Evidence map›Paper›PMID 39532709›Full record

ArticlePediatric surgery international2024

A decade of managing pediatric major traumatic vascular injuries: insights from a referral center.

Norhafiza Ab Rahman, Dirk von Delft, Alp Numanoglu, Edre Mohammad Aidid, Marion Arnold

Abstract read
In one paragraph

Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

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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

4 citing papers in PubMed.

  1. Gunshot wound to the trifurcation in an infant: Vein-graft repair with 27-year follow-up.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  2. Blunt handlebar injury causing internal avulsion of the common femoral artery in an 11-year-old boy.Journal of vascular surgery cases and innovative techniques · 2026
    Article
  3. Article
  4. Article
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

5 authors.

Norhafiza Ab RahmanDepartment of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa. nhafiza@iium.edu.my.
Dirk von DelftDepartment of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Alp NumanogluDepartment of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Edre Mohammad AididDepartment of Community Medicine, Kulliyyah (Faculty) of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
Marion ArnoldDepartment of Paediatric Surgery, Red Cross War Memorial Children's Hospital, Cape Town, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution.

methodsA retrospective review of medical records (2013-2022) of major traumatic vascular injuries, focusing on injury profiles, treatment modalities, and clinical outcomes.

resultsThirty patients with 48 vessel injuries were included. Firearms were the leading mechanism, accounting for 43.3% (n = 13) of cases. We identified 29 arterial injuries and 19 venous injuries, with 30 (62.5%) of the overall injuries occurred in the lower extremities. Shock (17; 56.7%) and associated injuries (25; 83.3%) were common. Surgery was the most common management strategy. Autologous bypass graft was the most frequently performed procedure for arterial injuries (8; 42.1%), while ligation dominated in venous injuries (9; 64.3%). Blood transfusion requirements (24; 82.7%) and post-operative prescription of anticoagulant and antiplatelet agents (12; 41.4%) were similar for arterial and venous injuries (p > 0.05). Three patients demised, resulting in a 90% survival rate. Neither the mechanism of injury, anatomical location, and presence of shock on arrival nor the baseline hemoglobin level served as predictors of mortality.

conclusionIntensive resuscitation with blood transfusion and prompt surgical intervention achieve favorable survival rates for pediatric traumatic vascular injuries. Optimal post-operative anticoagulant and antiplatelet regimens remain unclear.

Indexed as

Vascular System InjuriesAdolescentBlood TransfusionChildChild, PreschoolFemaleHumansIncidenceInfantMaleRetrospective StudiesVascular Surgical ProceduresAnticoagulantFirearmsPediatric traumaVascular injuryVascular trauma

Identifiers

PMID39532709
PMCPMC11557644

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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.