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Cancer and Trauma Collide: Injury Patterns and Outcomes in the Pediatric Trauma Patient With Cancer.
Brittany Sullivan1, John Schomberg2, Josephine Haduong3
1Medical Center, Department of Surgery, University of California Irvine, Orange, CA, USA.
The American Surgeon
|February 25, 2025
Summary
Pediatric trauma patients with cancer have longer hospital stays and are more likely to need transfusions. Further research is needed to understand traumatic injuries in this vulnerable group.
Area of Science:
- Pediatric Trauma
- Oncology
- Emergency Medicine
Background:
- Limited data exists on pediatric trauma patients with a cancer diagnosis.
- Understanding the unique characteristics of this population is crucial for improved care.
Purpose of the Study:
- To analyze the demographics, emergency department admissions, procedures, and characteristics of pediatric trauma patients with a cancer diagnosis.
- To compare outcomes between pediatric trauma patients with and without a cancer diagnosis.
Main Methods:
- Utilized the National Trauma Data Bank (NTDB) database from 2007 to 2022.
- Included 1,726,681 trauma admissions for patients aged 18 or younger.
- Identified 397 patients with a cancer diagnosis who received chemotherapy within 30 days of trauma admission.
Main Results:
- Cancer patients had a median age of 9 years compared to 12 years for non-cancer patients (P = 0.14).
- Cancer patients experienced a significantly longer length of stay (4.3 days vs 3 days, P < 0.001).
- Cancer patients were less likely to sustain spinal cord injuries but more likely to receive transfusions.
Conclusions:
- Pediatric trauma patients with cancer demonstrate a longer length of stay despite similar injury severity.
- These patients present with distinct injury patterns, including fewer spinal cord injuries but increased transfusion requirements.
- Further investigation into the specific needs and outcomes of traumatic injuries in pediatric cancer patients is warranted.
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