EBQ:Validation of a prediction rule for the identification of children with intra-abdominal injuries after blunt torso trauma: Difference between revisions

Revision as of 17:45, 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.
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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

The presence of intra-abdominal injury
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

Subgroup analysis

Criticisms

Funding

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

Sources

Authors:

@@ Line 43: / Line 43: @@
 ===Primary Outcomes===
+# The presence of intra-abdominal injury<br />
+# 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===