Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

Pediatric blunt carotid injury: a review of the National Pediatric Trauma Registry. Pediatr Neurosurg 1999 May;30(5):239-44 PMID: 10461070

Pubmed ID

10461070

Abstract

Blunt carotid injury (BCI) is an uncommon yet potentially devastating entity which has received little attention in the pediatric literature. In an attempt to better characterize pediatric BCI, a review of the National Pediatric Trauma Registry was performed. Records were obtained from all children diagnosed with internal or common carotid injury associated with blunt trauma. The incidence of BCI was 0.03% (15 of 57,659 blunt trauma patients). Variables examined included: age, gender, mechanism of injury, associated injuries, various injury severity scores, and outcome. Various injuries were associated with an increase in BCI incidence including chest trauma (4-fold), combined head and chest trauma (6-fold), basilar skull fractures (4-fold), intracranial hemorrhage (6-fold), and clavicle fractures (8-fold). Thirty-three percent of the patients diagnosed with BCI suffered neurological complications directly attributable to their carotid injuries. Current practices regarding screening, diagnosis, and treatment are reviewed.

Author List

Lew SM, Frumiento C, Wald SL

Author

Sean Lew MD Chief, Professor in the Neurosurgery department at Medical College of Wisconsin




Scopus

2-s2.0-0032798691   56 Citations

MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Carotid Artery Injuries
Child
Child, Preschool
Databases as Topic
Female
Humans
Incidence
Infant
Male
Pediatrics
Registries
United States
Wounds, Nonpenetrating
jenkins-FCD Prod-310 bff9d975ec7f2d302586822146c2801dd4449aad