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