Abstract：
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: III.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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.
METHODS: III.
摘要：
背景：据估计，成人腹部钝性损伤（BAI）的发生率在0.03％至4.95％之间。然而,BAI对儿科人群的影响尚不清楚.
方法：我们对2017-2019年的国家创伤数据库数据集进行了回顾性审查。我们纳入了18岁以下的患者，这些患者经历了钝性创伤，并且腹部钝性损伤，其简化损伤量表（AIS）严重程度评分为2或更高。
结果：在8064例孤立性腹部创伤患儿中，134名患者也患有BAI。我们发现钝性肾上腺损伤患者的死亡率没有差异，在重症监护病房（ICU）和医院的住院时间，和呼吸机天数。在多创伤患者中，BAI与最差的患者预后相关。
结论：这项研究表明，BAI对患者预后的临床影响很小。然而，它与多创伤患者的最差结局相关，表明与创伤负担增加相关。
方法：III.
方法：我们对2017-2019年的国家创伤数据库数据集进行了回顾性审查。我们纳入了18岁以下的患者，这些患者经历了钝性创伤，并且腹部钝性损伤，其简化损伤量表（AIS）严重程度评分为2或更高。
结果：在8064例孤立性腹部创伤患儿中，134名患者也患有BAI。我们发现钝性肾上腺损伤患者的死亡率没有差异，在重症监护病房（ICU）和医院的住院时间，和呼吸机天数。在多创伤患者中，BAI与最差的患者预后相关。
结论：这项研究表明，BAI对患者预后的临床影响很小。然而，它与多创伤患者的最差结局相关，表明与创伤负担增加相关。
方法：III.
