StayCurrentMD · Defining the Role of Angioembolization in Pediatric Isolated Blunt Solid Organ Injury
Article1 min read·Published May 2019Older

Defining the Role of Angioembolization in Pediatric Isolated Blunt Solid Organ Injury

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Article · May 2019 · 1 min read

In brief

In brief

This National Trauma Data Bank study analyzed angiography use in pediatric blunt solid organ injuries (spleen, liver, kidney) from 2010-2014. Angiography utilization nearly doubled during the study period and was associated with older age, higher injury severity, and reduced need for surgical intervention.

Written by the GCMD Library team from the article.

Abstract

Purpose

To determine the incidence and outcomes of angiography in pediatric patients with blunt solid organ injury (SOI).

Methods

The National Trauma Data Bank (2010–2014) was queried for patients ≤19 years who experienced isolated blunt SOI. Multivariate logistic regression was used to evaluate characteristics associated with radiological and surgical intervention.

Results

Patients with isolated blunt injuries to the spleen (n = 7542), liver (n = 4549), and kidney (n = 2640) were identified. Use of angiography increased yearly from 1.6% to 3.1% of cases (p = 0.001) and was associated with older age (OR 2.61 [CI: 1.94–3.50], p 

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