Related Experiment Video

Updated: Jun 16, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
03:42

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Trauma Center Type and Outcomes After Pediatric Blunt Pancreatic Injury: A National Trauma Data Bank Analysis

Rawan Sharma1, Richard Herman1, Christopher Blewett1

  • 1SSM Cardinal Glennon Children's Hospital, Saint Louis University, St. Louis, Missouri.

The Journal of Surgical Research
|June 13, 2026
PubMed

Insights

Pediatric trauma centers improve outcomes for children with blunt pancreatic injuries, leading to fewer operations, complications, and shorter hospital stays. Early involvement of these specialized centers is recommended for better patient results.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Abdominal Trauma

Background:

  • Blunt pancreatic trauma management in children has advanced with specialized pediatric trauma centers.
  • Pancreatic injuries often coexist with other severe injuries, limiting outcome-specific studies.
  • This study compares outcomes for pediatric blunt pancreatic injury patients treated at pediatric versus non-pediatric trauma centers.

Purpose of the Study:

  • To compare clinical outcomes and resource utilization for children with blunt pancreatic injury treated at pediatric versus non-pediatric trauma centers.
  • To evaluate the impact of trauma center type on surgical interventions, complications, and length of stay.

Main Methods:

  • Utilized the National Trauma Data Bank (2017-2023) to identify pediatric patients (≤18 years) with blunt pancreatic injury.
  • Excluded transferred patients and those with severe non-abdominal injuries (AIS ≥3).
  • Analyzed outcomes including surgical repair, pancreatic duct procedures, hemorrhage control, transfusion, CT use, complications, discharge disposition, and hospital length of stay using multivariable and severity-adjusted models.

Main Results:

  • Treatment at pediatric trauma centers was associated with significantly lower odds of pancreas repair/resection, reduced CT utilization, fewer in-hospital complications, and a higher likelihood of discharge home.
  • Children treated at pediatric centers experienced shorter hospital stays.
  • These benefits were most pronounced in lower-grade injuries, showing reduced operative intervention, complications, transfusion, hemorrhage control laparotomy, and CT use.

Conclusions:

  • Pediatric trauma centers offer a more favorable pattern of short-term outcomes and resource utilization for pediatric blunt pancreatic injuries.
  • These findings suggest that early involvement of pediatric trauma centers may be beneficial for selected children with suspected blunt pancreatic injury.
Abstract

Keywords:
Blunt pancreatic traumaNational Trauma Data BankNonpediatric trauma centersPediatric trauma centers

More Related Videos

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma04:20

A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma

Published on: July 28, 2020

Technical Detail for Robot Assisted Pancreaticoduodenectomy14:45

Technical Detail for Robot Assisted Pancreaticoduodenectomy

Published on: September 28, 2019

Related Concept Videos

Acute Pancreatitis II: Pathophysiology01:21

Acute Pancreatitis II: Pathophysiology

The pathophysiology of acute pancreatitis centers on injury to pancreatic acinar cells, which initiates a cascade of harmful intracellular events.This injury leads to premature activation of trypsinogen to trypsin in the pancreas. Trypsin then activates other digestive enzymes, such as chymotrypsin, elastase, and phospholipase A2, which begin breaking down pancreatic tissue. The resulting autodigestion causes local inflammation, tissue swelling, hemorrhage, and fat necrosis.Injured acinar cells...
Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History: