Study Objectives

The purpose of this study was to characterize the utility of radiologic imaging and examination under anesthesia in female pediatric patients with isolated blunt straddle injuries.

Design

Retrospective review.

Setting

Single health care system with a children's hospital and level 1 pediatric trauma center.

Participants

Female patients aged 1-17 years with blunt straddle injuries from 2006 to 2018.

Interventions

None.

Main Outcome Measures

Radiologic imaging performed, number of patients requiring exam under anesthesia (EUA), number of injuries not identified in patients who did not undergo EUA.

Results

The study cohort included 83 patients. Of these, 11 (13%) had imaging performed. Thirty-four patients were managed as outpatients, 28 were discharged from the emergency department without need for intervention, and 49 patients were admitted. Of these, 48 (98%) went to the operating room for exam EUA. No occult injuries were identified on radiologic studies. Imaging was not associated with need for EUA. No missed injuries occurred in children who were not imaged. Two patients who were imaged returned for EUA following evolution of symptoms.

Conclusion

Radiologic imaging did not add diagnostic value for female pediatric patients with blunt straddle injuries. These data emphasize the importance of EUA with repair and advocates for minimization of radiologic imaging in this patient group.

中文翻译：

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放射成像不会为具有孤立性钝跨机构的女性儿科患者增加价值

学习目标

本研究的目的是描述放射成像和麻醉下检查对孤立性钝性跨骑损伤女性儿科患者的效用。

设计

回顾性审查。

环境

具有儿童医院和一级儿科创伤中心的单一医疗保健系统。

参与者

2006 年至 2018 年 1-17 岁女性钝性跨骑伤患者。

干预措施

没有任何。

主要观察指标

进行的放射成像、需要在麻醉下检查 (EUA) 的患者数量、未接受 EUA 的患者未发现的损伤数量。

结果

研究队列包括 83 名患者。其中，11 人（13%）进行了成像。门诊治疗34例，急诊出院28例，入院49例。其中，48 人 (98%) 前往手术室进行 EUA 考试。放射学研究未发现隐匿性损伤。成像与 EUA 的需求无关。未成像的儿童未发生遗漏伤害。两名被成像的患者在症状发展后返回 EUA。

结论

放射影像学并没有为患有钝性跨骑损伤的女性儿科患者增加诊断价值。这些数据强调了 EUA 对修复的重要性，并倡导在该患者组中最小化放射成像。