Authors
Steven C Mehl, Megan E Cunningham, Christian J Streck, Rowland Pettit, Eunice Y Huang, Matthew T Santore, Kuojen Tsao, Richard A Falcone, Melvin S Dassinger, Jeffrey H Haynes, Robert T Russell, Bindi J Naik-Mathuria, Shawn D St. Peter, David Mooney, Jeffrey Upperman, Martin L Blakely, Adam M Vogel
Publication date
2022/4
Journal
Pediatric surgery international
Volume
38
Issue
4
Pages
589-597
Publisher
Springer Berlin Heidelberg
Description
Background
Pediatric trauma patients sustaining blunt abdominal trauma (BAT) with intra-abdominal injury (IAI) are frequently admitted to the intensive care unit (ICU). This study was performed to identify predictors for ICU admission following BAT.
Methods
Prospective study of children (< 16 years) who presented to 14 Level-One Pediatric Trauma Centers following BAT over a 1-year period. Patients were categorized as ICU or non-ICU patients. Data collected included vitals, physical exam findings, laboratory results, imaging, and traumatic injuries. A multivariable hierarchical logistic regression model was used to identify predictors of ICU admission. Predictive ability of the model was assessed via tenfold cross-validated area under the receiver operating characteristic curves (cvAUC).
Results
Included were 2,182 children with 21% (n = 463) admitted to the ICU. On univariate analysis, ICU patients were …
Total citations
Scholar articles
SC Mehl, ME Cunningham, CJ Streck, R Pettit… - Pediatric surgery international, 2022