Pediatric Blunt Abdominal Trauma Clinical Prediction Model

Summary

The submitted proposal is designed to reduce morbidity and mortality to injured children. Significant variability in the initial trauma assessment exists among institutions. The proposed project is a prospective, observational, multi-institutional study of children following blunt abdominal trauma. The specific goals of the project are to: 1) Document history, physical exam findings, imaging, and laboratory values, which are available to physicians during the initial trauma resuscitation prior to a decision on whether to order an abdominal computed tomography (CT) to evaluate for potential intra-abdominal injury; and 2) Derive and validate a multi-variable clinical prediction rule based on data variables readily available during the pediatric trauma resuscitation to identify patients at low risk for intra-abdominal injury, in which unnecessary CT might safely be avoided. Information from this study could be used to develop a more standardized approach to the evaluation for intra-abdominal injury following blunt trauma in children. This information could lead to significant improvement in the early recognition of injury and to improved resource utilization.

Conditions

• Pediatric Abdominal Trauma

Sponsors & Collaborators

• Monroe Carell Jr. Children's Hospital at Vanderbilt

  collaborator OTHER

• University of Arkansas

  collaborator OTHER

• University of Alabama at Birmingham

  collaborator OTHER

• Virginia Commonwealth University

  collaborator OTHER

• Children's Mercy Hospital Kansas City

  collaborator OTHER

• University of Tennessee

  collaborator OTHER

• Memorial Hermann Hospital

  collaborator OTHER

• Baylor College of Medicine

  collaborator OTHER

• Children's Hospital Los Angeles

  collaborator OTHER

• Children's Hospital Medical Center, Cincinnati

  collaborator OTHER

• Washington University School of Medicine

  collaborator OTHER

• Boston Children's Hospital

  collaborator OTHER

• Emory University

  collaborator OTHER

• Medical University of South Carolina

  lead OTHER

Principal Investigators

• Christian J Streck, MD · Medical University of South Carolina

Eligibility

Max Age

15 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-07-31

Primary Completion

2015-10-31

Completion

2016-01-31

Countries

• United States

Study Locations