{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T21:29:12Z","timestamp":1753738152673,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T00:00:00Z","timestamp":1594252800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to determine the frequency and nature of pediatric blunt chest\u2013abdominal injuries (BCAIs) and to summarize their management, ranging from non\u2010operative management (NOM), with or without angioembolization (AE), to surgical treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included patients admitted to our hospital for BCAIs from January 1996 to December 2017. The age, injury pattern, organs of injury, outcome, and treatment were summarized.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and thirty\u2010two patients (98 males, 34 females, mean age 7.68\u00a0years \u00b1 3.58, range 1\u201315\u00a0years) were included in the study. Their injuries resulted from motor\u2010vehicle traffic incidents (<jats:italic>n\u00a0<\/jats:italic>=\u00a060), single\u2010bicycle injuries (<jats:italic>n\u00a0<\/jats:italic>=\u00a016), falls (<jats:italic>n\u00a0<\/jats:italic>=\u00a033), sports (<jats:italic>n\u00a0<\/jats:italic>=\u00a010), assault (<jats:italic>n\u00a0<\/jats:italic>=\u00a06), abuse (<jats:italic>n\u00a0<\/jats:italic>=\u00a03), and others (<jats:italic>n\u00a0<\/jats:italic>=\u00a04). There were no injured organs in 31 cases, while there were 130 injured organs in 101 cases, including the liver (<jats:italic>n\u00a0<\/jats:italic>=\u00a042), spleen (<jats:italic>n\u00a0<\/jats:italic>=\u00a035), lung (<jats:italic>n\u00a0<\/jats:italic>=\u00a023), kidney (<jats:italic>n\u00a0<\/jats:italic>=\u00a013), intestine (<jats:italic>n\u00a0<\/jats:italic>=\u00a010), pancreas (<jats:italic>n\u00a0<\/jats:italic>=\u00a05), and adrenal gland (<jats:italic>n\u00a0<\/jats:italic>=\u00a02). Angiography (AG) was performed in 20 cases, and NOM with AE was performed in 16 cases, including 17 organs (liver injury [<jats:italic>n\u00a0<\/jats:italic>=\u00a09], splenic injury [<jats:italic>n\u00a0<\/jats:italic>=\u00a05], and kidney injury [<jats:italic>n\u00a0<\/jats:italic>=\u00a04]). Surgical treatment was performed in eight cases (splenic injury in one, pancreas injury in one, and intestinal injury in six). NOM without AE was performed in the other cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The management of organ injury must take into consideration the management of integrated bleeding. It is recommended that children with severe organ injury are treated in dedicated trauma centers in which AE is available.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.14195","type":"journal-article","created":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T12:07:33Z","timestamp":1581509253000},"page":"834-839","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The management and outcome of pediatric blunt chest\u2010abdominal injuries"],"prefix":"10.1111","volume":"62","author":[{"given":"Tomohiro","family":"Kurahachi","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery St. Mary's Hospital Kurume Fukuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9366-361X","authenticated-orcid":false,"given":"Naoki","family":"Hashizume","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery St. Mary's Hospital Kurume Fukuoka 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