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SHR Neuro Krebs Kardio Lipid

Fischerauer, EE; Zötsch, S; Capito, C; Bonnard, A; Sárközy, S; Berndt, J; Hosie, S; Beltra Pico, R; Steinau, G; Wiejek, A; Czauderna, P; Çelik, A; Lain Fernandez, A; Ibanez, VM; Esposito, C; Saxena, AK.
Paediatric and adolescent traumatic gastrointestinal injuries: results of a European multicentre analysis.
Acta Paediatr. 2013; 102(10):977-981
Web of Science PubMed FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Amerstorfer Eva Elisa
Saxena Amulya Kumar
Zötsch Silvia
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Abstract:
Paediatric gastrointestinal injuries (GIIs) are rare, and the aim of this multicentre study was to evaluate their outcomes in a large cohort. Hospital databases of 10 European paediatric surgical centres were reviewed for paediatric traumatic GIIs managed between 2000-2010. Ninety-seven patients with a median age of 9 years (0-17 years) were identified, with 72 blunt and 25 penetrating GIIs. Initial diagnostics in 90 patients led to correct diagnosis in 71%. Diagnostics were delayed in 26 patients (median 24 h). Eighty-two patients required surgery (67 laparotomy, 12 laparoscopy and three other approaches). There was a 50% conversion in the laparoscopic group. Median hospital stay was 10 days (range 1-137 days), with longer duration influenced by associated injuries (n = 41). Diagnosis <24 h was associated with significantly shorter hospital stay compared to more than 24 h (p = 0.011). In one-third of patients, morbidities were not related to a diagnostic delay or type of injury. There were five lethal outcomes, four due to associated injuries. Initial diagnostics in traumatic paediatric GIIs provide false negatives in one-third of patients. Diagnostic delay <24 h is associated with a significantly shorter hospital stay. Although laparoscopy is associated with a conversion rate of 50%, it can be used for diagnosis in suspected cases to avoid nontherapeutic laparotomy. ©2013 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Child -
Child, Preschool -
Conversion to Open Surgery - statistics & numerical data
Delayed Diagnosis - statistics & numerical data
Delayed Diagnosis - epidemiology
False Negative Reactions -
Female -
Gastrointestinal Tract - injuries Gastrointestinal Tract - surgery
Humans -
Infant -
Infant, Newborn -
Laparoscopy - statistics & numerical data
Laparotomy - statistics & numerical data
Length of Stay - statistics & numerical data
Male -
Retrospective Studies -
Treatment Outcome -
Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - etiology Wounds, Nonpenetrating - mortality Wounds, Nonpenetrating - therapy
Wounds, Penetrating - diagnosis Wounds, Penetrating - etiology Wounds, Penetrating - mortality Wounds, Penetrating - therapy

Find related publications in this database (Keywords)
Children
Gastrointestinal injuries
Management
Outcome
Trauma
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