Evidence map›Paper›PMID 39804061›Full record

ArticleAcademic emergency medicine : official journal of the Society for Academic Emergency Medicine2025

Performance of individual criteria of the Pediatric Emergency Care Applied Research Network (PECARN) intraabdominal injury prediction rule.

Cosby G Arnold, Paul Ishimine, Kevan A McCarten-Gibbs, Kenneth Yen, Nisa Atigapramoj, Mohamed Badawy, Irma T Ugalde, Pradip P Chaudhari, Jeffrey S Upperman, Nathan Kuppermann and 1 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Cosby G ArnoldDepartment of Emergency Medicine, UC Davis School of Medicine, Sacramento, California, USA.
Paul IshimineDepartment of Emergency Medicine and Pediatrics, University of California San Diego School of Medicine, La Jolla, California, USA.ORCID 0000-0001-8069-3174
Kevan A McCarten-GibbsDepartment of Emergency Medicine, UCSF Benioff Children's Hospital, Oakland, California, USA.
Kenneth YenDepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children's Health and University of Texas Southwestern, Dallas, Texas, USA.
Nisa AtigapramojDepartment of Emergency Medicine, UCSF Benioff Children's Hospital, Oakland, California, USA.
Mohamed BadawyDepartment of Pediatrics, Division of Pediatric Emergency Medicine, Children's Health and University of Texas Southwestern, Dallas, Texas, USA.
Irma T UgaldeDepartment of Pediatrics, Section of Emergency Medicine, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
Pradip P ChaudhariDivision of Emergency and Transport Medicine, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine of the University of Southern California, Los Angeles, California, USA.ORCID 0000-0002-7732-632X
Jeffrey S UppermanDepartment of Pediatric Surgery, Vanderbilt University, Nashville, Tennessee, USA.
Nathan KuppermannDepartment of Emergency Medicine and Pediatrics, George Washington University School of Medicine, Washington, DC, USA.
James F HolmesDepartment of Emergency Medicine, UC Davis School of Medicine, Sacramento, California, USA.ORCID 0000-0003-3270-2720

Funding

Validation of Decision Rules for CT Use in Children with Abdominal or Head TraumaR01HD084674 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI HOLMES, JAMES F., KUPPERMANN, NATHAN · 2016 to 2020
$3.1M
Eunice Kennedy Shriver National Institute of Child Health and Human Development R01HD084674NICHD NIH HHS R01 HD084674
6 · The paper itself

Abstract

objectiveThe Pediatric Emergency Care Applied Research Network (PECARN) derived and externally validated a clinical prediction rule to identify children with blunt torso trauma at low risk for intraabdominal injuries undergoing acute intervention (IAI

methodsWe performed a planned secondary analysis of a prospective, multicenter study that included 7542 children (<18 years old) with blunt torso trauma evaluated in six emergency departments from December 2016 to August 2021. Patients with only one or two PECARN rule variables positive were included. The outcome was IAI

resultsAmong the 7542 children enrolled, 2986 (39.6%, 95% confidence interval [CI] 38.5%-40.7%) had one or two PECARN variables positive and were included. Of this subpopulation, 227 (7.6%, 95% CI 6.7%-8.6%) had intraabdominal injuries. In the 1639 patients with only one rule variable positive, 21 (1.3%, 95% CI 0.8%-2.0%) had IAI

conclusionsFew children with blunt torso trauma and one or two PECARN predictor variables present have IAI

Indexed as

Abdominal InjuriesClinical Decision RulesWounds, NonpenetratingAdolescentChildChild, PreschoolEmergency Service, HospitalFemaleHumansInfantInjury Severity ScoreMaleProspective StudiesRisk Assessmentblunt abdominal traumaclinical prediction ruleemergency medicinepediatrics

Identifiers

PMID39804061
PMCPMC12173795

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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.