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trauma centre variation in the management of pediatric patients

D R Nellensteijn, H J ten Duis, J Oldenziel, W G Polak, J B F Hulscher
INTRODUCTION: The American Pediatric Surgical Association developed guidelines for the management of haemodynamically stable children with hepatic or splenic injury, based on grade of injury on CT scan. This study investigated the intra- and inter-observer agreement of radiologists, paediatric surgeons, trauma surgeons and hepatobiliary surgeons when scoring liver injury based on CT scan findings. PATIENTS AND METHODS: CT scans of patients with blunt abdominal trauma were independently assessed twice by a fellow and a consultant radiologist, paediatric surgeon, trauma surgeon and one consultant hepatobiliary surgeon...
December 2009: European Journal of Pediatric Surgery
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