Cancer and Trauma Collide: Injury Patterns and Outcomes in the Pediatric Trauma Patient With Cancer.

IF 1 4区医学 Q3 SURGERY

American Surgeon Pub Date : 2025-02-25 DOI:10.1177/00031348251323703

Brittany Sullivan, John Schomberg, Josephine Haduong, Sourav K Bose, Yigit S Guner, Andreina Giron, Maryam Gholizadeh, Peter T Yu

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引用次数: 0

Abstract

Purpose: There is a lack of data regarding pediatric trauma patients with a cancer diagnosis. The purpose of our study is to analyze demographics, ED admissions, procedures, and characteristics pertaining to this population.

Methods: The NTDB database was queried from 2007 to 2022. This study collected 1,726,681 trauma admissions ≤18. Of these patients, 397 were identified with a cancer diagnosis and had received chemotherapy within 30 days of their trauma admission.

Results: The median age of trauma patients with cancer was 9 years old vs 12 years old for non-cancer patients (P = 0.14), but cancer patients had a longer length of stay compared to patients without a cancer diagnosis (4.3 +/- 10 vs 3 +/- 5.7, P < 0.001).

Conclusion: We conclude that pediatric trauma patients with a cancer diagnosis had a longer length of stay despite a similar injury severity score, were less likely to sustain spinal cord injuries, but more likely to receive transfusions when compared to non-cancer trauma patients. There is need for further research regarding traumatic injuries in this patient population.

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目的：目前缺乏有关诊断为癌症的儿科创伤患者的数据。我们的研究旨在分析这一人群的人口统计学、急诊室入院情况、手术以及相关特征：我们查询了 2007 年至 2022 年的 NTDB 数据库。本研究共收集了 1,726,681 例 18 岁以下的外伤入院患者。在这些患者中，有 397 人被确诊患有癌症，并在入院后 30 天内接受了化疗：癌症外伤患者的中位年龄为 9 岁，非癌症患者为 12 岁（P = 0.14），但与未确诊癌症的患者相比，癌症患者的住院时间更长（4.3 +/- 10 vs 3 +/- 5.7，P < 0.001）：我们得出结论：与非癌症外伤患者相比，确诊癌症的儿科外伤患者尽管受伤严重程度评分相似，但住院时间更长，脊髓损伤的可能性更小，但接受输血的可能性更大。我们有必要对这类患者的外伤情况进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Surgeon 医学-外科

CiteScore

1.40

自引率

0.00%

发文量

623

期刊介绍： The American Surgeon is a monthly peer-reviewed publication published by the Southeastern Surgical Congress. Its area of concentration is clinical general surgery, as defined by the content areas of the American Board of Surgery: alimentary tract (including bariatric surgery), abdomen and its contents, breast, skin and soft tissue, endocrine system, solid organ transplantation, pediatric surgery, surgical critical care, surgical oncology (including head and neck surgery), trauma and emergency surgery, and vascular surgery.