{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T16:19:10Z","timestamp":1770567550302,"version":"3.49.0"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.ajem.2024.11.062","type":"journal-article","created":{"date-parts":[[2024,11,23]],"date-time":"2024-11-23T18:31:05Z","timestamp":1732386665000},"page":"197-203","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Outcomes of children transferred to a pediatric trauma center after blunt abdominal trauma: A 10-year experience"],"prefix":"10.1016","volume":"88","author":[{"given":"Shannon E.","family":"Yancovich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra","family":"Guiner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noormah","family":"Mehmood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ediri","family":"Nesiama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parker","family":"Ragle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan S.","family":"Reisch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo-Ann O.","family":"Nesiama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.ajem.2024.11.062_bb0005","author":"Centers for Disease Control and Prevention"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0010","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1067\/mem.2002.122901","article-title":"A clinical decision rule for identifying children with thoracic injuries after blunt torso trauma","volume":"39","author":"Holmes","year":"2002","journal-title":"Ann Emerg Med"},{"issue":"12","key":"10.1016\/j.ajem.2024.11.062_bb0015","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1111\/j.1553-2712.2010.00926.x","article-title":"Characteristics of pediatric trauma transfers to a level I trauma center: implications for developing a regionalized pediatric trauma system in California","volume":"17","author":"Acosta","year":"2010","journal-title":"Acad Emerg Med"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0020","first-page":"8","article-title":"Life-threatening injuries in children: what have we learned and what are the challenges?","volume":"80","author":"Haller","year":"1995","journal-title":"Bull Am Coll Surg"},{"issue":"1","key":"10.1016\/j.ajem.2024.11.062_bb0025","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/S0022-3468(85)80382-1","article-title":"One-year experience in a regional pediatric trauma center","volume":"20","author":"Colombani","year":"1985","journal-title":"J Pediatr Surg"},{"issue":"2","key":"10.1016\/j.ajem.2024.11.062_bb0030","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/00005373-200008000-00009","article-title":"Impact of pediatric trauma centers on mortality in a statewide system","volume":"49","author":"Potoka","year":"2000","journal-title":"J Trauma Acute Care Surg"},{"issue":"1","key":"10.1016\/j.ajem.2024.11.062_bb0035","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jpedsurg.2005.10.013","article-title":"Outcomes and delivery of care in pediatric injury","volume":"41","author":"Densmore","year":"2006","journal-title":"J Pediatr Surg"},{"issue":"3","key":"10.1016\/j.ajem.2024.11.062_bb0040","doi-asserted-by":"crossref","first-page":"128","DOI":"10.4103\/JETS.JETS_11_20","article-title":"Pediatric mortality at pediatric versus adult trauma centers","volume":"14","author":"Khalil","year":"2021","journal-title":"J Emerg Trauma Shock"},{"key":"10.1016\/j.ajem.2024.11.062_bb0045","author":"U.S. Accountability Office"},{"key":"10.1016\/j.ajem.2024.11.062_bb0050","doi-asserted-by":"crossref","first-page":"S114","DOI":"10.1097\/TA.0b013e3181ad3251","article-title":"Disparities in the delivery of pediatric trauma care","volume":"67(2","author":"Petrosyan","year":"2009","journal-title":"J Trauma Acute Care Surg"},{"issue":"8","key":"10.1016\/j.ajem.2024.11.062_bb0055","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1016\/S0022-3468(03)00262-8","article-title":"Pediatric trauma care: an overview of pediatric trauma systems and their practices in 18 US states","volume":"38","author":"Segui-Gomez","year":"2003","journal-title":"J Pediatr Surg"},{"issue":"3","key":"10.1016\/j.ajem.2024.11.062_bb0060","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1097\/01.TA.0000047809.64699.59","article-title":"The effect of interfacility transfer on outcome in an urban trauma system","volume":"55","author":"Nathens","year":"2003","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0065","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1097\/TA.0000000000001777","article-title":"Transfer and nontransfer patients in isolated low-grade blunt pediatric solid organ injury: implications for regionalized trauma systems","volume":"84","author":"Tessler","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0070","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1007\/s00068-020-01313-4","article-title":"Management of pediatric blunt abdominal trauma in a Dutch level one trauma center","volume":"47","author":"Spijkerman","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0075","doi-asserted-by":"crossref","first-page":"887","DOI":"10.1097\/TA.0000000000002899","article-title":"Isolated low-grade solid organ injuries in children following blunt abdominal trauma: is it time to consider discharge from the emergency department?","volume":"89","author":"Plumblee","year":"2020","journal-title":"J Trauma Acute Care Surg"},{"issue":"2","key":"10.1016\/j.ajem.2024.11.062_bb0080","doi-asserted-by":"crossref","first-page":"S135","DOI":"10.1097\/TA.0b013e3181adc17a","article-title":"Intra-abdominal solid organ injury in children: diagnosis and treatment","volume":"67","author":"Gaines","year":"2009","journal-title":"J Trauma Acute Care Surg"},{"key":"10.1016\/j.ajem.2024.11.062_bb0085","series-title":"StatPeals [internet]","article-title":"Intestinal trauma. [updated May 22, 2023]","author":"McMahon","year":"2023"},{"issue":"3","key":"10.1016\/j.ajem.2024.11.062_bb0090","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1097\/00005373-200209000-00038","article-title":"Practice management guidelines for the evaluation of blunt abdominal trauma: the east practice management guidelines work group","volume":"53","author":"Hoff","year":"2002","journal-title":"J Trauma"},{"issue":"10","key":"10.1016\/j.ajem.2024.11.062_bb0095","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1111\/j.1553-2712.2008.00226.x","article-title":"Is hospital admission and observation required after a normal abdominal computed tomography scan in children with blunt abdominal trauma?","volume":"15","author":"Awasthi","year":"2008","journal-title":"Acad Emerg Med"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0100","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1111\/j.1553-2712.2010.00737.x","article-title":"The risk of intra-abdominal injuries in pediatric patients with stable blunt abdominal trauma and negative abdominal computed tomography","volume":"17","author":"Hom","year":"2010","journal-title":"Acad Emerg Med"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0105","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.2214\/ajr.169.4.9308453","article-title":"Blunt abdominal trauma in children: impact of CT on operative and nonoperative management","volume":"169","author":"Ruess","year":"1997","journal-title":"AJR Am J Roentgenol"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0110","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1111\/j.1553-2712.2000.tb02232.x","article-title":"Isolated intraperitoneal fluid on abdominal computed tomography in children with blunt trauma","volume":"7","author":"Holmes","year":"2000","journal-title":"Acad Emerg Med"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0115","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jpedsurg.2015.09.020","article-title":"Preventable transfers in pediatric trauma: a 10-year experience at a level I pediatric trauma center","volume":"51","author":"Fenton","year":"2016","journal-title":"J Pediatr Surg"},{"issue":"12","key":"10.1016\/j.ajem.2024.11.062_bb0120","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1111\/acem.13509","article-title":"Providers\u2019 perceptions of caring for pediatric patients in community hospital emergency departments: a mixed-methods analysis","volume":"25","author":"Goldman","year":"2018","journal-title":"Acad Emerg Med"},{"key":"10.1016\/j.ajem.2024.11.062_bb0125","series-title":"Imaging guidelines","author":"American College of Surgeons","year":"2018"},{"issue":"6","key":"10.1016\/j.ajem.2024.11.062_bb0130","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s10140-023-02172-3","article-title":"Disparities in computed tomography utilization for pediatric blunt trauma: a systematic review and meta-analysis comparing pediatric and non-pediatric trauma centers","volume":"30","author":"Hassankhani","year":"2023","journal-title":"Emerg Radiol"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0135","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.jamcollsurg.2016.12.041","article-title":"Blunt intra-abdominal injury in whom CT of the abdomen can be avoided safely","volume":"224","author":"Streck","year":"2016","journal-title":"J Am Coll Surg"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0140","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jpeds.2015.06.052","article-title":"Variation in computed tomography imaging for pediatric injury-related emergency visits","volume":"167","author":"Marin","year":"2015","journal-title":"J Pediatr"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0145","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.cjtee.2021.01.006","article-title":"New injury severity score (NISS) outperforms injury severity score (ISS) in the evaluation of severe blunt trauma patients","volume":"24","author":"Li","year":"2021","journal-title":"Chin J Traumatol"},{"issue":"3","key":"10.1016\/j.ajem.2024.11.062_bb0150","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1478-5153.2012.00498.x","article-title":"Injury severity scoring systems: a review of application to practice","volume":"17","author":"Kim","year":"2012","journal-title":"Nurs Crit Care"},{"key":"10.1016\/j.ajem.2024.11.062_bb0155","series-title":"Current therapy of trauma and surgical critical care","first-page":"26","article-title":"Trauma scoring","author":"VanDerHeyden","year":"2008"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0160","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2012.06.032","article-title":"Abbreviated injury scale: not a reliable basis for summation of injury severity in trauma facilities?","volume":"44","author":"Ringdal","year":"2013","journal-title":"Injury"},{"issue":"1","key":"10.1016\/j.ajem.2024.11.062_bb0165","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1186\/s40001-021-00506-w","article-title":"Interobserver variability of injury severity assessment in polytrauma patients: does the anatomical region play a role?","volume":"26","author":"Bolierakis","year":"2021","journal-title":"Eur J Med Res"},{"issue":"6","key":"10.1016\/j.ajem.2024.11.062_bb0170","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1097\/TA.0000000000001623","article-title":"Attempting to validate the overtriage\/undertriage matrix at a level I trauma center","volume":"83","author":"Davis","year":"2017","journal-title":"J Trauma Acute Care Surg"},{"issue":"12","key":"10.1016\/j.ajem.2024.11.062_bb0175","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1016\/S0196-0644(05)82606-X","article-title":"The lack of full correlation between the injury severity score and the resource needs of injured patients","volume":"19","author":"Baxt","year":"1990","journal-title":"Ann Emerg Med"},{"issue":"3","key":"10.1016\/j.ajem.2024.11.062_bb0180","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1097\/TA.0000000000000543","article-title":"A consensus-based criterion standard definition for pediatric patients who needed the highest-level trauma team activation","volume":"78","author":"Lerner","year":"2015","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"10.1016\/j.ajem.2024.11.062_bb0185","first-page":"505","article-title":"Evaluation of intra-abdominal solid organ injuries in children","volume":"89","author":"Ayse","year":"2018","journal-title":"Acta Biomed"},{"key":"10.1016\/j.ajem.2024.11.062_bb0190","first-page":"93","article-title":"An overview of anatomical considerations of infants and children in the adult world of automobile safety design","volume":"42","author":"Huelke","year":"1998","journal-title":"Annu Proc Assoc Adv Automot Med"},{"issue":"1","key":"10.1016\/j.ajem.2024.11.062_bb0195","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.injury.2022.08.007","article-title":"Understanding abdominal pelvic computerized tomography scan usage amongst adolescent blunt trauma patients treated at adult trauma centers","volume":"54","author":"Kolousek","year":"2023","journal-title":"Injury"},{"key":"10.1016\/j.ajem.2024.11.062_bb0200","series-title":"American College of Sureons Commitee on Trauma","article-title":"ACS TQIP Best practice guidelines in imaging","year":"2018"},{"issue":"5","key":"10.1016\/j.ajem.2024.11.062_bb0205","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1097\/JTN.0000000000000604","article-title":"Admission for isolated low-grade solid organ injury may not be necessary in pediatric patients","volume":"28","author":"Butt","year":"2021","journal-title":"J Trauma Nurs"},{"key":"10.1016\/j.ajem.2024.11.062_bb0210","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpedsurg.2023.03.012","article-title":"Updated APSA guidelines for the management of blunt liver and spleen injuries","author":"Williams","year":"2023","journal-title":"J Pediatr Surg"},{"issue":"8","key":"10.1016\/j.ajem.2024.11.062_bb0215","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1016\/j.jpedsurg.2019.01.012","article-title":"Non-operative management of solid organ injuries in children: an American pediatric surgical association outcomes and evidence based practice committee systematic review","volume":"54","author":"Gates","year":"2019","journal-title":"J Pediatr Surg"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073567572400648X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S073567572400648X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T11:40:23Z","timestamp":1738928423000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S073567572400648X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":43,"alternative-id":["S073567572400648X"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2024.11.062","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of children transferred to a pediatric trauma center after blunt abdominal trauma: A 10-year experience","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2024.11.062","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}