Location
LSU Health Sciences Center - New Orleans
Event Website
https://digitalscholar.lsuhsc.edu/surgery_s/
Document Type
Event
Start Date
4-5-2023 8:10 AM
End Date
4-5-2023 8:20 AM
Description
Purpose: Although pediatric vascular trauma is rare, it can result in severe functional deficits or death. The purpose of this study is to evaluate the demographics, injuries, and outcomes of the pediatric vascular trauma population and identify any risk factors associated with complications or death.
Methods: The authors conducted a retrospective cohort study that included all patients with penetrating and blunt trauma age 18 and under that presented to a large urban level 1 trauma center from January 2016 to August 2021. Demographic, injury, treatment, and outcome variables were recorded. The primary outcome variable was the presence of a vascular complication. The secondary outcome variable was mortality. Descriptive statistics were calculated and chi square, logistic regression and t‐tests were used to analyze relationships between study variables and the outcomes.
Results: During the study period, there were 2,168 pediatric trauma patients of which 3.41% came in with a vascular related injury. A total of 74 patients were identified from January 2016 to August 2021 and a retrospective chart review was performed. The mean age for the study population was 15 [1‐18] and 78% were male. Penetrating trauma represented 70.2% of the cohort and more specifically 60.8% of injuries seen were secondary to gunshots. Arterial injuries were the most common (90%). In 27% of the study patients, the only operative intervention for the vascular injury was carried out by the trauma surgery. 20.3% of patients had experienced additional episodes of trauma and were evaluated in the emergency department. Over the study period, 18.9% of patients died and 9.5% of patients suffered a vascular complication. Death was associated with low blood pressure on arrival (p=0.0011), low heart rate on arrival (p=0.0095), a lower GCS on arrival (p
Conclusions: Pediatric trauma is a leading cause of death in patients under 18 years of age. While vascular trauma is uncommon in pediatric patients, death and morbidity frequently occur in these patients.
Recommended Citation
Tullos, Amanda, "Outcomes in Pediatric Vascular Trauma" (2023). Surgery Research Symposium. 2.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/2
Included in
Outcomes in Pediatric Vascular Trauma
LSU Health Sciences Center - New Orleans
Purpose: Although pediatric vascular trauma is rare, it can result in severe functional deficits or death. The purpose of this study is to evaluate the demographics, injuries, and outcomes of the pediatric vascular trauma population and identify any risk factors associated with complications or death.
Methods: The authors conducted a retrospective cohort study that included all patients with penetrating and blunt trauma age 18 and under that presented to a large urban level 1 trauma center from January 2016 to August 2021. Demographic, injury, treatment, and outcome variables were recorded. The primary outcome variable was the presence of a vascular complication. The secondary outcome variable was mortality. Descriptive statistics were calculated and chi square, logistic regression and t‐tests were used to analyze relationships between study variables and the outcomes.
Results: During the study period, there were 2,168 pediatric trauma patients of which 3.41% came in with a vascular related injury. A total of 74 patients were identified from January 2016 to August 2021 and a retrospective chart review was performed. The mean age for the study population was 15 [1‐18] and 78% were male. Penetrating trauma represented 70.2% of the cohort and more specifically 60.8% of injuries seen were secondary to gunshots. Arterial injuries were the most common (90%). In 27% of the study patients, the only operative intervention for the vascular injury was carried out by the trauma surgery. 20.3% of patients had experienced additional episodes of trauma and were evaluated in the emergency department. Over the study period, 18.9% of patients died and 9.5% of patients suffered a vascular complication. Death was associated with low blood pressure on arrival (p=0.0011), low heart rate on arrival (p=0.0095), a lower GCS on arrival (p
Conclusions: Pediatric trauma is a leading cause of death in patients under 18 years of age. While vascular trauma is uncommon in pediatric patients, death and morbidity frequently occur in these patients.
https://digitalscholar.lsuhsc.edu/surgery_s/2023/postera/2