Professional practice assessment: establishment of an institutional procedure to treat blunt abdominal trauma in emergency pediatric department

Cousin, Ianis; Hardouin, Lucile; Linard, Christine; Cousin, Élie; Germouty, I.; Abalea, Lydie; Couturaud, Francis; Vries, P. De

doi:10.1007/s00068-019-01214-1

Eur J Trauma Emerg Surg

2019

DOI: 10.1007/s00068-019-01214-1

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Professional practice assessment: establishment of an institutional procedure to treat blunt abdominal trauma in emergency pediatric department

Ianis Cousin

Lucile Hardouin

Christine Linard

et al.

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2022

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“…Absence of concerning developments would result in family continuing to monitor the child at home with close follow-up phone calls from the ED. No complications were noted on children managed in the conservative pathway 16.…”

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confidence: 88%

External validation of a pediatric decision rule for blunt abdominal trauma

et al. 2022

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Introduction Blunt traumatic injuries are a leading cause of morbidity and mortality in the pediatric population. Contrast‐enhanced multidetector computed tomography is the best imaging tool for screening patients at risk of blunt abdominal injury. The Pediatric Emergency Care Applied Research Network (PECARN) abdominal rule was derived to identify patients at low risk for significant abdominal injury who do not require imaging. Methods We conducted a retrospective review of pediatric patients with blunt trauma to validate the PECARN rule in a non‐pediatric specialized hospital from February 3, 2013, through December 31, 2019. We excluded those with penetrating or mild isolated head injury. The PECARN decision rule was retrospectively applied for the presence of a therapeutic intervention, defined as a laparotomy, angiographic embolization, blood transfusion, or administration of intravenous fluids for pancreatic or gastrointestinal injury. Sensitivity and specificity analysis were conducted along with the negative and positive predictive values. Results A total of 794 patients were included in the final analysis; 23 patients met the primary outcome for an acute intervention. The PECARN clinical decision rule (CDR) had a sensitivity of 91.3%, a negative predictive value of 99.5, and a negative likelihood ration of 0.16. Conclusion In a non‐pediatric specialty hospital, the PECARN blunt abdominal CDR performed with comparable sensitivity and negative predictive value to the derivation and external validation study performed at specialized children's hospitals.

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confidence: 88%

External validation of a pediatric decision rule for blunt abdominal trauma

et al. 2022

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Professional practice assessment: establishment of an institutional procedure to treat blunt abdominal trauma in emergency pediatric department

Cited by 1 publication

References 21 publications

External validation of a pediatric decision rule for blunt abdominal trauma

External validation of a pediatric decision rule for blunt abdominal trauma

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