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Risk Factors of Cotton et al for Intraabdominal Injury After Blunt Abdominal Trauma in Children

Description

Cotton et al evaluated pediatric patients for intraabdominal injuries following blunt abdominal trauma. They identified risk factors which can help to identify a pediatric patient who may require more aggressive management. The authors are from the University of Missouri and Robert Wood Johnson Medical School in New Jersey.


Patient selection: pediatric patients < 16 years

 

Parameters used in CART analysis:

(1) abdominal tenderness

(2) serum AST in IU/L

(3) hematocrit in percent

 

Abdominal Tenderness

Serum AST

Hematocrit

Percent Intra-abdominal Injury

Y

NA

NA

60%

N

<= 131 IU/L

NA

0%

N

> 131 IU/L

>= 39%

0%

N

> 131 IU/L

< 39%

42%

 

Additional risk factors associated with intraabdominal injuries:

(1) abdominal abrasions

(2) abdominal ecchymoses

(3) cause of trauma NOT a motor vehicle crash


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