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Risk factors for blunt cerebrovascular injury in the pediatric patient: A systematic review by Madison Schulz; Veronica Weihing; Manish N. Shah; Charles S. Cox; Irma Ugalde is a Medicine article available to read on EtoBox.

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Background While blunt cerebrovascular injury (BCVI) is a rare complication of blunt trauma, it is associated with significant morbidity and mortality. In the pediatric population, unique anatomy and development require screening criteria that accurately diagnose these injuries while limiting unwarranted radiation. Methods We searched Medline OVID, EMBASE, and Cochrane Library databases for studies that investigated the risk factors of BCVI in individuals younger than 18 years of age. We adhered to the Preferred Reporting Items in Systematic Reviews and Meta-Analyses (PRISMA) guidelines and assessed the quality of each study using the Newcastle-Ottawa Scale. We compared key characteristics of the papers, including incidence of BCVI, incidence of risk factors, and statistical significance of risk factors. Results Of 1304 studies, 16 met the inclusion criteria. Of these, 15 were retrospective cohort studies and one was a retrospective case control study. Most of the studies included all pediatric blunt trauma admissions, but four only included those which underwent imaging, one only included those with cervical seatbelt sign, and one excluded those who did not survive 24-h post-admis

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Author

Madison Schulz; Veronica Weihing; Manish N. Shah; Charles S. Cox; Irma Ugalde

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)