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Surgical outcomes of pancreaticoduodenal injuries in children

Overview of attention for article published in Pediatric Surgery International, April 2018
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Title
Surgical outcomes of pancreaticoduodenal injuries in children
Published in
Pediatric Surgery International, April 2018
DOI 10.1007/s00383-018-4249-x
Pubmed ID
Authors

Micah G. Katz, Stephen J. Fenton, Kathryn W. Russell, Eric R. Scaife, Scott S. Short

Abstract

To examine surgical outcomes of children with pancreaticoduodenal injuries at a Quaternary Level I pediatric trauma center. We queried a prospectively maintained trauma database of a level one pediatric trauma center for all cases of pancreatic and/or duodenal injury from 2002 to 2017. Analysis was conducted using JMP 13.1.0. 170 children presented with pancreatic and/or duodenal injury. 13 (7.7%) suffered a combined injury and this group forms the basis for this report with mean ISS of 22.8 (± 15.1), RTS2 of 6.4(± 2.1), and median age of 6.6 (1.3-13.5) years. Child abuse (31%) and bicycle injuries (23%) were the most common mechanisms. 8/13 (61.5%) required operative intervention. Higher AAST pancreatic and duodenal injury grade (2.9 vs. 1.2, p = 0.05 and 3.6 vs. 1.4, p = < 0.01), lower RTS2 (7.84 vs. 5.49, p < 0.01), and lower GCS (9.6 vs. 15, p = 0.03) predicted operative intervention. 6/8 (75%) undergoing surgery survived to discharge with only (2/6) survivors suffering postoperative complications. Both mortalities were secondary to severe traumatic brain injury. Surgical management of complex pancreaticoduodenal injury is an uncommon traumatic event that is associated with high injury severity, but survival occurs in most scenarios.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 41 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 6 15%
Student > Bachelor 5 12%
Student > Doctoral Student 4 10%
Other 4 10%
Student > Ph. D. Student 3 7%
Other 8 20%
Unknown 11 27%
Readers by discipline Count As %
Medicine and Dentistry 14 34%
Psychology 4 10%
Environmental Science 2 5%
Nursing and Health Professions 1 2%
Computer Science 1 2%
Other 4 10%
Unknown 15 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 May 2018.
All research outputs
#17,944,820
of 23,041,514 outputs
Outputs from Pediatric Surgery International
#689
of 1,268 outputs
Outputs of similar age
#239,453
of 329,678 outputs
Outputs of similar age from Pediatric Surgery International
#13
of 21 outputs
Altmetric has tracked 23,041,514 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,268 research outputs from this source. They receive a mean Attention Score of 2.4. This one is in the 41st percentile – i.e., 41% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 329,678 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one is in the 38th percentile – i.e., 38% of its contemporaries scored the same or lower than it.