TY - JOUR
T1 - A prospective evaluation of the clinical presentation of pediatric pelvic fractures
AU - Junkins, Edward P.
AU - Nelson, Douglas S.
AU - Carroll, Kristen L.
AU - Hansen, Kristine
AU - Furnival, Ronald A.
PY - 2001/7
Y1 - 2001/7
N2 - Background: We sought to describe pediatric, blunt trauma patients with pelvic fracture (PF) and to evaluate pelvis examination sensitivity and specificity. Methods: We conducted a prospective study of blunt trauma patients at a Level I pediatric trauma center. A pediatrie emergency medicine physician attempted to diagnose a PF, solely on the basis of the history and pelvis examination. Patients with blunt trauma but no pelvic fracture (NPF) were used as controls. Results: We enrolled 140 patients (16 PF, 124 NPF), and no significant differences were found regarding median age, gender, injury mechanism, acuity, and medical outcome. Approximately 25% of PF patients had iliac-wing fractures; 37%, single pelvic ring; 25%, double pelvic ring; and 13%, acetabular fractures. Eleven patients with PF had an abnormal pelvis examination (69% sensitivity), compared with six NPF patients (95% specificity, negative predictive value 0.91). Conclusion: Pediatric patients with PF have low mortality and few complex fractures. The pelvis examination appears to have both high specificity and negative predictive value.
AB - Background: We sought to describe pediatric, blunt trauma patients with pelvic fracture (PF) and to evaluate pelvis examination sensitivity and specificity. Methods: We conducted a prospective study of blunt trauma patients at a Level I pediatric trauma center. A pediatrie emergency medicine physician attempted to diagnose a PF, solely on the basis of the history and pelvis examination. Patients with blunt trauma but no pelvic fracture (NPF) were used as controls. Results: We enrolled 140 patients (16 PF, 124 NPF), and no significant differences were found regarding median age, gender, injury mechanism, acuity, and medical outcome. Approximately 25% of PF patients had iliac-wing fractures; 37%, single pelvic ring; 25%, double pelvic ring; and 13%, acetabular fractures. Eleven patients with PF had an abnormal pelvis examination (69% sensitivity), compared with six NPF patients (95% specificity, negative predictive value 0.91). Conclusion: Pediatric patients with PF have low mortality and few complex fractures. The pelvis examination appears to have both high specificity and negative predictive value.
KW - Blunt abdominal trauma
KW - Injury severity
KW - Pediatric
KW - Pelvic fracture
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U2 - 10.1097/00005373-200107000-00010
DO - 10.1097/00005373-200107000-00010
M3 - Article
C2 - 11468469
AN - SCOPUS:0035407273
SN - 2163-0755
VL - 51
SP - 64
EP - 68
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
IS - 1
ER -