Abstract：
BACKGROUND:Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. METHODS:We conducted a descriptive, retrospective chart review to identify all pregnant trauma patients between Jan 1993 and Sept 2013. Pediatric was ≤18 years of age. We evaluated demographics, mechanism of injury, injury location, disposition, and outcome data. RESULTS:We treated 438 pregnant patients at our center over 20 years. 378 (86%) were adult and 60 (14%) were pediatric. Intentional injuries occurred in 89 (20%) patients. The pediatric pregnant patients experienced a significantly higher proportion of intentional, interpersonal violence (33% vs. 18%, p = 0.007) compared to adults. Patients presenting after intentional, interpersonal violence had a higher mortality compared to non-intentional 5% vs 1% (p = 0.019). CONCLUSIONS:Pediatric pregnant trauma patients remain at risk of interpersonal violence, especially firearm-related injury. Screening should be instituted by obstetricians and pediatricians for primary prevention.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Zakrison TL,Ruiz X,Namias N,Crandall Mdoi
10.1016/j.amjsurg.2017.07.003subject
Has Abstractpub_date
2017-10-01 00:00:00pages
596-598issue
4eissn
0002-9610issn
1879-1883pii
S0002-9610(17)30239-8journal_volume
214pub_type
杂志文章abstract：:Computerized tomographic scanning is being used with increasing frequency for the detection of abdominal aortic prosthetic complications. Although computerized tomography remains a very precise method for direct imaging of the retroperitoneal space, the interpretation of a postoperative computerized tomographic scan i...
journal_title：American journal of surgery
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abstract：:Following its introduction in 1993, the LAP-BAND (INAMED Health, Santa Barbara, CA) has been used extensively across the world for the treatment of obesity, and data on safety and effectiveness are now available. This review draws on the literature and our own clinical patient base to provide an overview of the early ...
journal_title：American journal of surgery
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abstract：BACKGROUND:Preoperative imaging for early-stage cutaneous melanoma is not recommended by current guidelines. Our goal was to investigate our institutional usage and utility. METHODS:Patients with clinically node-negative cutaneous melanoma undergoing surgery with sentinel lymph node biopsy were identified retrospectiv...
journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 杂志文章
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journal_title：American journal of surgery
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journal_title：American journal of surgery
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更新日期：2014-03-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
doi：10.1016/j.amjsurg.2013.08.001
更新日期：2013-11-01 00:00:00
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 临床试验,杂志文章
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更新日期：2018-10-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,随机对照试验
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更新日期：2008-11-01 00:00:00
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journal_title：American journal of surgery
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更新日期：2014-10-01 00:00:00
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journal_title：American journal of surgery
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doi：
更新日期：2000-02-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1987-12-01 00:00:00
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journal_title：American journal of surgery
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1987-08-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1978-08-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,多中心研究
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更新日期：2006-01-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章,多中心研究
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更新日期：2014-08-01 00:00:00
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journal_title：American journal of surgery
pub_type： 杂志文章
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更新日期：1996-07-01 00:00:00
