Evidence map›Paper›PMID 41528455›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

The necessity of CT scans on pediatric carotid injury after blunt trauma - An analysis of the traumaregister DGU

Lars Becker, Lukas Krüger, Maximilian Wolf, Katharina Alfen, Jens Theysohn, Rolf Lefering, Marcel Dudda, Oliver Kamp, Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), Germany

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

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. 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
–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

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.

  1. Observational
  2. Review
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

9 authors.

Lars BeckerDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, 45147, Essen, Germany. lars.becker@uk-essen.de.
Lukas KrügerDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, 45147, Essen, Germany.
Maximilian WolfDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, 45147, Essen, Germany.
Katharina AlfenDepartment of Paediatrics I, Neonatology, Pediatric Intensive Care Medicine and Pediatric Neurology, University Hospital Essen, 45147, Essen, Germany.
Jens TheysohnDepartment for Diagnostic and Interventional Radiology and Nuclear Medicine, University Hospital Bergmannsheil Bochum, 44789, Bochum, Germany.
Rolf LeferingInstitute for Research in Operative Medicine (IFOM), Witten/Herdecke University, 51109, Cologne, Germany.
Marcel DuddaDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, 45147, Essen, Germany.
Oliver KampDepartment of Trauma Surgery, Hand and Reconstructive Surgery, University Hospital Essen, 45147, Essen, Germany.
Committee on Emergency Medicine, Intensive Care and Trauma Management (Sektion NIS) of the German Trauma Society (DGU), Germany

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBlunt carotid injuries (BCI) in pediatric trauma patients are rare. Using data from the TraumaRegister DGU

methodsThe TraumaRegister DGU

resultsOut of 9070 severely injured pediatric trauma patients analysed, 50 cases of pediatric BCI were identified, representing a prevalence of 0.6%. Patients with BCI presented with higher injury severity scores (ISS), lower Glasgow Coma Scale (GCS) scores, and a greater prevalence of head injuries, as well as thoracic, abdominal, and extremity injuries. These patients also experienced higher in-hospital mortality rates (34%) and required more frequent blood transfusions. Full-body CT scans were more commonly performed in patients with BCI.

conclusionThis study highlights the rarity and severity of BCI in pediatric trauma patients, with a prevalence of 0.6%. Significant risk factors for a BCI include high injury severity, head trauma, neurological deficits, and pre-hospital hypotension. The findings emphasise the importance of early diagnosis and targeted diagnostic strategies to balance the need for prompt intervention with reducing unnecessary radiation exposure.

Indexed as

Carotid Artery InjuriesTomography, X-Ray ComputedWounds, NonpenetratingAdolescentChildChild, PreschoolFemaleGermanyHumansInfantInfant, NewbornInjury Severity ScoreMalePrevalenceRegistriesRisk FactorsBlunt carotid injuryCTPediatricsRadiation risksTraumaRegister DGU®

Identifiers

PMID41528455
PMCPMC12799702

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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.