Management of complex pediatric and adolescent liver trauma: adult vs pediatric level 1 trauma centers

ConclusionOur retrospective review of high-grade pediatric and adolescent liver trauma demonstrated higher rates of IR and operating room use at the ATC compared to the PTC in the setting of higher Injury Severity Score and age. While the PTC successfully managed  >  95% of Grade 4/5 liver injuries non-operatively, prospective data are needed to determine the optimal algorithm for management in the older adolescent population.Level of evidenceLevel IV.
Source: Pediatric Surgery International - Category: Surgery Source Type: research