Parenteral Nutrition Prolongs Hospital Stay in Children with Nonoperative Blunt Pancreatic Injury: A Propensity Score Weighted Analysis
Author / Expert
Cory McLaughlin, Caron Park, Christianne J Lane, Wendy J Mack, David Bliss, Jeffrey S. Upperman, Aaron R. Jensen
Topic overview
Abstract
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
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