blunt abdominal trauma in a Dutch level one trauma center.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Comparing non-operative management of abdominal solid organ injuries in pediatric and adult blunt trauma: A meta-analysis and systematic review.Irish journal of medical science · 2026Review
- Article
- Assessing associated factors for failure of nonoperative management in pediatric blunt liver and spleen injuries: a secondary analysis of the SHIPPs study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Outcomes after Embolization in Pediatric Abdominal Solid Organ Injury: A Trauma Center Experience.The Indian journal of radiology & imaging · 2024Article
- Management of Pediatric Solid Organ Injuries.Children (Basel, Switzerland) · 2024Review
- Pediatric blunt pancreatic trauma at a single center in Korea: a retrospective review from 2007 to 2022.Journal of trauma and injury · 2023Article
- Analysis of the efficacy and safety of conservative treatment of blunt abdominal trauma in children: retrospective study. Conservative treatment of blunt abdominal trauma in children.Revista do Colegio Brasileiro de Cirurgioes · 2023Article
- Cases of pediatric intra-abdominal solid organ injury induced by blunt trauma experienced over a 15-year period at two centers in Japan.World journal of pediatric surgery · 2023Article
- Automated quantitative assessment of pediatric blunt hepatic trauma by deep learning-based CT volumetry.European journal of medical research · 2022Article
- Blunt Abdominal Trauma in Children: A Review of 105 Cases.Journal of Indian Association of Pediatric SurgeonsArticle
- Pediatric Surgeon-led Management of Abdominal Trauma: An Audit from an African Nation.Journal of Indian Association of Pediatric SurgeonsArticle
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6 authors at 2 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
purposeMost children with intra-abdominal injuries can be managed non-operatively. However, in Europe, there are many different healthcare systems for the treatment of pediatric trauma patients. Therefore, the aim of this study was to describe the management strategies and outcomes of all pediatric patients with blunt intra-abdominal injuries in our unique dedicated pediatric trauma center with a pediatric trauma surgeon.
methodsWe performed a retrospective, single-center, cohort study to investigate the management of pediatric patients with blunt abdominal trauma. From the National Trauma Registration database, we retrospectively identified pediatric (≤ 18 years) patients with blunt abdominal injuries admitted to the UMCU from January 2012 till January 2018.
resultsA total of 121 pediatric patients were included in the study. The median [interquartile range (IQR)] age of patients was 12 (8-16) years, and the median ISS was 16 (9-25). High-grade liver injuries were found in 12 patients. Three patients had a pancreas injury grade V. Furthermore, 2 (1.6%) patients had urethra injuries and 10 (8.2%) hollow viscus injuries were found. Eighteen (14.9%) patients required a laparotomy and 4 (3.3%) patients underwent angiographic embolization. In 6 (5.0%) patients, complications were found and in 4 (3.3%) children intervention was needed for their complication. No mortality was seen in patients treated non-operatively. One patient died in the operative management group.
conclusionsIn conclusion, it is safe to treat most children with blunt abdominal injuries non-operatively if monitoring is adequate. These decisions should be made by the clinicians operating on these children, who should be an integral part of the entire group of treating physicians. Surgical interventions are only needed in case of hemodynamic instability or specific injuries such as bowel perforation.
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