Evidence map›Paper›PMID 32200321›Full record

ArticleThe Journal of surgical research2020

Laparoscopy Compared With Laparotomy for the Management of Pediatric Blunt Abdominal Trauma.

Elissa K Butler, Brianna M Mills, Saman Arbabi, Jonathan I Groner, Monica S Vavilala, Frederick P Rivara

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Elissa K ButlerHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington. Electronic address: ekbutler@uw.edu.
Brianna M MillsHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington.
Saman ArbabiHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington; Department of Surgery, University of Washington, Seattle, Washington.
Jonathan I GronerCenter for Pediatric Trauma Research, Nationwide Children's Hospital, Columbus, Ohio; Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio.
Monica S VavilalaHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington; Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington.
Frederick P RivaraHarborview Injury Prevention and Research Center, University of Washington, Seattle, Washington; Department of Pediatrics, University of Washington, Seattle, Washington.
Harborview Injury Prevention and Research Center · USUniversity of Washington · USNationwide Children's Hospital · US

Funding

Pediatric Injury Research Training ProgramT32HD057822 · NICHD · UNIVERSITY OF WASHINGTON · PI CAROLYN A MC CARTY, Ali Rowhani-Rahbar · 2010 to 2026
$4.0M
NICHD NIH HHS T32 HD057822
6 · The paper itself

Abstract

backgroundThere is minimal evidence evaluating the risks and benefits of laparoscopy use in hemodynamically stable children with suspected abdominal injuries. The objective of this study was to evaluate postoperative outcomes in a large cohort of hemodynamically stable pediatric patients with blunt abdominal injury.

methodsUsing the 2015-2016 National Trauma Data Bank, all patients aged <18 y with injury severity score (ISS) ≤25, Glasgow coma scale ≥13, and normal blood pressure who underwent an abdominal operation for blunt abdominal trauma were included. Patients were grouped into three treatment groups: laparotomy, laparoscopy, and laparoscopy converted to laparotomy. Treatment effect estimation with inverse probability weighting was used to determine the association between treatment group and outcomes of interest.

resultsOf 720 patients, 504 underwent laparotomy, 132 underwent laparoscopy, and 84 underwent laparoscopy converted to laparotomy. The median age was 10 (IQR: 7-15) y, and the median ISS was 9 (IQR: 5-14). Mean hospital length of stay was 2.1 d shorter (95% confidence interval [CI]: 0.9-3.2 d) and mean intensive care unit length of stay was 1.1 d shorter (95% CI: 0.6-1.5 d) for the laparoscopy group compared with the laparotomy group. The laparoscopy group had a 2.0% lower mean probability of surgical site infection than the laparotomy group (95% CI: 1.0%-3.0%).

conclusionsIn this cohort of hemodynamically stable pediatric patients with blunt abdominal injury, laparoscopy may have improved outcomes over laparotomy.

Indexed as

Abdominal InjuriesAdolescentChildFemaleHumansLaparoscopyLaparotomyMaleRetrospective StudiesUnited StatesWounds, NonpenetratingBlunt abdominal traumaLaparoscopyPediatric traumaPostoperative outcome

Identifiers

PMID32200321
PMCPMC7247932
OpenAlexW3010982022

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.