Pediatric blunt carotid injury: a review of the National Pediatric Trauma Registry. Pediatr Neurosurg 1999 May;30(5):239-44
Date
08/26/1999Pubmed ID
10461070DOI
10.1159/000028804Scopus ID
2-s2.0-0032798691 (requires institutional sign-in at Scopus site) 73 CitationsAbstract
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 SLAuthor
Sean Lew MD Chief, Professor in the Neurosurgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Carotid Artery Injuries
Child
Child, Preschool
Databases as Topic
Female
Humans
Incidence
Infant
Male
Pediatrics
Registries
United States
Wounds, Nonpenetrating
