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- Title
Pediatric Peripheral Vascular Trauma: Incidence and Outcomes.
- Authors
Dunn, Candice L; Burjonrappa, Sathyaprasad
- Abstract
Peripheral vascular trauma (PVT) is rare in children, with an incidence estimated below 1%. We studied pediatric PVT and risk factors for major amputation by accessing the 2019 National Trauma Data Bank (NTDB). Demographics, injury type and location, trauma center capability, injury severity score (ISS), length of stay (LOS), and major amputation rates were evaluated. Statistical analysis included chi-square testing for categorical variables and t-tests for continuous variables. Of 130,554 pediatric trauma patients, 1196 (.9%) had 1460 upper extremity (UE) and lower extremity (LE) PVT. Patients were predominantly male (n = 933, 78%) with a mean age of 14 years. Most patients suffered penetrating injury (n = 744, 62.2%). The most common vessels injuries were radial (n = 198, 13.6%) and femoral (n = 196, 13.4%). Major amputation occurred in 2.6% of patients (n = 31). Patients who suffered blunt injury (OR, 3.3; 95% CI, 1.5-7.5; P =.004) and lower limb PVT (OR, 11.1; 95% CI, 3.3-37.9, P =.0001) had higher odds of amputation.
- Subjects
CHILDREN'S injuries; PENETRATING wounds; BANKING industry; TRAUMA centers; LIMB salvage; BLUNT trauma; TRAUMATIC amputation
- Publication
American Surgeon, 2024, Vol 90, Issue 6, p1768
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/00031348241241623