Evaluating surgical outcomes in pediatric extremity vascular trauma
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In brief
In brief
This retrospective study analyzes 775 pediatric extremity arterial injuries in California (2007-2014), examining epidemiology, management patterns, and outcomes. Common femoral artery injuries showed significantly increased mortality risk, with most cases managed by open surgical repair across pediatric and adult trauma centers.
Written by the GCMD Library team from the article.
Background
The purpose of this study was to evaluate the epidemiology and management of pediatric vascular extremity trauma to assess injury patterns and other factors that may contribute to poor outcomes.
Methods
Using the California Office of Statewide Health Planning and Development discharge database, we identified pediatric patients with extremity arterial trauma admitted to acute-care hospitals from 2007 to 2014. Demographics, management patterns, and outcomes were collected and analyzed.
Results
A total of 775 patients were treated for an extremity arterial injury. Overall, 40% were admitted to pediatric trauma centers and 39% to adult trauma centers. Management was predominantly by open surgical repair. Injury to the common femoral artery was associated with mortality (Hazard Ratio 3.9; 95% CI 1.1–14.5; p