Isolated low-grade solid organ injuries in children following blunt abdominal trauma
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- Isolated grade 1-2 solid organ injuries after blunt abdominal trauma required zero acute interventions in this 262-patient study.
- Only 3 of 114 patients (2.6%) with grade 3 isolated solid organ injuries required acute intervention.
- Grade 1-2 isolated solid organ injuries may be safely discharged from the ED without admission.
- Retrospective South Carolina study challenges routine admission protocols for low-grade blunt abdominal trauma.
- Selective non-operative management appears safe for isolated low-grade pediatric solid organ injuries.
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Do you admit every solid organ injury after a blunt abdominal trauma? Hi, I'm Cecilia Hikena from Cincinnati Children's Hospital, and I think this is an article that you should know about. This is a retrospective study done in South Carolina, and they wanted to see if every isolated solid organ injury after an abdominal blunt trauma can be discharged from the ED. And what did they find? They gathered 262 patients with isolated solid organ injuries, grades 1 to 3. 148 patients had solid organ injuries, grades 1 or 2, and none of them required an acute intervention. From the 114 patients with grades three injuries, only three patients that require an acute intervention. So, it seems that isolated solid organ injuries after a blunt abdominal trauma, grades 1 or 2, can be discharged from the ED. Stay tuned for more articles that you should know about.