[Whole-body-CT in Severely Injured Children. Results of Retrospective, Multicenter Study with Patients from the TraumaRegsiter DGU®].

Abstract:

BACKGROUND:A fast and comprehensive diagnostic by means of whole-body CT has been shown to reduce mortality in the adult trauma population. Therefore whole-body CT seems to be the standard in adult trauma-patients. Due to the higher radiation exposure of whole-body CT the use of this diagnostic toll in pediatric trauma patients is still under debate. It is not yet clear if whole-body CT in children can increase the probability of survival. METHOD:In a retrospective, multicenter study, we used the data recorded in the TraumaRegister DGU(®) to calculate the probability of survival according to the revised injury severity classification (RISC) and standardized mortality ratio (SMR). The SMR reflects the ratio of recorded to expected mortality. Included in the study were all children (1-15 years) and adults (16-50 years) with an Injury Severity Score (ISS)>9, who were directly admitted to the hospital from the scene of accident. We compared the groups of patients given whole-body CT or non-whole-body CT. Subgroup analysis was performed for children 1-9 years, children 10-15 years and adults. RESULTS:A total of 1,456 pediatric trauma patients (mean age 9.9 years) and 20,796 adults (mean age 32.7 years) were included in the study. In contrast to adult trauma patients, were the SMR in the whole-body CT group was significant lower; we observed no advantage for the whole-body CT in pediatric trauma patients. CONCLUSION:Due to the missing advantage of whole-body CT in the pediatric trauma population and the higher radiation exposure of whole-body CT a non-whole-body CT approach seems equivalent with a lower radiation exposure.

journal_name

Klin Padiatr

journal_title

Klinische Padiatrie

authors

Hilbert-Carius P,Hofmann GO,Lefering R,Stuttmann R,Bucher M,Goebel P,Gronwald GH

doi

10.1055/s-0035-1547311

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

206-12

issue

4

eissn

0300-8630

issn

1439-3824

journal_volume

227

pub_type

杂志文章,多中心研究
  • Bacteriological quality control in a human milk bank.

    abstract::The best nutrient for newborn babies is breast milk and preferably provided via breast feeding. Pooled human milk must be used when the babies' own mother's milk is not available. Very often pooled milk is pasteurised. Recent studies, however, suggest avoidance of any sterilisation procedures in view of the decreased ...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1033821

    authors: Ikonen RS,Miettinen A,Grönroos P

    更新日期:1982-09-01 00:00:00

  • Early and long term outcome in children with esophageal atresia treated over the last 22 years.

    abstract:BACKGROUND:The survival of infants born with esophageal atresia (EA) is > 90% at present. The purpose of this study was to evaluate early complications and long term outcome in children with EA treated at our institution. METHODS AND PATIENTS:Retrospective analysis of 111 children with EA undergoing repair of EA or tr...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-0030-1249610

    authors: Lacher M,Froehlich S,von Schweinitz D,Dietz HG

    更新日期:2010-09-01 00:00:00

  • [Introduction and critical comparison of clinical scores for characterizing the degree of morbidity of patients with cystic fibrosis].

    abstract::Scoring systems for evaluation of the degree of severity in patients with cystic fibrosis are critically evaluated. Cross-sectional comparison of Shwachman's score, Cooperman's score, Taussig-NIH score, Bernese score and Huang score reveals that advantages and disadvantages of each score exist. In early days used as a...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2007-1025188

    authors: Schöni MH

    更新日期:1993-01-01 00:00:00

  • [Elimination of fat emulsions of various concentrations from the blood. Observational study in the intravenous administration of Lipovenös 10% and 20% in premature infants with very low birth weight].

    abstract::Within the scope of an observation study 40 premature low birth weight infants requiring parenteral nutrition received either 10% or 20% lipid emulsions (Lipovenös) for 7 days. The 10% lipid emulsion differs from the 20% lipid emulsion in the higher phospholipid/triglyceride-ratio (0.06 resp. 0.12). Lipid infusion was...

    journal_title:Klinische Padiatrie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-1025318

    authors: Hanssler L,Schlotzer E,Blenkers B,Roll C,Zhou C,Kordass U

    更新日期:1992-01-01 00:00:00

  • [Intensive care in pediatrics (author's transl)].

    abstract::Centralized treatment of critically ill pediatric patients and related problems are presented. Pediatric intensive care allows to overbridge deranged or interrupted organ functions while simultaneously treating the disease causing the disturbance. Its efficiency depends on continuity of medical care. Medical and nursi...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1035616

    authors: Wille L

    更新日期:1980-09-01 00:00:00

  • [Reference values for the concentration of free thyroxine and free triiodothyronine in the serum of euthyroid children].

    abstract::Concentrations of free thyroxine (n = 341, male = 205, female = 136) and free triiodothyronine (n = 318, male = 198, female = 120) were determined using the radioimmunoassay method in blood serum of euthyroid children. Beyond the 30. day of life no significant differences were found in different age groups for the fre...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026821

    authors: Liappis N,Starke A

    更新日期:1987-09-01 00:00:00

  • Ceftriaxone alone or in Combination with Teicoplanin in the Management of Febrile Episodes in Neutropenic Children and Adolescents with Cancer on an Outpatient Base.

    abstract:STUDY OBJECTIVE:This study prospectively investigated the outpatient once daily therapy with ceftriaxone alone or if necessary in combination with teicoplanin, in the treatment of infections in children and adolescents with chemotherapy-induced neutropenia or aplastic anemia. PATIENTS:42 patients 1-22 years of age suf...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2007-1025240

    authors: Preis S,Jürgens H,Friedland C,Oudekotte-David AA,Thomas L,Göbel U

    更新日期:1993-07-01 00:00:00

  • [Effectiveness and complications of percutaneous central venous catheters in neonatal intensive care].

    abstract::Low birth weight babies and sick full-term babies, who require total parenteral nutrition and repeated intravenous applications of drugs, which irritate peripheral veins, very often need a reliable central venous catheter. The aim of our paper was to study prospectively the efficiency and the complications of peripher...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1046574

    authors: Sterniste W,Vavrik K,Lischka A,Sacher M

    更新日期:1994-01-01 00:00:00

  • [Liposomal daunorubicine combined with cytarabine in the treatment of relapsed/refractory acute myeloid leukemia in children].

    abstract:BACKGROUND:First-line treatment in AML commonly included high cumulative doses of anthracyclines with an increasing risk of cardiotoxicity. Liposomal daunorubicin (L-DNR) is thought to be less cardiotoxic without impairment of efficacy. METHODS:The AML-BFM REZ 97 study included two reinduction blocks with L-DNR (2 x 6...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2002-33185

    authors: Reinhardt D,Hempel G,Fleischhack G,Schulz A,Boos J,Creutzig U

    更新日期:2002-07-01 00:00:00

  • Prospective multicenter registration of major late sequelae in sarcoma patients using the Late Effects Surveillance System (LESS).

    abstract:BACKGROUND:Late effects become progressively more important for the evaluation of therapeutic success in paediatric oncology. Thus, in 1998, the Late Effects Surveillance System (LESS) started to register and assess multicentrally, prospectively and longitudinally late effects of treatment for the group of Ewing's, sof...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2005-836503

    authors: Langer T,Stöhr W,Paulides M,Kremers A,Dörr HG,Göbel U,Beck JD

    更新日期:2005-05-01 00:00:00

  • [Heroin withdrawal syndrome in newborns (author's transl].

    abstract::A case of a severe heroin withdrawal syndrom in a newborn infant is reported. Diagnostic and therapeutic aspects of the disease are reviewed. ...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:

    authors: Petrich C,Voss HV,Bretschneider A,Göbel U

    更新日期:1976-11-01 00:00:00

  • [12 years Austrian newborn screening for inborn errors of metabolism. Results with special reference to phenylketonuria, hyperphenylalaninemia and histidinemia (author's transl)].

    abstract::The Austrian Screening Program performed during the last 12 years 5,833.381 tests in 1,003.841 newborns to detect at last 10 different disorders. 225 cases were uncovered: 81 PKU, 1 Dihydropteridine-Reductase-Deficiency, 37 Hyperphenylalaninemias of long duration, 23 Galactosemias by Transferase deficiency, 6 by Kinas...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1035649

    authors: Thalhammer O,Scheibenreiter S,Knoll E,Wehle E,Schön R

    更新日期:1980-11-01 00:00:00

  • Probiotics for prevention of necrotising enterocolitis: an updated meta-analysis.

    abstract::Several randomized controlled trials (RCTs) have investigated the prophylactic use of probiotics in preterm infants aimed at reducing the rate of necrotising enterocolitis (NEC). There are 4 meta-analyses on this subject. 2 more RCTs have been published since these meta-analyses were completed. Each meta-analysis, as ...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0030-1254113

    authors: Guthmann F,Kluthe C,Bührer C

    更新日期:2010-09-01 00:00:00

  • [Significance of measurement of the oscillatory resistance to respiration in children. (author's transl)].

    abstract::The oscillatory resistance to respiration (Ros) was measured in 218 children and 260 adults using the Siregnost FD5 (Siemens, Erlangen), and compared with whole body plethysmography (Raw) and with spirometry. There was a markedly better correlation between Ros and Raw (r=0.82;n=88) in children than in adults (r=0.53;n...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1034434

    authors: Berdel D,Holle JP,Hartmann V,Magnussen H

    更新日期:1981-03-01 00:00:00

  • [Cerebral AV fistula with cardiac insufficiency in newborns (author's transl)].

    abstract::A case of arteriovenous aneurysm of the great vein of Galen with congestive heart failure in a newborn infant is presented. Efficiancy of medical management and stop of growth of the head circumference point towards a good prognosis. Patients with this malformation have been divided into four clinical groups presentin...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:

    authors: Beitzke A,Zach M,Gypser G,Schreyer H

    更新日期:1977-09-01 00:00:00

  • [Sweat testing practices in German cystic fibrosis centres].

    abstract:BACKGROUND:Surveys in USA and UK have shown inconsistencies between practice of sweat testing and guidelines of the National Committee for Clinical Laboratory Standards (NCCLS), which could increase the risk of false-positive and -negative results. To determine the current practice of sweat testing in German cystic fib...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2007-872458

    authors: Naehrlich L

    更新日期:2007-03-01 00:00:00

  • [NHL-BFM 90 therapy study in treatment of malignant non-Hodgkin's lymphoma in children and adolescents. Part 3: An intermediate term analysis of the B-NHL/B-ALL].

    abstract::The aims of trial NHL-BFM 90 for patients (pts) suffering from B-cell neoplasms are to prove whether: 1. Treatment for pts with complete resection can be reduced from 3 to 2 therapy courses; 2. Results for pts of stage III with large abdominal tumors can be improved by high dose (HD) chemotherapy; 3. Survival for pts ...

    journal_title:Klinische Padiatrie

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1055/s-2008-1046610

    authors: Reiter A,Schrappe M,Yakisan E,Sauter S,Ebell W,Zimmermann M,Hartmann W,Kremens B,Kuhn N,Claviez A

    更新日期:1994-07-01 00:00:00

  • [The West-Berlin therapy study of acute lymphoblastic leukemia in childhood--report after 6 years].

    abstract::During the last 6 years 73 previously untreated children and adolescents with acute lymphoblastic leukemia were enrolled on a non-randomized therapy protocol. In this longitudinal study the specific accent was put on the intensified induction treatment of 8 weeks' duration which was thought to achieve a higher remissi...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-0033-1337959

    authors: Riehm H,Gadner H,Welte K

    更新日期:2013-05-01 00:00:00

  • [Pseudoarthrosis in neurofibromatosis type 1].

    abstract::Neurofibromatosis type 1 (NF1) is the most common neurocutaneous disease. The clinical manifestations are diverse. Some of the skeletal changes are most relevant to the patient. We report on 9 patients with NF1 who presented with typical pseudarthrosis. In 8 of these children the lower extremity was involved. In 2 cas...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2000-9647

    authors: Ramelli GP,Slongo T,Weis J,Tschäppler H,Vassella F

    更新日期:2000-01-01 00:00:00

  • [Between heaven and hell - children's emotional perception of stemcell transplantation].

    abstract::The following paper is the manuscript of an oral presentation during the annual GPOH meeting on May 22nd, 2000 in Berlin. Following her experiences as a member of the psychosocial care team of a children's cancer unit the author discusses the emotional impact of stemcell or bone marrow transplantation in children. Psy...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2001-16857

    authors: Griessmeier B

    更新日期:2001-07-01 00:00:00

  • Is there a predictive value of EEG and MRI after a first afebrile seizure in children?

    abstract:BACKGROUND:After a first afebrile seizure, EEG in addition to cMRI is recommended for pediatric patients. Once indications requiring immediate treatment are excluded, it is of interest to determine if the results provide a prognostic tool for seizure relapses. METHODS:Patients aged between 1 month and 18 years who had...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1394421

    authors: Tews W,Weise S,Syrbe S,Hirsch W,Viehweger A,Merkenschlager A,Bertsche A,Kiess W,Bernhard MK

    更新日期:2015-03-01 00:00:00

  • Betulinic acid: a new chemotherapeutic agent in the treatment of neuroectodermal tumors.

    abstract::We identified betulinic acid (BetA) as a new cytotoxic agent active against neuroectodermal tumor cells including neuroblastoma, medulloblastoma, glioblastoma and Ewing's sarcoma cells representing the most common solid tumors of childhood. BetA induced apoptosis independent of wild-type p53 protein and accumulation o...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1043808

    authors: Fulda S,Jeremias I,Pietsch T,Debatin KM

    更新日期:1999-07-01 00:00:00

  • [Unusual course of a Guillain-Barré syndrome in connection with an RS-Virus infection in a 10 months old infant].

    abstract::Guillain Barré syndrome (GBS; Synonyma: Polyneuritis, Polyradikulitis) is an acute, inflammatory, demyelinating disease of the peripheral nerve system. Clinical hallmarks are symmetric muscle paralysis, areflexia and pronounced autonomic disturbances. Respiratory failure and cardiovascular instability are the main rea...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2007-971050

    authors: Erler T,Weidner B,Wetzel U,Grunske A

    更新日期:2008-03-01 00:00:00

  • [Therapy of iodine deficiency goiter in adolescents with iodine or a combination of iodine and levothyroxine with special reference to lipid parameters].

    abstract::The are various opinions about the optimal therapy of endemic goiter in adolescents. From 106 patients (75 girls) suffering from endemic goiter 50 patients (group A) were treated with 300 micrograms iodine per day and 56 patients (group B) with 100 micrograms iodine plus 100 micrograms levothyroxine per day. Before th...

    journal_title:Klinische Padiatrie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2008-1046460

    authors: Rönnefarth G,Kauf E,Deschner F,Forberger M

    更新日期:1996-05-01 00:00:00

  • [Fertility Preservation in Prepubertal und Pubertal Children and Adolescents].

    abstract:BACKGROUND:Due to rising survival rates in cancer and autoimmune diseases fertility preservation before gonadotoxic therapies has become increasingly important. Although fertility can be significantly affected by gonadotoxic therapies, the possibility of fertility preservation during childhood has not been sufficiently...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-0044-100396

    authors: Sänger N,Jarisch A,Ochsendorf F,Klingebiel T,Liebenthron J,Kliesch S,von Wolff M

    更新日期:2018-02-08 00:00:00

  • [Sonography of the larynx in children. New perspectives due to the use of computerized sonography: 2: Sonographic findings in a case of laryngeal papillomatosis].

    abstract::On our opinion one important indication for sonographic diagnosis in future are masses in the larynx area: in infancy or childhood mainly laryngeal papillomatosis. In one of our boy patients with massive laryngeal papillomatosis laser surgery was first performed at 15 months of age. After a second and third procedure ...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2007-1025304

    authors: Grunert D,Schöning M,Stier B,Klingebiel T

    更新日期:1989-05-01 00:00:00

  • [Left flank tumor of fluctuating size in a 5-week-old boy: perirenal urinoma caused by urethral valves].

    abstract:BACKGROUND:Flank swelling and pseudotumors of the kidney are unusual manifestations of obstructive uropathies in small children. Our case illustrates typical problems and briefly reviews management options. CASE REPORT:A 5-week-old boy presented with a large, palpable urinoma due to posterior urethral valves. Sonograp...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2006-933545

    authors: von Schnakenburg C,Dorn A,Jacobi C,Fisch D,Pohl M,Frankenschmidt A

    更新日期:2006-09-01 00:00:00

  • [Arthogryposis multiplex congenita with neurogenic atrophy and brachydactyly (author's transl)].

    abstract::Case report of arthrogryposis multiplex congenita with histologically proved neutrogene atrophy of muscles. The also existing reduction deformities of the limbs, showing aplasia and hypoplasia of phalanges may hypothetically be of neuropathic origin. ...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:

    authors: Eckel U,Spranger J,Klein H

    更新日期:1979-05-01 00:00:00

  • [Integration of psychosocial services into the management of the child with cancer].

    abstract::The integration of colleagues from psychosocial occupations into the traditional team of doctors and nurses demands a holistic treatment concept, the general desire for interdisciplinary action, and readiness for patience in the process of mutual learning. The acceptance of the psychosocial services by the patient and...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2008-1026726

    authors: Janssen F

    更新日期:1989-07-01 00:00:00

  • 15 parameters of coagulation and fibrinolysis in children with type I diabetes mellitus (onset period).

    abstract::15 parameters of coagulation and fibrinolysis were investigated in 38 children with type I diabetes mellitus without clinical signs of diabetic angiopathy. Compared to an age matched non diabetic control group spontaneous platelet aggregation was enhanced, plasma levels for factor VIII C, von Willebrand factor, antith...

    journal_title:Klinische Padiatrie

    pub_type: 杂志文章

    doi:10.1055/s-2007-1025468

    authors: Koert M,Nowak-Göttl U,Kreuz W,Grüttner HP,Kornhuber B,Breddin HK

    更新日期:1991-11-01 00:00:00