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Analyzed 312 records, 65 selected according to the inclusion criteria, 13.8% underwent a SI in the first 12 hours of hospitalization, 86.1% in the EM, and underwent surgery after 12… Click to show full abstract
Analyzed 312 records, 65 selected according to the inclusion criteria, 13.8% underwent a SI in the first 12 hours of hospitalization, 86.1% in the EM, and underwent surgery after 12 hours (4.6%). Mortality in patients submitted to SI was 20%; in patients submitted to EM was 3.6%. Hepatic lesions were related to lighter severity and splenic staging with more severe lesions (p-value = 0.048). The main variable related to the need for an initial SI was low hematocrit at admission (p-value = 0.0156), 27.7% of these patients underwent initial SI and among those with normal hematocrit, only 5.2%. We observed a transfusion ratio with the need for ICU admission (p-value = 0.0124).
Journal Title: Pediatric Critical Care Medicine
Year Published: 2018
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