Blunt Cerebrovascular Injury Screening Criteria Should Include Motor Vehicle Crash Characteristics

Farhat-Sabet, Ashley; Lauerman, Margaret H.; Chavez, Alicia; Lloyd, Joe; Scalea, Thomas M.; Stein, Deborah M.

doi:10.1177/0003134820951475

Cited by 6 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a comparison of BCVI between appropriately restrained and unrestrained patients was not provided in this analysis, and pediatric patients were not specifically described. 36 In our study, 8 of 10 patients (80.0%) with BCVI were improperly restrained or unrestrained, although statistical significance was not found ( p = 0.7297). Among children in the CSS and BPB age groups (age younger than 12 years), there were no BCVI among children who were appropriately restrained.…”

Section: Appropriateness Of Child Restraint As a Factorcontrasting

confidence: 59%

“…Patients meeting none of the other criteria were more likely to have appropriate seatbelt positioning and pretensioner deployment than those who met at least one of the other Denver screening criteria ( p = 0.04), possibly suggesting that appropriately fitting car safety restraints may reduce incidence of BCVI among adults. However, a comparison of BCVI between appropriately restrained and unrestrained patients was not provided in this analysis, and pediatric patients were not specifically described 36 . In our study, 8 of 10 patients (80.0%) with BCVI were improperly restrained or unrestrained, although statistical significance was not found ( p = 0.7297).…”

Section: Discussionmentioning

confidence: 67%

See 1 more Smart Citation

Lower incidence of blunt cerebrovascular injury among young, properly restrained children: An ATOMAC multicenter study

Nickoles

Lewit

Notrica

et al. 2023

J Trauma Acute Care Surg

View full text Add to dashboard Cite

BACKGROUND:Motor vehicle collision (MVC) remains a leading cause of injury and death among children, but the proper use of child safety seats and restraints has lowered the risks associated with motor vehicle travel. Blunt cerebrovascular injury (BCVI) is rare but significant among children involved in MVC. This study reviewed the incidence of BCVI after MVC causing blunt injury to the head, face, or neck, comparing those that were properly restrained with those that were not. METHODS:A prospective, multi-institutional observational study of children younger than 15 years who sustained blunt trauma to the head, face, or neck (Abbreviated Injury Scale score >0) and presented at one of six level I pediatric trauma centers from 2017 to 2020 was conducted. Diagnosis of BCVI was made either by imaging or neurological symptoms at 2-week follow-up. Restraint status among those involved in MVC was compared for each age group. RESULTS:A total of 2,284 patients were enrolled at the 6 trauma centers. Of these, 521 (22.8%) were involved in an MVC. In this cohort, after excluding patients with missing data, 10 of 371 (2.7%) were diagnosed with a BCVI. For children younger than 12 years, none who were properly restrained suffered a BCVI (0 of 75 children), while 7 of 221 (3.2%) improperly restrained children suffered a BCVI. For children between 12 and 15 years of age, the incidence of BCVI was 2 of 36 (5.5%) for children in seat belts compared with 1 of 36 (2.8%) for unrestrained children. CONCLUSION:In this large multicenter prospectively screened pediatric cohort, the incidence of BCVI among properly restrained children under 12 years after MVC was infrequent, while the incidence was 3.2% among those without proper restraint. This effect was not seen among children older than 12 years. Restraint status in young children may be an important factor in BCVI screening.

show abstract

Section: Appropriateness Of Child Restraint As a Factorcontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 67%