Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Fischerauer, EE; Zötsch, S; Capito, C; Bonnard, A; Sárközy, S; Berndt, J; Hosie, S; Beltra Pico, R; Steinau, G; Wiejek, A; Czauderna, P; Çelik, A; Lain Fernandez, A; Ibanez, VM; Esposito, C; Saxena, AK.
Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis.
Acta Paediatr. 2013; 102(10):977-981
Doi: 10.1111/apa.12337
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Amerstorfer Eva
- Saxena Amulya Kumar
- Co-Autor*innen der Med Uni Graz
- Zötsch Silvia Hildegard
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- Abstract:
- Paediatric gastrointestinal injuries (GIIs) are rare, and the aim of this multicentre study was to evaluate their outcomes in a large cohort. Hospital databases of 10 European paediatric surgical centres were reviewed for paediatric traumatic GIIs managed between 2000-2010. Ninety-seven patients with a median age of 9 years (0-17 years) were identified, with 72 blunt and 25 penetrating GIIs. Initial diagnostics in 90 patients led to correct diagnosis in 71%. Diagnostics were delayed in 26 patients (median 24 h). Eighty-two patients required surgery (67 laparotomy, 12 laparoscopy and three other approaches). There was a 50% conversion in the laparoscopic group. Median hospital stay was 10 days (range 1-137 days), with longer duration influenced by associated injuries (n = 41). Diagnosis <24 h was associated with significantly shorter hospital stay compared to more than 24 h (p = 0.011). In one-third of patients, morbidities were not related to a diagnostic delay or type of injury. There were five lethal outcomes, four due to associated injuries. Initial diagnostics in traumatic paediatric GIIs provide false negatives in one-third of patients. Diagnostic delay <24 h is associated with a significantly shorter hospital stay. Although laparoscopy is associated with a conversion rate of 50%, it can be used for diagnosis in suspected cases to avoid nontherapeutic laparotomy. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Child -
- Child, Preschool -
- Conversion to Open Surgery - statistics & numerical data
- Delayed Diagnosis - statistics & numerical data
- Delayed Diagnosis - epidemiology
- False Negative Reactions -
- Female -
- Gastrointestinal Tract - injuries Gastrointestinal Tract - surgery
- Humans -
- Infant -
- Infant, Newborn -
- Laparoscopy - statistics & numerical data
- Laparotomy - statistics & numerical data
- Length of Stay - statistics & numerical data
- Male -
- Retrospective Studies -
- Treatment Outcome -
- Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - etiology Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - therapy
- Wounds, Penetrating - diagnosis Wounds, Penetrating - etiology Wounds, Penetrating - mortality Wounds, Penetrating - therapy
- Find related publications in this database (Keywords)
- Children
- Gastrointestinal injuries
- Management
- Outcome
- Trauma