Management of pediatric lower extremity vascular trauma: adult vs pediatric level I trauma centers
Topic overview
This retrospective study compares surgical outcomes for pediatric lower extremity vascular injuries treated at adult versus pediatric Level I trauma centers over 14 years. Despite differences in patient age and injury mechanism, both center types achieved similar amputation rates, fasciotomy needs, and overall outcomes, suggesting PLEVIs can be safely managed at either facility type with appropriate surgical expertise.
Key takeaways
- Pediatric lower extremity vascular injuries can be safely managed at both adult and pediatric Level I trauma centers with similar outcomes.
- Amputation rates were low and comparable between adult and pediatric trauma centers despite different injury mechanisms and patient ages.
- Vascular surgeons managed a higher proportion of cases at pediatric centers (73.7%) compared to adult centers (50%).
- Fasciotomy rates were similar between centers (44.7% PTC vs 51.2% ATC), suggesting comparable compartment syndrome management.
- Adult trauma centers predominantly treated older adolescents with gunshot wounds while pediatric centers saw younger patients with varied mechanisms.
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How to cite: GlobalCastMD. Management of pediatric lower extremity vascular trauma: adult vs pediatric level I trauma centers. GlobalCastMD Medical Library. 2024-09-28. https://dev.library.globalcastmd.com/article/9216?via_space=staycurrentmd
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