Splenic injuries in children: Correlation between imaging and clinical management

Saud Al-Shanafey, Mike Giacomantonio, Robert Jackson

Résultat de recherche: Articleexamen par les pairs

10 Citations (Scopus)

Résumé

For non-operative management of splenic injuries in children, questions remain as regards imaging, length of hospital stay, and follow-up. We reviewed our experience concerning these issues over the past 15 years. The charts of all children with splenic injuries from January 1983 to December 1998 were reviewed. All computed tomography (CT) scans were reviewed and classified according to degree of splenic injury. Fisher's exact test and a linear regression model were used to analyze data. Sixty-nine males and 23 females under 16 years of age were identified; 57 (62%) had CT scans; 8 underwent a laparotomy; and 6 (6.5%) died. Age, on hemoglobin admission, and duration of intensive-care-unit stay were significantly related to hospital stay (median 8 days). Motor vehicle-pedestrian-related injuries correlated significantly with mortality. CT class did not correlate with mortality (P = 0.68) or hospital stay (P = 0.2). Follow-up data were available for 66 patients, 36 of them with imaging. Follow-up imaging did not impact on clinical decisions and no late sequelae were identified.

Langue d'origineEnglish
Pages (de-à)365-368
Nombre de pages4
JournalPediatric Surgery International
Volume17
Numéro de publication5-6
DOI
Statut de publicationPublished - 2001

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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