A Multicenter Study of the Risk of Intra-abdominal Injury in Children after Normal Abdominal CT-scan. Ann. Of Em Med. 2013 Apr 25 Kerrey ea Division of.

Presentatie over: "A Multicenter Study of the Risk of Intra-abdominal Injury in Children after Normal Abdominal CT-scan. Ann. Of Em Med. 2013 Apr 25 Kerrey ea Division of."— Transcript van de presentatie:

1 A Multicenter Study of the Risk of Intra-abdominal Injury in Children after Normal Abdominal CT-scan. Ann. Of Em Med. 2013 Apr 25 Kerrey ea Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati,

2 Intra- abdominaal letsel  CT-abdomen igv hoog energetisch trauma  Ondanks negatieve CT abdomen vaak opname  >2/3 opname

3 Intra- abdominaal letsel  Doel: bepalen of hoe frequent intraabdominaal letsel gediagnosticeerd wordt na normale CT-abdomen bij kinderen met stomp thoracoabdominaal letsel

4 Intra- abdominaal letsel  Multicenter studie  Inclusie:  <18 jaar  Stomp thoraco/abdominaal letsel <24 uur  CT abdomen op klinische gronden zonder afwijkingen  12044 patiënten stomp letsel  5380 CT-abdomen  3819 x normaal

5 Intra- abdominaal letsel  Multicenter studie  Eindpunten:  Dood  Laparoscopie / tomie  Angio-embolisatie  Bloedtransfusie  Infuus

6 Intra- abdominaal letsel

7  Missed diagnose: 16/3819 (0.4%)  14x intestinaal, mesenterium, pancreas  Missed diagnose met acute behandeling: 6/3819 (0.4%)  Neg PV abdominal injury: 99.6% (3803/3819)  Neg PV acute interventie: 99,8% (3813/3819)

8 Intra- abdominaal letsel conclusie:  Kinderen met stomp thoraco-abdominaal letsel en normale CT- abdomen kunnen relatief veilig ontslagen worden.