EBQ:Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma: Difference between revisions
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# Intra-abdominal injury requiring acute intervention, defined as: blood transfusion for intra-abdominal hemorrhage, angiographic embolization of vessel or organ, or therapeutic intervention at laparotomy.
# Intra-abdominal injury requiring acute intervention, defined as: blood transfusion for intra-abdominal hemorrhage, angiographic embolization of vessel or organ, or therapeutic intervention at laparotomy.


===Secondary Outcomes===  
===Secondary Outcomes===
Reduction in abdominal CT scans if the rule were to be strictly applied to rule-out intra-abdomninal injury.


===Subgroup analysis===
===Subgroup analysis===

Revision as of 17:50, 10 October 2014

incomplete Journal Club Article
Holmes J. et al. "Validation of a Prediction Rule for the Identification of Children With Intra-abdominal Injuries After Blunt Torso Trauma". Annals of Emergency Medicine. 2009. 54(4):528-33.
PubMed Full text PDF

Clinical Question

What is the accuracy of the prediction rule derived in the publication Holmes, JF et al. Identification of children with intra-abdominal injuries after blunt trauma. Ann Emerg Medicine. 2002;39:500-509. for detecting intra-abdominal injury in children after blunt torso trauma?

Conclusion

Major Points

Inclusion Criteria

  • <18 yr old
  • Blunt torso trauma
  • Underwent definitive testing for intra-abdominal injury: CT, diagnostic peritoneal lavage, diagnostic laparotomy or laparoscopy.

Exclusion Criteria

  • Penetrating trauma
  • Pregnant patients
  • Presentation >24hr after injury
  • Patients who did not undergo definitive testing because of low suspicion for intra-abdominal injury

Interventions

Outcome

Primary Outcomes

  1. The presence of intra-abdominal injury
  2. Intra-abdominal injury requiring acute intervention, defined as: blood transfusion for intra-abdominal hemorrhage, angiographic embolization of vessel or organ, or therapeutic intervention at laparotomy.

Secondary Outcomes

Reduction in abdominal CT scans if the rule were to be strictly applied to rule-out intra-abdomninal injury.

Subgroup analysis

Criticisms

Funding

UC Davis Children's Miracle Network Research Grant
SAEM Research Training Grant

Sources

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