Evidence map›Paper›PMID 33385244›Full record

ReviewPediatric surgery international2021

Pediatric traumatic abdominal wall hernia as a component of the seatbelt syndrome: a case series and review of the literature.

Rebecca Sorber, Felipe E Pedroso, Clint D Cappiello, Shaun M Kunisaki, Eric B Jelin, Daniel S Rhee

Abstract readReview
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In one paragraph

Review in Pediatric surgery international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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 1 institution in 1 country.

Rebecca SorberDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA. rsorber1@jhmi.edu.ORCID http://orcid.org/0000-0002-0324-4882
Felipe E PedrosoDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA.
Clint D CappielloDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA.
Shaun M KunisakiDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA.
Eric B JelinDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA.
Daniel S RheeDivision of Pediatric Surgery, Department of Surgery, The Johns Hopkins Hospital Bloomberg Children's Center, 600 N Wolfe St, Halsted 668, Baltimore, MD, 21287-8611, USA.
Bloomberg (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlunt impact-induced traumatic abdominal wall hernia (TAWH) is an uncommon pediatric surgical problem classically associated with handlebar injury but increasingly seen with seatbelt use in motor vehicle collisions (MVC). Herein we describe the largest case series of pediatric TAWH to date and review the literature to establish the unique syndromic characteristics of MVC-associated TAWH.

methodsIn this single-institution series, we discuss four pediatric patients, all with seatbelt-associated TAWH after high-speed MVC characterized by full-thickness disruption of the lateral abdominal wall. We then performed a review of the literature to identify additional pediatric MVC-associated TAWH and define the characteristics of patients who sustained this unique injury.

resultsIn addition to the four patients in our case series, five additional pediatric patients presenting with TAWH after restrained MVC were identified in the literature. Of these nine patients, eight (89%) presented with an obvious seatbelt sign (bruising/laceration to the abdominal wall). Six (67%) had associated injuries typical of the seatbelt syndrome, including four spinal flexion injuries (44%) and five bowel injuries requiring repair or resection (56%). Overall, 56% of seatbelt-associated TAWH occurred in children with a BMI percentile > 95%.

conclusionsIn this case series and literature review, we note a high rate of seatbelt syndrome injuries in pediatric patients presenting with TAWH after restrained MVC. Suspicion for TAWH should be high in children presenting with a seatbelt sign and should trigger a low threshold for pursuing additional axial imaging. LEVEL OF EVIDENCE: Level IV; case series.

Indexed as

Abdominal InjuriesAbdominal WallAccidents, TrafficChildChild, PreschoolContusionsFemaleHernia, AbdominalHernia, VentralHumansMalePediatricsSeat BeltsWounds, NonpenetratingFlank herniaMotor vehicle accidentPediatric blunt traumaPediatric traumaPediatric traumatic herniaTraumatic abdominal wall hernia

Identifiers

PMID33385244
OpenAlexW3117219212

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.