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Pediatric Thoracic Trauma

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Late diagnosis of Lesch-Nyhan disease complicated with end-stage renal disease and tophi burst: a case report.

Cahyani Gita Ambarsari, Daffodilone Cahyadi, Lenny Sari, Oryza Satria, Felly Sahli, Thyrza Laudamy Darmadi, Agustina Kadaristiana,

Background: Lesch-Nyhan disease (LND) is a rare X-linked recessive inborn error of purine metabolism. Late diagnosis of LND may cause significant morbidity. LND cases have never been reported in Indonesia.Case report: A 15-year-old male who had been diagnosed with cerebral palsy was referred to our hospital due to renal failure ... Read more >>

Ren Fail (Renal Failure)
[2020, 42(1):113-121]

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[Diagnostics and treatment of thoracic and lumbar spine trauma in pediatric patients : Recommendations from the Pediatric Spinal Trauma Group].

Thomas Weiß, Alexander C Disch, Michael Kreinest, Jan-Sven Jarvers, Christian Herren, Matthias K Jung, Holger Meinig, Hauke Rüther, Thomas Welk, Michael Ruf, Andreas Badke, Oliver Gonschorek, Christoph E Heyde, Frank Kandziora, Christian Knop, Philipp Kobbe, Matti Scholz, Holger Siekmann, Ulrich Spiegl, Peter Strohm, Christoph Strüwind, Stefan Matschke, ,

Spinal injuries in pediatric patients are overall very rare. Current reference studies including large patient numbers that enable the formulation of evidence-based recommendations on diagnostics and treatment of these injuries do not exist. The aim of the current study was to formulate recommendations on the diagnostics and treatment for injuries ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(4):269-279]

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Calibration and validation of the pediatric resuscitation and trauma outcome model among injured children in Rwanda.

Etienne St-Louis, Robin Petroze, Robert Baird, Tarek Razek, Dan Poenaru, J Forest Calland, Jean-Claude Byiringiro, Edmond Ntaganda,

BACKGROUND:Trauma is a leading cause of mortality in low- and middle-income countries. The Pediatric Resuscitation and Trauma Outcomes (PRESTO) model uses six low-tech variables available at point of care in resource-limited environments to predict in-hospital mortality of injured children. This model was never calibrated and validated in a low-income country. ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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A Comparison of Adolescent Penetrating Trauma Patients Managed at Pediatric versus Adult Trauma Centers in a Mature Trauma System.

Frederick B Rogers, Michael A Horst, Madison E Morgan, Tawnya M Vernon, Barbara A Gaines, Amelia T Rogers, Brian W Gross, Alan D Cook, Eric H Bradburn,

BACKGROUND:While there is little debate that pediatric trauma centers (PTC) are uniquely equipped to manage pediatric trauma patients, the extent to which adolescents benefit from treatment there remains controversial. We sought to elucidate differences in management approach and outcome between PTC and adult trauma centers (ATC) for the adolescent penetrating ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2020, :]

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Use of Chest Computed Tomography for Blunt Pediatric Chest Trauma: Does It Change Clinical Course?

Elizabeth M Holl, Ashley P Marek, Rachel M Nygaard, Chad J Richardson, Donavon J Hess,

INTRODUCTION:Given the concern for radiation-induced malignancy in children and the fact that risk of severe chest injury in children is low, the risk/benefit ratio must be considered in each child when ordering a computed tomography (CT) scan after blunt chest trauma. METHODS:The study included pediatric blunt trauma patients (age, <15 ... Read more >>

Pediatr Emerg Care (Pediatric emergency care)
[2020, 36(2):81-86]

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Pediatric tracheal injuries: Report on 5 cases with special view on the role of bronchoscopy and management.

Nikolett Gáti, Tamás Kassai, Tamás Prokopp, András Vizi, Judit Hetthéssy,

INTRODUCTION:The purpose of these case reports is to draw the attention to the difficulties of diagnosing trachea injuries in children, who are often part of a polytrauma scenario. MATERIALS:A retrospective multicenter analysis of 5 cases were analysed. The age of the children was between 1 and 16 years old. Injury ... Read more >>

Injury (Injury)
[2020, :]

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Utilization of CT imaging in minor pediatric head, thoracic, and abdominal trauma in the United States.

Lauren Strait, Rebecca Sussman, Ashar Ata, Mary J Edwards,

BACKGROUND:Liberal use of CT scanning in children with blunt trauma risks unnecessary radiation exposure and cost. Recent literature questions the utility of whole-body CT in stable children without clinical evidence of significant injury, but this is often done based on injury mechanism. The purpose of this study is to quantify ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2020, :]

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Pediatric Thoracic Injury Rule out Criteria (pTIRC) in Diagnosis of Very Low Risk Children for Traumatic Intrathoracic Injuries; a Diagnostic Accuracy Study.

Mahmoud Yousefifard, Mostafa Hosseini, Mohammad Reza Parvizi,

Introduction:The value of thoracic injury rule out criteria (TIRC) as a tool for decreasing the number of unnecessary chest radiographs in children has not been evaluated yet. Therefore, the present study was designed as a multi-center study to assess the validity of TIRC model in detection of very low risk ... Read more >>

Arch Acad Emerg Med (Archives of academic emergency medicine)
[2020, 8(1):e7]

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Temporal trends in patient characteristics, injury mechanisms and outcomes in pediatric trauma admissions between 2010 and 2017.

Fahad Mansuri, Tara Loux, Sandra E Brooks, Nicole Slye, Yuanyuan Lu, Briana Lewis, Henian Chen, Kevin E Kip,

INTRODUCTION:Injuries are a leading cause of preventable morbidity and mortality in children. Mechanisms of injuries and presentations are diverse in pediatric injuries and require special attention. Dedicated pediatric trauma care centers are ideal for management of children with injuries simultaneously serving as sources of research data. The objective of the ... Read more >>

Am. J. Surg. (American journal of surgery)
[2020, :]

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Morbidity after traumatic spinal injury in pediatric and adolescent sports-related trauma.

Saksham Gupta, Blake M Hauser, Mark M Zaki, Edward Xu, David J Cote, Yi Lu, John H Chi, Michael Groff, Ayaz M Khawaja, Mitchel B Harris, Timothy R Smith, Hasan A Zaidi,

OBJECTIVE:Sports injuries present a considerable risk of debilitating spinal injury. Here, the authors sought to profile the epidemiology and clinical risk of traumatic spinal injuries (TSIs) in pediatric sports injuries. METHODS:The authors conducted a retrospective cohort analysis of pediatric patients who had experienced a sports-related TSI, including spinal fractures and ... Read more >>

J Neurosurg Spine (Journal of neurosurgery. Spine)
[2019, :1-7]

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Real spinal cord injury without radiologic abnormality in pediatric patient with tight filum terminale following minor trauma: a case report.

Qin Chuan Liang, Bo Yang, Yun Hai Song, Pin Pin Gao, Ze Yang Xia, Nan Bao,

BACKGROUND:Spinal cord injury without radiographic abnormality (SCIWORA) is defined as having "clinical symptoms of traumatic myelopathy with no radiographic or computed tomographic features of spinal fracture or instability". The mechanism of pediatric SCIWORA following minor trauma is still unclear. Tight filum terminale (TFT) has been studied in the literature, but ... Read more >>

BMC Pediatr (BMC pediatrics)
[2019, 19(1):513]

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Acute Respiratory Distress Syndrome Following Pediatric Trauma: Application of Pediatric Acute Lung Injury Consensus Conference Criteria.

Elizabeth Y Killien, Roel L N Huijsmans, Iesha L Ticknor, Lincoln S Smith, Monica S Vavilala, Frederick P Rivara, R Scott Watson,

OBJECTIVES:To assess the incidence, severity, and outcomes of pediatric acute respiratory distress syndrome following trauma using Pediatric Acute Lung Injury Consensus Conference criteria. DESIGN:Retrospective cohort study. SETTING:Level 1 pediatric trauma center. PATIENTS:Trauma patients less than or equal to 17 years admitted to the ICU from 2009 to 2017. INTERVENTIONS:None. MEASUREMENTS ... Read more >>

Crit. Care Med. (Critical care medicine)
[2020, 48(1):e26-e33]

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Morphometric and Physiologic Modeling Study for Endovascular Occlusion in Pediatric Trauma Patients.

Louis Carrillo, Max Skibber, Akshita Kumar, Mitchell George, Shahroz Aziz, Matthew T Harting, Laura J Moore, Charles S Cox,

The use of the resuscitative endovascular balloon occlusion of the aorta (REBOA) device is expanding in adult trauma. Reports of its use in pediatric patients have been published, but no guidelines currently exist nor has it been Food and Drug Administration approved in pediatrics. This project develops a model to ... Read more >>

ASAIO J. (ASAIO journal (American Society for Artificial Internal Organs : 1992))
[2020, 66(1):97-104]

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[Pediatric spine trauma-Results of a German national multicenter study including 367 patients].

Jan-Sven Jarvers, Christian Herren, Matthias K Jung, Christian Blume, Holger Meinig, Michael Ruf, Alexander C Disch, Thomas Weiß, Hauke Rüther, Thomas Welk, Andreas Badke, Oliver Gonschorek, Christoph E Heyde, Frank Kandziora, Christian Knop, Philipp Kobbe, Matti Scholz, Holger Siekmann, Ulrich Spiegl, Peter Strohm, Christoph Strüwind, Stefan Matschke, Michael Kreinest, ,

In general, pediatric spinal injuries are rare. No reliable data on the epidemiology of spinal injuries in pediatric patients in Germany are available. Especially in pediatric patients, for whom the medical history, clinical examination and the performance of imaging diagnostics are difficult to obtain, all available information on a spinal injury ... Read more >>

Unfallchirurg (Der Unfallchirurg)
[2020, 123(4):280-288]

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Pediatric firearm mortality in the United States, 2010 to 2016: A National Trauma Data Bank analysis.

Justin S Hatchimonji, Robert A Swendiman, Matthew A Goldshore, Thane A Blinman, Michael L Nance, Myron Allukian, Gary W Nace,

BACKGROUND:Pediatric firearm injury is a leading cause of death for U.S. children. We sought to further characterize children who die from these injuries using a validated national database. METHODS:The National Trauma Data Bank 2010 to 2016 was queried for patients aged 0 to 19 years old. International Classification of Diseases ... Read more >>

J Trauma Acute Care Surg (The journal of trauma and acute care surgery)
[2020, 88(3):402-407]

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[Flail chest in pediatric patient. Case report].

Melisa Gamerman, Enrique Romero Manteola, Sofía Contreras, Celeste Patiño, Germán Bonetto, Agustina Salvadores,

Flail chest is defined by fracture of 3 or more adjacent ribs, at 2 or more sites, with paradoxical movement of the affected chest. It occurs in 2 to 4 % of blunt chest trauma, with a mortality of 10 to 15 %. Treatment is conservative, using analgesia and positive ... Read more >>

Arch Argent Pediatr (Archivos argentinos de pediatria)
[2020, 118(1):e57-e60]

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CT and MRI findings in pancreatic trauma in children and correlation with outcome.

Ala Ibrahim, Paul W Wales, Michael R Aquino, Govind B Chavhan,

BACKGROUND:There are limited published data on pancreatic trauma imaging in children. OBJECTIVE:To present our experience using computed tomography (CT) and magnetic resonance (MR) imaging of pancreatic trauma in children and to correlate the imaging grade of pancreatic injury with management and outcome. MATERIALS AND METHODS:A retrospective cohort study of children ... Read more >>

Pediatr Radiol (Pediatric radiology)
[2020, :]

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Comparison of Prehospital Calculated Age-Adjusted Pediatric Shock Index (SIPA) to Those Calculated in the ED for Identifying Trauma Patients That Needed the Highest-Level Activation Based on Consensus Criteria.

Geet Gandhi, Mary Kate Claiborne, Toni Gross, Bethany L Sussman, Katherine Davenport, Blake Bulloch,

Background: The shock index (SI) is defined as the ratio of the heart rate to systolic blood pressure and a pediatric age-adjusted SI (SIPA) is more specific than the standard adult cutoff of 0.9 in identifying the sickest children presenting to a trauma center.Goal: To utilize prehospital vital signs to ... Read more >>

Prehosp Emerg Care (Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors)
[2020, :1-5]

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Multicenter study of 37 pediatric patients with SCIWORA or other spinal cord injury without associated bone lesion.

David Brauge, Benjamin Plas, Mathieu Vinchon, Saloua Charni, Federico Di Rocco, Oumar Sacko, Ségolène Mrozek, Jérôme Sales de Gauzy,

BACKGROUND:Pure traumatic spinal cord injury (without associated bone lesion) are encountered in pediatric accidentology, the most typical being spinal cord injury without radiological abnormality (SCIWORA). The present study reports a multicenter series of under-18-year-olds admitted for traumatic medullary lesion. The objectives were: (1) to describe the causes of pure spinal ... Read more >>

Orthop Traumatol Surg Res (Orthopaedics & traumatology, surgery & research : OTSR)
[2020, 106(1):167-171]

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Impact of blunt chest trauma on outcome after traumatic brain injury- a matched-pair analysis of the TraumaRegister DGU®.

Mark Schieren, Frank Wappler, Arasch Wafaisade, Rolf Lefering, Samir G Sakka, Jost Kaufmann, Hi-Jae Heiroth, Jerome Defosse, Andreas B Böhmer,

BACKGROUND:Traumatic brain injury (TBI) is associated with high rates of long-term disability and mortality. Our aim was to investigate the effects of thoracic trauma on the in-hospital course and outcome of patients with TBI. METHODS:We performed a matched pair analysis of the multicenter trauma database TraumaRegisterDGU® (TR-DGU) in the 5-year ... Read more >>

Scand J Trauma Resusc Emerg Med (Scandinavian journal of trauma, resuscitation and emergency medicine)
[2020, 28(1):21]

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Pediatric Thoracoabdominal Trauma: Experience from a Tertiary Care Center.

Vijay Kumar Kundal, Pinaki Ranjan Debnath, Atul Kumar Meena, Shalu Shah, Prafull Kumar, Shyam Sunder Sahu, Amita Sen,

Aim:The aim of this study is to assess the pattern and mode of thoracoabdominal trauma and anatomical organ involvement, type of management employed, and overall outcomes in the pediatric population. Materials and Methods:A retrospective study conducted at a tertiary hospital over a period of 38 months with a total of ... Read more >>

J Indian Assoc Pediatr Surg (Journal of Indian Association of Pediatric Surgeons)
[2019, 24(4):264-270]

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Clinician awareness of brain computer interfaces: a Canadian national survey.

Sasha Letourneau, Ephrem Takele Zewdie, Zeanna Jadavji, John Andersen, Lee M Burkholder, Adam Kirton,

BACKGROUND:Individuals with severe neurological disabilities but preserved cognition, including children, are often precluded from connecting with their environments. Brain computer interfaces (BCI) are a potential solution where advancing technologies create new clinical opportunities. We evaluated clinician awareness as a modifiable barrier to progress and identified eligible populations. METHODS:We executed a ... Read more >>

J Neuroeng Rehabil (Journal of neuroengineering and rehabilitation)
[2020, 17(1):2]

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National Estimates and Factors Influencing Trauma Recidivism in Children Leading to Hospital Readmission.

Adil A Shah, Anthony Sandler, Wasay Nizam, Timothy Kane, Mallory Williams, Edward E Cornwell, Mikael Petrosyan,

INTRODUCTION:Trauma is the leading cause of mortality in children. Factors influencing recidivism after major trauma have not been well documented in children. The objective of this study is to determine the burden of pediatric trauma recidivism and to identify predisposing factors in the United States. METHODS:The 2010-2015 National Readmissions Database ... Read more >>

J. Pediatr. Surg. (Journal of pediatric surgery)
[2019, :]

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Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature.

Audrey Carlhan-Ledermann, Bernard Laubscher, Maja Steinlin, Christian T Ulrich, Rajeev Kumar Verma, Mattia Rizzi, Rodolfo Maduri, Sebastian Grunt,

BACKGROUND:Spinal epidural hematoma without significant trauma is a rare condition with potentially severe outcome. This case report and systematic review of the literature illustrates the clinical presentation, risk factors, evaluation, treatment and outcomes of spinal epidural hematoma without significant trauma in children. CASE PRESENTATION:We report one case of a 7-year-old ... Read more >>

BMC Pediatr (BMC pediatrics)
[2020, 20(1):77]

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Indications, Surgical Complications, and Long-Term Outcomes in Pediatric Esophageal Reconstructions with Pedicled Jejunal Interposition Graft.

Antti Koivusalo, Janne Suominen, Jukka Salminen, Mikko Pakarinen,

INTRODUCTION: Several surgical techniques are available for pediatric esophageal reconstruction. We started to use pedicled jejunum interposition graft (PJIG) because other techniques had significant long-term complications. In this retrospective study, the indications, surgical complications, and long-term outcomes were assessed in patients with PJIG. MATERIALS AND METHODS: With ethical consent, we reviewed the ... Read more >>

Eur J Pediatr Surg (European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie)
[2020, 30(1):111-116]

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