University of North Dakota School of Medicine and Health Sciences, Department of Surgery, 1919 N Elm Street, Fargo, ND, 58102, USA; Sanford Medical Center Fargo, Department of Trauma and Acute Care Surgery, 5225 23rd Ave. S. Fargo, North Dakota, 58104, USA.
University of North Dakota School of Medicine and Health Sciences, Department of Surgery, 1919 N Elm Street, Fargo, ND, 58102, USA.
Am J Surg. 2024 Jul;233:90-93. doi: 10.1016/j.amjsurg.2024.02.023. Epub 2024 Feb 19.
The incidence of blunt abdominal injury (BAI) in the adult population has been estimated to be between 0.03% and 4.95%. However, the impact of BAI on the pediatric population remains unknown.
We conducted a retrospective review of National Trauma Data Bank datasets for the years 2017-2019. We included patients under the age of 18 who experienced blunt trauma and had suffered a blunt abdominal injury with an Abbreviated Injury Scale (AIS) severity score of 2 or higher.
Out of the 8064 pediatric patients with isolated abdominal trauma, 134 patients also suffered from BAI. We found no difference in the outcomes of patients with blunt adrenal injury in terms of mortality, length of stay in the intensive care unit (ICU) and hospital, and the number of ventilator days. Within poly-trauma patients BAI was associated with worst patient outcomes.
This study demonstrates that BAI has minimal clinical impact on patient outcomes in isolation. However it is associated with worst outcomes in poly trauma patients suggesting correlation with increased trauma burden.
III.
成人钝腹部损伤（BAI）的发病率估计在 0.03%至 4.95%之间。然而，BAI 对儿科人群的影响尚不清楚。
我们对 2017 年至 2019 年国家创伤数据库数据集进行了回顾性研究。我们纳入了年龄在 18 岁以下、经历过钝性创伤且腹部损伤严重程度评分 Abbreviated Injury Scale（AIS）为 2 或更高的患者。
在 8064 例孤立性腹部创伤的儿科患者中，有 134 例患者还患有 BAI。我们发现，在死亡率、重症监护病房（ICU）和医院的住院时间以及呼吸机使用天数方面，钝性肾上腺损伤患者的结局无差异。在多发伤患者中，BAI 与最差的患者结局相关。
本研究表明，BAI 对孤立性患者的结局影响不大。然而，它与多发伤患者的最差结局相关，表明与创伤负担增加相关。
III 级。
