Defining the Role of Angioembolization in Pediatric Isolated Blunt Solid Organ Injury
Author / Expert
Robert A. Swendiman, Matthew A. Goldshore, Stephen J. Fenton, Michael L. Nance
Topic overview
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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