Major abdominal trauma in children

Levy, Julius L.; Linder, Lawrence H.

doi:10.1016/s0002-9610(70)80144-1

Cited by 16 publications

(1 citation statement)

References 6 publications

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“…Severe head injuries are more common in children due to the greater head-body ratio and thinner cranial bones. Abdominal injuries are more common in children due to their flexible rib cage and less developed abdominal muscles [30]. Previous studies demonstrated that severe sports-related abdominal injuries, such as renal injury, are more likely to occur as in isolated injury in children [31,32].…”

Section: Discussionmentioning

confidence: 99%

Characteristics and outcomes of severe sports-related injury in children and adults: a nationwide cohort study in Japan

Nakao

Katayama

Kitamura

et al. 2022

Eur J Trauma Emerg Surg

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Purpose: Understanding epidemiological patterns in patients with severe sports-related injuries between children and adults is important for injury prevention. We ought to describe the characteristics and outcomes of patients with severe sports-related injuries and compare the characteristics between children and adults. Methods:We conducted a retrospective analysis of the Japan Trauma Data Bank (JTDB).We included patients with sports-related injury and an ISS of at least 16, who were admitted between 2004 and 2018. We compared characteristics between children (<18 years) and adults (≥18 years). We performed a multivariable logistic regression analysis to compare inhospital mortality. Results:We identified 1,369 eligible patients (children, n=326; adults, n=1,043). The most common season was April-June and July-September in children (28.5% and 27.9%) and January-March in adults (42.1%). Injuries to the head/neck (58.9% vs. 40.8%, p<0.001) and abdomen (16.0% vs. 8.3%, p<0.001) were significantly more frequent in children than adults, while injuries to the thorax (8.0% vs. 27.2%, p<0.001), pelvis/lower-extremity (0.6% vs. 6.0%, p<0.001), and spine (23.9% vs. 35.3%, p<0.001) were less frequent in children. We did not observe a statistically significant difference in in-hospital mortality between children and adults. Conclusions:We conducted a comprehensive analysis of severe sports-related injuries using a nationwide trauma database and demonstrated different patterns of severe sports-related injuries in children and adults.

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Section: Discussionmentioning

confidence: 99%