Pleural Effusion following Blunt Splenic Injury in the Pediatric Trauma Population Afif N. Kulaylat, Brett W. Engbrecht, Carolina Pinzon-Guzman, Vance L. Albaugh, Susan E. Rzucidlo, Jane R. Schubart, Robert E. Cilley PII: DOI: Reference:
S0022-3468(14)00010-4 doi: 10.1016/j.jpedsurg.2014.01.002 YJPSU 56632
To appear in:
Journal of Pediatric Surgery
Received date: Revised date: Accepted date:
11 October 2013 15 January 2014 17 January 2014
Please cite this article as: Kulaylat Afif N., Engbrecht Brett W., Pinzon-Guzman Carolina, Albaugh Vance L., Rzucidlo Susan E., Schubart Jane R., Cilley Robert E., Pleural Effusion following Blunt Splenic Injury in the Pediatric Trauma Population, Journal of Pediatric Surgery (2014), doi: 10.1016/j.jpedsurg.2014.01.002
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Pleural Effusion following Blunt Splenic Injury in the Pediatric Trauma Population
T
Authors: Afif N. Kulaylat, MD1; Brett W. Engbrecht, MD, MPH1 ; Carolina Pinzon-Guzman,
RI P
MD, PhD2; Vance L. Albaugh, MD, PhD2; Susan E. Rzucidlo, RN, MSN1; Jane R. Schubart, PhD3 ; Robert E. Cilley, MD†1
SC
1 Division of Pediatric Surgery, Penn State Hershey Children’s Hospital* 2 Department of Surgery, Vanderbilt University Medical Center^
NU
3 Department of Public Health Sciences, Penn State Hershey Medical Center* *Hershey, Pennsylvania, USA
MA
^Nashville, Tennessee, USA † Correspondence:
ED
Robert E. Cilley, MD
Division of Pediatric Surgery, Department of Surgery
PT
Penn State Hershey Children’s Hospital
Penn State Milton S. Hershey Medical Center
AC CE
500 University Drive Hershey, PA 17033 Tel: 717-531-8342
Fax: 717-531-4185
Email: [email protected]
Conflict of interest: All authors report no potential conflicts of interest Financial support: No internal or external financial support was used for this report. Acknowledgments: We would like to thank Arthur Berg, PhD for his contributions to this project. *Title Page ABSTRACT Background: Pleural effusion is a potential complication following blunt splenic injury. The
ACCEPTED MANUSCRIPT
incidence, risk factors, and clinical management are not well described in children.
RI P
pediatric trauma registry identified 318 children with blunt splenic injury.
T
Methods: 10-year retrospective review (January 2000-December 2010) of an institutional
Results: Of 274 evaluable non-operatively managed pediatric blunt splenic injures, 12 patients
SC
(4.4%) developed left-sided pleural effusions. 7 of 12 patients (58%) required left-sided tube thoracostomy for worsening pleural effusion and respiratory insufficiency. Median time from
NU
injury to diagnosis of pleural effusion was 1.5 days. Median time from diagnosis to tube thoracostomy was 2 days. Median length of stay was 4 days for those without- and 7.5 days for
MA
those with pleural effusions (p
S0022-3468(14)00010-4 doi: 10.1016/j.jpedsurg.2014.01.002 YJPSU 56632
To appear in:
Journal of Pediatric Surgery
Received date: Revised date: Accepted date:
11 October 2013 15 January 2014 17 January 2014
Please cite this article as: Kulaylat Afif N., Engbrecht Brett W., Pinzon-Guzman Carolina, Albaugh Vance L., Rzucidlo Susan E., Schubart Jane R., Cilley Robert E., Pleural Effusion following Blunt Splenic Injury in the Pediatric Trauma Population, Journal of Pediatric Surgery (2014), doi: 10.1016/j.jpedsurg.2014.01.002
This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
Title: Pleural Effusion following Blunt Splenic Injury in the Pediatric Trauma Population
T
Authors: Afif N. Kulaylat, MD1; Brett W. Engbrecht, MD, MPH1 ; Carolina Pinzon-Guzman,
RI P
MD, PhD2; Vance L. Albaugh, MD, PhD2; Susan E. Rzucidlo, RN, MSN1; Jane R. Schubart, PhD3 ; Robert E. Cilley, MD†1
SC
1 Division of Pediatric Surgery, Penn State Hershey Children’s Hospital* 2 Department of Surgery, Vanderbilt University Medical Center^
NU
3 Department of Public Health Sciences, Penn State Hershey Medical Center* *Hershey, Pennsylvania, USA
MA
^Nashville, Tennessee, USA † Correspondence:
ED
Robert E. Cilley, MD
Division of Pediatric Surgery, Department of Surgery
PT
Penn State Hershey Children’s Hospital
Penn State Milton S. Hershey Medical Center
AC CE
500 University Drive Hershey, PA 17033 Tel: 717-531-8342
Fax: 717-531-4185
Email: [email protected]
Conflict of interest: All authors report no potential conflicts of interest Financial support: No internal or external financial support was used for this report. Acknowledgments: We would like to thank Arthur Berg, PhD for his contributions to this project. *Title Page ABSTRACT Background: Pleural effusion is a potential complication following blunt splenic injury. The
ACCEPTED MANUSCRIPT
incidence, risk factors, and clinical management are not well described in children.
RI P
pediatric trauma registry identified 318 children with blunt splenic injury.
T
Methods: 10-year retrospective review (January 2000-December 2010) of an institutional
Results: Of 274 evaluable non-operatively managed pediatric blunt splenic injures, 12 patients
SC
(4.4%) developed left-sided pleural effusions. 7 of 12 patients (58%) required left-sided tube thoracostomy for worsening pleural effusion and respiratory insufficiency. Median time from
NU
injury to diagnosis of pleural effusion was 1.5 days. Median time from diagnosis to tube thoracostomy was 2 days. Median length of stay was 4 days for those without- and 7.5 days for
MA
those with pleural effusions (p
