Factors predictive of immobilization complications in pediatric polytrauma

Randall Loder, L. J. Gullahorn, E. H. Yian, M. R. Ferrick, D. S. Raskas, M. L V H Greenfield

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objectives: To determine in a cohort of children with polytrauma which variables are predictive of the development of complications related to immobilization. Design: A retrospective study of children with polytrauma and at least one major musculoskeletal injury. A stepwise forward logistic regression analysis was used to determine variables predictive of complications related to immobilization. Participants: Ninety-three children with polytrauma were studied; motor vehicle incidents accounted for 80 percent of the injuries. The average age was 8.0 ± 4.1 years. There were 152 fractures in the ninety-three children. The average Modified Injury Severity Scale (MISS) was 24.5 ± 13.6. There were thirty-five complications in twenty-two children, and four children died. Results: Two variables were predictive of complications related to immobilization: age and MISS score. Complications related to immobilization were positively associated with being older than seven years of age (p = 0.027; odds ratio = 9.5; 95 percent confidence interval 1.4, 64.9) and having a MISS score greater than forty (p = 0.005; OR = 14.1; 95 percent confidence interval 2.2, 89.1). Timing of surgery showed a trend (p = 0.097) but did not reach statistical significance. Conclusions: Complications of immobilization in children with polytrauma are associated with age greater than seven years and a MISS score greater than forty. Further study is needed to evaluate the effect of early fracture stabilization. Timing of osteosynthesis showed a trend but did not reach statistical significance in this study.

Original languageEnglish (US)
Pages (from-to)338-341
Number of pages4
JournalJournal of Orthopaedic Trauma
Volume15
Issue number5
DOIs
StatePublished - 2001
Externally publishedYes

Fingerprint

Multiple Trauma
Immobilization
Pediatrics
Injury Severity Score
Wounds and Injuries
Confidence Intervals
Motor Vehicles
Retrospective Studies
Logistic Models
Odds Ratio
Regression Analysis

Keywords

  • Children
  • Complications
  • Fracture
  • Immobilization
  • Osteosynthesis
  • Polytrauma

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Loder, R., Gullahorn, L. J., Yian, E. H., Ferrick, M. R., Raskas, D. S., & Greenfield, M. L. V. H. (2001). Factors predictive of immobilization complications in pediatric polytrauma. Journal of Orthopaedic Trauma, 15(5), 338-341. https://doi.org/10.1097/00005131-200106000-00006

Factors predictive of immobilization complications in pediatric polytrauma. / Loder, Randall; Gullahorn, L. J.; Yian, E. H.; Ferrick, M. R.; Raskas, D. S.; Greenfield, M. L V H.

In: Journal of Orthopaedic Trauma, Vol. 15, No. 5, 2001, p. 338-341.

Research output: Contribution to journalArticle

Loder, R, Gullahorn, LJ, Yian, EH, Ferrick, MR, Raskas, DS & Greenfield, MLVH 2001, 'Factors predictive of immobilization complications in pediatric polytrauma', Journal of Orthopaedic Trauma, vol. 15, no. 5, pp. 338-341. https://doi.org/10.1097/00005131-200106000-00006
Loder, Randall ; Gullahorn, L. J. ; Yian, E. H. ; Ferrick, M. R. ; Raskas, D. S. ; Greenfield, M. L V H. / Factors predictive of immobilization complications in pediatric polytrauma. In: Journal of Orthopaedic Trauma. 2001 ; Vol. 15, No. 5. pp. 338-341.
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AU - Raskas, D. S.

AU - Greenfield, M. L V H

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N2 - Objectives: To determine in a cohort of children with polytrauma which variables are predictive of the development of complications related to immobilization. Design: A retrospective study of children with polytrauma and at least one major musculoskeletal injury. A stepwise forward logistic regression analysis was used to determine variables predictive of complications related to immobilization. Participants: Ninety-three children with polytrauma were studied; motor vehicle incidents accounted for 80 percent of the injuries. The average age was 8.0 ± 4.1 years. There were 152 fractures in the ninety-three children. The average Modified Injury Severity Scale (MISS) was 24.5 ± 13.6. There were thirty-five complications in twenty-two children, and four children died. Results: Two variables were predictive of complications related to immobilization: age and MISS score. Complications related to immobilization were positively associated with being older than seven years of age (p = 0.027; odds ratio = 9.5; 95 percent confidence interval 1.4, 64.9) and having a MISS score greater than forty (p = 0.005; OR = 14.1; 95 percent confidence interval 2.2, 89.1). Timing of surgery showed a trend (p = 0.097) but did not reach statistical significance. Conclusions: Complications of immobilization in children with polytrauma are associated with age greater than seven years and a MISS score greater than forty. Further study is needed to evaluate the effect of early fracture stabilization. Timing of osteosynthesis showed a trend but did not reach statistical significance in this study.

AB - Objectives: To determine in a cohort of children with polytrauma which variables are predictive of the development of complications related to immobilization. Design: A retrospective study of children with polytrauma and at least one major musculoskeletal injury. A stepwise forward logistic regression analysis was used to determine variables predictive of complications related to immobilization. Participants: Ninety-three children with polytrauma were studied; motor vehicle incidents accounted for 80 percent of the injuries. The average age was 8.0 ± 4.1 years. There were 152 fractures in the ninety-three children. The average Modified Injury Severity Scale (MISS) was 24.5 ± 13.6. There were thirty-five complications in twenty-two children, and four children died. Results: Two variables were predictive of complications related to immobilization: age and MISS score. Complications related to immobilization were positively associated with being older than seven years of age (p = 0.027; odds ratio = 9.5; 95 percent confidence interval 1.4, 64.9) and having a MISS score greater than forty (p = 0.005; OR = 14.1; 95 percent confidence interval 2.2, 89.1). Timing of surgery showed a trend (p = 0.097) but did not reach statistical significance. Conclusions: Complications of immobilization in children with polytrauma are associated with age greater than seven years and a MISS score greater than forty. Further study is needed to evaluate the effect of early fracture stabilization. Timing of osteosynthesis showed a trend but did not reach statistical significance in this study.

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