دورية أكاديمية
Laparoscopy in the Evaluation of Blunt Abdominal Injury in Level-I and II Pediatric Trauma Centers.
| العنوان: | Laparoscopy in the Evaluation of Blunt Abdominal Injury in Level-I and II Pediatric Trauma Centers. |
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| المؤلفون: | Haratian A; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA., Grigorian A; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA., Rajalingam K; Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA., Dolich M; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA., Schubl S; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA., Kuza CM; Department of Anesthesiology, University of Southern California, Los Angeles, CA, USA., Lekawa M; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA., Nahmias J; Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Orange, CA, USA. |
| المصدر: | The American surgeon [Am Surg] 2023 Apr; Vol. 89 (4), pp. 607-613. Date of Electronic Publication: 2022 Jan 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Abdominal Injuries*/diagnosis , Abdominal Injuries*/surgery , Wounds, Nonpenetrating*/diagnosis , Wounds, Nonpenetrating*/surgery , Laparoscopy*, Humans ; Child ; Adolescent ; Trauma Centers ; Retrospective Studies |
| مستخلص: | Introduction: An American College of Surgeons (ACS) Level-I (L-I) pediatric trauma center demonstrated successful laparoscopy without conversion to laparotomy in ∼65% of trauma cases. Prior reports have demonstrated differences in outcomes based on ACS level of trauma center. We sought to compare laparoscopy use for blunt abdominal trauma at L-I compared to Level-II (L-II) centers. Methods: The Pediatric Trauma Quality Improvement Program was queried (2014-2016) for patients ≤16 years old who underwent any abdominal surgery. Bivariate analyses comparing patients undergoing abdominal surgery at ACS L-I and L-II centers were performed. Results: 970 patients underwent abdominal surgery with 14% using laparoscopy. Level-I centers had an increased rate of laparoscopy (15.6% vs 9.7%, P = .019 ) ; however they had a lower mean Injury Severity Score (16.2 vs 18.5, P = .002) compared to L-II centers. Level-I and L-II centers had similar length of stay ventilator days, and SSIs (all P > .05). Conclusion: While use of laparoscopy for pediatric trauma remains low, there was increased use at L-I compared to L-II centers with no difference in LOS or SSIs. Future studies are needed to elucidate which pediatric trauma patients benefit from laparoscopic surgery. |
| فهرسة مساهمة: | Keywords: American college of surgeons level-I; American college of surgeons level-II; abdominal surgery; laparoscopy; pediatric; trauma |
| تواريخ الأحداث: | Date Created: 20220108 Date Completed: 20230605 Latest Revision: 20230605 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1177/00031348211033535 |
| PMID: | 34996303 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1555-9823 |
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| DOI: | 10.1177/00031348211033535 |