TITLE

Pediatric Pelvic Fractures: A Marker for Injury Severity

AUTHOR(S)
Spiguel, Lisa; Glynn, Loretto; Liu, Donald; Statter, Mindy
PUB. DATE
June 2006
SOURCE
American Surgeon;Jun2006, Vol. 72 Issue 6, p481
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Pelvic fractures comprise a small number of annual Level I pediatric trauma center admissions. This is a review of the University of Chicago Level 1 Pediatric Trauma Center experience with pediatric pelvic fractures. This is a retrospective review of the University of Chicago Level I Pediatric Trauma Center experience with pediatric pelvic fractures during the 12-year period from 1992 to 2004. From 1992 to 2004, there were 2850 pediatric trauma admissions. Thirteen patients were identified with pelvic fractures; seven were boys and six were girls. The average age was 8 years old. The mechanism of injury in all cases was motor vehicle related; 11 patients (87%) sustained pedestrian-motor vehicle crashes. According to the Torode and Zeig classification system, type III fractures occurred in eight patients (62%) and type IV fractures occurred in six patients (31%). Associated injuries occurred in eight patients (62%). Seven of these patients (88%) had associated injuries involving two or more organ systems. Of the associated injuries, additional orthopedic injuries were the most common, occurring in 62 per cent of our patients. Neurological injuries occurred in 54 per cent of patients, vascular injuries in 39 per cent, pulmonary injuries in 31 per cent, and genitourinary injuries in 15 per cent. Five patients (38%) were treated operatively; only two patients underwent operative management directly related to their pelvic fracture. The remaining three patients underwent operative management of associated injuries. The mortality rate was 0 per cent. Although pelvic fractures are an uncommon injury in pediatric trauma patients, the morbidity associated with these injuries can be profound. The majority of pelvic fractures in children are treated nonoperatively, however, more than one-half of these patients have concomitant injuries requiring operative management. When evaluating and treating pediatric pelvic fractures, a systematic multidisciplinary approach must be taken to evaluate and prioritize the pelvic fracture and the associated injuries.
ACCESSION #
21356109

 

Related Articles

  • Intracluster correlation coefficient in multicenter childhood trauma studies. Roudsari, Bahman; Fowler, Raymond; Nathens, Avery // Injury Prevention (1353-8047);Oct2007, Vol. 13 Issue 5, p344 

    Objective: To calculate the intracluster correlation coefficient (ICC) for emergency department (ED) shock rate, early trauma death (ie, death during the first 24 h after arrival at hospital), and in-hospital trauma death rate for multicenter childhood in juries. Methods: The National Trauma...

  • Is this immune thrombocytopenic purpura? Thachil, Jecko; Hall, Georgina W. // Archives of Disease in Childhood;Jan2008, Vol. 93 Issue 1, p76 

    The article discusses acute immune thrombocytopenic purpura, a diagnosis when a child with a history of sudden onset bruising, purpura and petechiae came to an acccident and found to have an isolated severe thrombocytopenia. According to the study, acute immune thrombocytopenic purpura is an...

  • Pediatric hospitalizations for bicycle-related injuries. Shah, Summit; Sinclair, Sara A.; Smith, Gary A.; Huiyun Xiang // Injury Prevention (1353-8047);Oct2007, Vol. 13 Issue 5, p316 

    Objectives: To determine the incidence of bicycle-related injury hospitalizations among children and adolescents 20 years of age and younger and to examine the associated use of healthcare resources. Design: Nationally representative data From the 2003 Healthcare Cost and Utilization Project's...

  • Shriners Hospital seeing big influx of patients. Dellwo, Adrienne C. // Journal of Business (10756124);6/13/2002, Vol. 17 Issue 13, pB3 

    Focuses on the non-acute trauma transfer program of the Shriners Hospital for Children in Spokane, Washington. Discussion on how the program works; Examples of trauma cases being handled; Description of the remodeled facility; Number of medical staff.

  • BY THE NUMBERS.  // Modern Healthcare;6/8/2009, Vol. 39 Issue 23, p9 

    The article reports on a study published in the "Archives of Pediatrics & Adolescent Medicine" which found that pediatric trauma resources vary by state and population density in the U.S., with many children underserved. The study revealed the states with the lowest percentage of children...

  • Minor problems.  // Emergency Nurse;Feb2006, Vol. 13 Issue 9, p3 

    The article reports on the opening of the Smithdown Children's National Health Service Walk-in Centre, a facility for children with minor illnesses and injuries, in January 2006 in Liverpool, England. Nurse Karen Murch stated that families will now have better access to paediatric expertise. She...

  • Kids' trauma centers seen key.  // AHA News;10/23/2000, Vol. 36 Issue 42, p2 

    Provides information on a study which compared the survival rate of an injured child brought in a pediatric trauma center and in an adult center in the United States. Reference to the study `Impact of Pediatric Trauma Centers on Mortality in a Statewide System,'; Details on the services and...

  • Pediatric Trauma Deaths: A Three-Part Analysis from a Nonacademic Trauma Center. Aaland, Mary O.; Hlaing, Thein // American Surgeon;Mar2006, Vol. 72 Issue 3, p249 

    A three-part analysis was undertaken to assess pediatric trauma mortality in a nonacademic Level II trauma center at Parkview Hospital in Fort Wayne, Indiana. Part I was a comparison of Parkview trauma registry data collected from 1999 through 2003 with those of pediatric and adult trauma...

  • The impact of Pediatric Trauma Score on burden of trauma in emergency room care. Soyer, Tutku; Deniz, Turgut; Akman, Hülya; Öymen Hançerlioğulları; Türkmen, Feyza; Cesur, Özkan; Çakmak, Murat // Turkish Journal of Pediatrics;Jul/Aug2009, Vol. 51 Issue 4, p367 

    Traumatic injuries are the leading cause of mortality and morbidity during childhood. A retrospective study was performed to evaluate the impact of Pediatric Trauma Score (PTS) on burden of trauma in emergency care. Children admitted to the emergency room were retrospectively evaluated for age,...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics