TY - JOUR
T1 - Blunt Diaphragmatic Rupture in Children
AU - Barsness, Katherine A.
AU - Bensard, Denis D.
AU - Ciesla, David
AU - Partrick, David A.
AU - Hendrickson, Richard
AU - Karrer, Frederick M.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2004/1
Y1 - 2004/1
N2 - Background: Although several series of blunt diaphragmatic rupture in adults have been published, this injury remains largely uncharacterized in the pediatric population. Methods: We queried our trauma registry for all children admitted with blunt diaphragmatic rupture over a 10-year period at a Level I pediatric trauma center. Results: Six children (aged 2-15 years; mean, 7 years) were identified with blunt diaphragmatic rupture (three right, two left, one bilateral), representing 0.4% of admissions. All of the children had associated injuries (4.5 per child), with a mean Injury Severity Score of 32. Four diaphragmatic injuries were identified during the initial evaluation. The two missed injuries were diagnosed at postinjury days 5 and 8. There were no deaths and all children were eventually discharged without sequelae. Conclusion: Blunt diaphragmatic rupture occurs in children with a frequency and severity commensurate with that observed in adults. Our data suggest improved survival compared with adults with this injury.
AB - Background: Although several series of blunt diaphragmatic rupture in adults have been published, this injury remains largely uncharacterized in the pediatric population. Methods: We queried our trauma registry for all children admitted with blunt diaphragmatic rupture over a 10-year period at a Level I pediatric trauma center. Results: Six children (aged 2-15 years; mean, 7 years) were identified with blunt diaphragmatic rupture (three right, two left, one bilateral), representing 0.4% of admissions. All of the children had associated injuries (4.5 per child), with a mean Injury Severity Score of 32. Four diaphragmatic injuries were identified during the initial evaluation. The two missed injuries were diagnosed at postinjury days 5 and 8. There were no deaths and all children were eventually discharged without sequelae. Conclusion: Blunt diaphragmatic rupture occurs in children with a frequency and severity commensurate with that observed in adults. Our data suggest improved survival compared with adults with this injury.
KW - Blunt diaphragmatic rupture
KW - Children
KW - Survival
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U2 - 10.1097/01.TA.0000103989.78049.46
DO - 10.1097/01.TA.0000103989.78049.46
M3 - Article
C2 - 14749570
AN - SCOPUS:0842278689
VL - 56
SP - 80
EP - 82
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
SN - 2163-0755
IS - 1
ER -