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Is computed tomography cystography indicated in children with pelvic fractures? / 中华创伤杂志(英文版)
Chinese Journal of Traumatology ; (6): 181-184, 2020.
Artículo en Inglés | WPRIM | ID: wpr-827846
ABSTRACT
PURPOSE@#Pelvic fracture evaluation with abdominopelvic computed tomography (CT) and formal CT cystography for rule out of urine bladder injury have been commonly employed in pediatric trauma patients. The additional delayed imaging required to obtain optimal CT cystography is, however, associated with increased doses of ionizing radiation to pelvic organs and represent a significant risk in the pediatric population for future carcinogenic risk. We hypothesized that avoidance of routine CT cystography among pediatric pelvic fracture victims would not result in an appreciable rate of missed bladder injuries and would aid in mitigating the radiation exposure risk associated with these additional images.@*METHODS@#A retrospective cohort study involving blunt trauma pelvic fractures among pediatric trauma patients (age<14) between the years 1997 and 2016 was conducted utilizing the Israeli National Trauma Registry. Statistical analysis was performed using SAS statistical software version 9.4 via the tests of Chi-square test and two-sided Fisher's exact test. A p value of less than 0.05 was considered statistically significant.@*RESULTS@#A total of 1072 children were identified from the registry for inclusion. Mean age of patients was 7.7 years (range 0-14) and 713 (66.5%) were male. Overall mortality in this population was 4.1% (44/1072). Only 2.1% (23) of pediatric patients with pelvic fractures had bladder injury identified, with just 9 children having intraperitoneal bladder rupture (0.8% of all the patients).@*CONCLUSION@#The vast majority of blunt pediatric trauma victims with pelvic fractures do not have urine bladder injuries. Based on our study results we do not recommend the routine utilization of CT cystography in this unique population.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Huesos Pélvicos / Heridas y Lesiones / Vejiga Urinaria / Diagnóstico por Imagen / Tomografía Computarizada por Rayos X / Riesgo / Estudios de Cohortes / Procedimientos Innecesarios / Fracturas Óseas / Cistografía Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adolescente / Niño / Child, preschool / Femenino / Humanos / Lactante / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2020 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Huesos Pélvicos / Heridas y Lesiones / Vejiga Urinaria / Diagnóstico por Imagen / Tomografía Computarizada por Rayos X / Riesgo / Estudios de Cohortes / Procedimientos Innecesarios / Fracturas Óseas / Cistografía Tipo de estudio: Estudio diagnóstico / Estudio de etiología / Estudio de incidencia / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Adolescente / Niño / Child, preschool / Femenino / Humanos / Lactante / Masculino Idioma: Inglés Revista: Chinese Journal of Traumatology Año: 2020 Tipo del documento: Artículo