Pediatric Blunt Abdominal Trauma Clinical Prediction Model

Completed

Conditions studied: Pediatric Abdominal Trauma

In brief

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.

Key facts

Study ID

NCT02206698

Run by

Medical University of South Carolina

People needed

2800

Starts

2014-07-01

Expected to finish

2016-01-01

Last updated by the study team

2018-05-03

Who can join

Age: any, up to 15. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Patients presenting as a Trauma system activation with suspicion for blunt abdominal trauma. (Fall >10 feet; Motor vehicle accident >40mph, pedestrian struck by auto, Motor vehicle crash with ejection or death in vehicle or rollover, assault, bicycle accident, ATV accident).
• <16 years of age
• The need to activate the trauma system is dictated by the Emergency Department physician
• Consults called to the department of surgery for suspicion of intraabdominal traumatic injury

You may not qualify if…

• 16 years of age or older
• Burn injury
• Hanging
• Drowning
• Penetrating injury
• CT A/P performed prior to arrival
• Presentation >6 hours from time of injury
• Pregnancy
• Isolated head injury
• Fall <10 feet with no concern for intraabdominal injury
• Isolated extremity injury

Where it is running

• Children's Hospital of Alabama — Birmingham, Alabama, United States
• Arkansas Children's Hospital — Little Rock, Arkansas, United States
• LA Children's — Los Angeles, California, United States
• Emory University — Atlanta, Georgia, United States
• Boston Children's — Boston, Massachusetts, United States
• Children's Mercy Hospital — Kansas City, Missouri, United States
• Washington University — St Louis, Missouri, United States
• Cincinnati Children's Hospital — Cincinnati, Ohio, United States
• Medical University of South Carolina — Charleston, South Carolina, United States
• Le Bonheur Children's Hospital, The University of Tennessee Health Science Center — Memphis, Tennessee, United States
• Monroe Carell Jr. Children's Hospital at Vanderbilt — Nashville, Tennessee, United States
• Texas Children's Hospital — Houston, Texas, United States
• University of Texas Health Science Center at Houston — Houston, Texas, United States
• Children's Hospital of Richmond — Richmond, Virginia, United States

Full record on ClinicalTrials.gov

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