دورية أكاديمية
أعرض في EDS

Survival after emergency department thoracotomy in the pediatric trauma population: a review of published data.

التفاصيل البيبلوغرافية
العنوان: Survival after emergency department thoracotomy in the pediatric trauma population: a review of published data.
المؤلفون: Moskowitz EE; Department of Surgery, Denver Health Medical Center and the University of Colorado School of Medicine, Denver, CO, USA.; Department of Surgery, University of Colorado, 12631 E. 17th Ave., C302, Aurora, CO, 80045, USA., Burlew CC; Department of Surgery, Denver Health Medical Center and the University of Colorado School of Medicine, Denver, CO, USA.; Department of Surgery, University of Colorado, 12631 E. 17th Ave., C302, Aurora, CO, 80045, USA., Kulungowski AM; Department of Surgery, Denver Health Medical Center and the University of Colorado School of Medicine, Denver, CO, USA.; Department of Surgery, University of Colorado, 12631 E. 17th Ave., C302, Aurora, CO, 80045, USA., Bensard DD; Department of Surgery, Denver Health Medical Center and the University of Colorado School of Medicine, Denver, CO, USA. denis.bensard@dhha.org.; Department of Surgery, University of Colorado, 12631 E. 17th Ave., C302, Aurora, CO, 80045, USA. denis.bensard@dhha.org.
المصدر: Pediatric surgery international [Pediatr Surg Int] 2018 Aug; Vol. 34 (8), pp. 857-860. Date of Electronic Publication: 2018 Jun 06.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 8609169 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1437-9813 (Electronic) Linking ISSN: 01790358 NLM ISO Abbreviation: Pediatr Surg Int Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Berlin : Springer International, c1986-
مواضيع طبية MeSH: Emergency Service, Hospital* , Thoracotomy*, Thoracic Injuries/*mortality , Wounds, Nonpenetrating/*mortality , Wounds, Penetrating/*mortality, Heart Arrest/etiology ; Humans ; Resuscitation/methods ; Thoracic Injuries/therapy ; Wounds, Nonpenetrating/therapy ; Wounds, Penetrating/therapy
مستخلص: Background/purpose: The utility of EDT in the adult trauma population, using well-defined guidelines, is well established, especially for penetrating injuries. Since the introduction of these guidelines, reports on the use of EDT for pediatric trauma have been published, and these series reveal a dismal, almost universally fatal, outcome for EDT following blunt trauma in the child. This report reviews the clinical outcomes of EDT in the pediatric population.
Materials/methods: We performed a review of EDT in the pediatric population using the published data from 1980 to 2017. Variables extracted included mechanism of injury and mortality. To minimize bias, single case reports were not included in the review.
Results: Upon review of four decades of published literature on the use of emergency department thoracotomy (EDT) in the pediatric population, mortality rates are comparable between adults and pediatric patients for penetrating thoracic trauma. In contrast, in pediatric patients sustaining blunt trauma, no patient under the age of 15 has survived.
Conclusion: In patients between 0 and 14 years of age presenting with no signs of life following blunt trauma, withholding EDT should be considered. Patients between the ages of 15 and 18 should be treated in accordance with adult ATLS principles for the management of thoracic trauma.
Level of Evidence: Level IV.
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فهرسة مساهمة: Keywords: Adolescent; Cardiac arrest; Children; Emergency department thoracotomy; Pediatric; Resuscitative thoracotomy
تواريخ الأحداث: Date Created: 20180608 Date Completed: 20181211 Latest Revision: 20220410
رمز التحديث: 20231215
DOI: 10.1007/s00383-018-4290-9
PMID: 29876644
قاعدة البيانات: MEDLINE
الوصف
تدمد:1437-9813
DOI:10.1007/s00383-018-4290-9