Observational studyRevista do Colegio Brasileiro de Cirurgioes2022
CT scan in the evaluation of pediatric abdominal trauma.
Observational study in Revista do Colegio Brasileiro de Cirurgioes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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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.
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Who cites it
2 citing papers in PubMed, 2 citations in OpenAlex.
- Uncommon presentation: isolated small bowel perforation after blunt abdominal trauma in a pediatric patient; a case report.Annals of medicine and surgery (2012) · 2023Article
- Comparative Evaluation of Shock Index Pediatric Age Adjusted and Pediatric Trauma Score in Predicting Morbidity in Pediatric Abdominal Trauma: A Prospective Single-center Study.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveto assess the need of computed tomography (CT) for the definition of management in pediatric abdominal trauma.
methodsobservational retrospective study with patients under 18 years old victims of blunt or penetrating abdominal trauma that underwent CT of the abdomen and pelvis at admission. We evaluated CT scan findings, indications and management. We calculated the sensitivity, specificity, positive predictive value and negative predictive value of clinical variables and energy of trauma for findings on CT.
resultsamong the 236 patients included in our study, 72% (n=170) did not present abnormal findings on CT. It was performed surgical treatment in 15% (n=10), conservative treatment in 54,5% (n=36) and 27% (n=18) did not receive treatment for abdominal injuries. In the assessment of CT indications, 28,8% (n=68) presented no justifications. In this group, 91% (n=62) did not show any abnormal findings. Among the six patients with positive findings, half were selected for conservative treatment, while the rest did not need any treatment for abdominal injuries. The presence of abdominal pain, hemodynamic alterations and high energy blunt trauma had low positive predictive values when isolated, whereas the negative predictive values were higher.
conclusionalthough CT is necessary in some instances, there is a possible high number of exams that did not make any difference in the management of the pediatric population.
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