Journal of pediatric surgery
-
Multicenter Study Comparative Study
Injuries in children associated with the use of nonmotorized scooters.
Since 2000, a substantial increase in injuries related to nonmotorized scooters (kickboards) has been observed among children. The authors conducted a population-based prospective study to characterize these injuries in comparison with skateboard-related injuries during the same period. ⋯ Public awareness of the potential dangers related to scooter riding should be increased and the use of protective gear encouraged.
-
Multicenter Study Comparative Study
Development of a novel method to predict disability after head trauma in children.
Although analysis of functional independence measures (FIM) at discharge are useful for assessing extent of disability in head-injured children, there is no reliable method to predict the severity of disability at the time of admission. The authors developed a novel method to predict severe disability after head trauma on admission. ⋯ P(D) offers a novel and reliable method for early prediction of likelihood of disability in children who sustain head trauma. Routine use of the P(D) may lead to earlier intervention to improve long-term results in head-injured children.
-
Multicenter Study Comparative Study
Appendicitis 2000: variability in practice, outcomes, and resource utilization at thirty pediatric hospitals.
To improve clinical results and resource utilization in the care of appendicitis in children, the authors examined the current practice and outcomes of 30 pediatric hospitals. ⋯ Significant variability in practice patterns and resource utilization exists in the management of acute appendicitis in pediatric hospitals. Clinical outcomes could be improved by collaborative initiatives to adopt evidence-based best practices.
-
Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Laparoscopy in children with complicated appendicitis.
Laparoscopic appendectomy is an accepted way of dealing with suspected uncomplicated appendicitis in children. The role of laparoscopy in complicated acute appendicitis is more controversial. The purpose of this trial was to compare laparoscopic appendectomy with open appendectomy in children with complicated appendicitis. ⋯ Laparoscopic appendectomy is an alternative to open procedure in children with complicated appendicitis. Good surgical judgement is necessary in patients with an established appendiceal abscess.
-
Multicenter Study
Pediatric trauma center criteria: an outcomes analysis.
Trauma centers (TC) are certified based on widely accepted criteria. These specific criteria rarely are scrutinized individually. The purpose of this study was to analyze the individual components of a pediatric trauma center for their effect on outcome. ⋯ In-house personnel improved efficiency for the less severely injured, and an in-house attending surgeon reduced mortality in the severely injured older patient. None of the other variables were found to have a significant impact on outcome.