Parenteral Nutrition Prolongs Hospital Stay in Children with Nonoperative Blunt Pancreatic Injury: A Propensity Score Weighted Analysis
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In brief
In brief
This retrospective cohort study using National Trauma Data Bank data (2007-2016) examines nutritional support practices in children with nonoperatively managed blunt pancreatic injury. Using propensity score weighting, the study investigates whether parenteral nutrition is associated with longer hospital stays and increased complications compared to enteral nutrition, and whether practice patterns differ by trauma center type.
Written by the GCMD Library team from the article.
Background
Blunt pancreatic injury is frequently managed nonoperatively in children. Nutritional support practices – either enteral or parenteral – are heterogeneous and lack evidence-based guidelines. We hypothesized that use of parenteral nutrition (PN) in children with nonoperatively managed blunt pancreatic injury would 1) be associated with longer hospital stay and more frequent complications, and 2) differ in frequency by trauma center type.
Methods
We conducted a retrospective cohort study using the National Trauma Data Bank (2007–2016). Children (≤18 years) with blunt pancreatic injury were included. Patients were excluded for duodenal injury, mortality