June 2011. Volume 7. Number 2

Pelvic radiography should not be routinely performed in the study of blunt trauma

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Wong AT, Brady KB, Caldwell AM, Graber NM, Rubin DH, Listman DA. Low-risk criteria for pelvic radiography in pediatric blunt trauma patients. Pediatr Emerg Care. 2011;2:92-6.
Reviewers: Andrés de Llano JM1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
2Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
Correspondence: Jesús María Andrés de Llano. Email: jmandres@ono.com
Reception date: 13/04/2011
Acceptance date: 14/04/2011
Publication date: 20/04/2011

Abstract

Authors’ conclusions: using the clinical findings of: 1) lack of lower extremity injuries, 2) lack of an abnormal physical pelvis examination, and 3) no need for abdominopelvic computerized tomography, pelvic fracture can be reliably excluded. Pelvic radiography can be eliminated in the evaluation of these patients, potentially decreasing time expenditure, radiation exposure, and cost.

Reviewers’ commentary: the risk of pelvic fracture in children with blunt trauma is very low, especially if there are no lower extremity injuries, the physical examination of the pelvis is normal and there is no need for abdominopelvic computerized tomography. It seems questionable the systematic implementation of pelvic radiography in these patients. However, it is necessary to validate these predictors of low risk in new independent and sufficiently numerous samples of patients before incorporating them to our clinical practice guidelines.

How to cite this article

Andrés de Llano J, Ochoa Sangrador C. La radiografía de pelvis no debe hacerse de forma sistemática en el estudio de traumatismos cerrados. Evid Pediatr 2011;7:39.

AVC | Critically appraised articles

Wong AT, Brady KB, Caldwell AM, Graber NM, Rubin DH, Listman DA. Low-risk criteria for pelvic radiography in pediatric blunt trauma patients. Pediatr Emerg Care. 2011;2:92-6.
Reviewers: Andrés de Llano JM1, Ochoa Sangrador C2.
1Servicio de Pediatría. Hospital General del Río Carrión. Palencia. España.
2Servicio de Pediatría. Hospital Virgen de la Concha. Zamora. España.
Correspondence: Jesús María Andrés de Llano. Email: jmandres@ono.com
Reception date: 13/04/2011
Acceptance date: 14/04/2011
Publication date: 20/04/2011

How to cite this article

Andrés de Llano J, Ochoa Sangrador C. La radiografía de pelvis no debe hacerse de forma sistemática en el estudio de traumatismos cerrados. Evid Pediatr 2011;7:39.

References

  1. Rees MJ, Aickin R, Kolbe A, Teele RL. The screening pelvic radiograph in pediatric trauma. Pediatr Radiol. 2001;31:497-500.
  2. Kevill K, Wong AM, Goldman HS, Gershel JC. Is a complete trauma series indicated for all pediatric trauma victims? Pediatr Emerg Care. 2002;18:75-7.
  3. Ochoa Sangrador C. Valoración crítica de estudios sobre reglas de predicción clínica. Evid Pediatr. 2009;5:52.
  4. Junkins EP, Furnival RA, Bolte RG. The clinical presentation of pediatric pelvic fractures. Pediatr Emerg Care. 2001;17:15-8.
20/04/2011

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