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Child Maltreatment, Vol. 9, No. 1, 111-117 (2004)
DOI: 10.1177/1077559503260310

Blunt Abdominal Injury in the Young Pediatric Patient: Child Abuse and Patient Outcomes

Matthew Trokel

Carla DiScala

Norma C. Terrin

Robert D. Sege

Tufts—New England Medical Center

This study sought to evaluate injury causes and patient outcomes in young children with abdominal injuries. Cases of blunt abdominal injury (N = 927) to children ages 0 to 4 years were extracted from the National Pediatric Trauma Registry®. Measures included hospital utilization (days hospitalized, intensive care unit use, and surgery) and patient outcome (in-hospital fatality, discharge to rehabilitation facility, home rehabilitation, and home nursing). The three most common mechanisms of abdominal injury were motor vehicles (61.27%), child abuse (15.75%), and falls (13.59%). Hospital utilization was higher in patients with multisystem injuries. Patient outcomes were more severe in abused children or those with concomitant central nervous system (CNS) injury; these were the only variables independently associated with increased mortality in this sample. Pediatric abdominal trauma leads to intense use of hospital resources and a high risk of in-hospital mortality. Child abuse, compared to falls, is independently associated with a 6-fold increase in in-hospital mortality.

Key Words: abdominal injury • child abuse • hospital utilization


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[Abstract] [PDF]