Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring
| العنوان: | Characteristics of Pediatric Patients With Retained Bullet Fragments and Need for Follow-Up Blood Lead Monitoring |
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| المؤلفون: | Joshua Haupt, Nipam Shah, Todd Fleenor, Kathleen R. Richard, Michele H. Nichols |
| المصدر: | Southern Medical Journal. 113:23-28 |
| بيانات النشر: | Southern Medical Association, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Poison control, Interquartile range, Internal medicine, medicine, Humans, Prospective Studies, Child, Prospective cohort study, Retrospective Studies, Hematologic Tests, medicine.diagnostic_test, business.industry, Retrospective cohort study, General Medicine, Emergency department, Foreign Bodies, medicine.disease, Lead Poisoning, medicine.anatomical_structure, Lead, Child, Preschool, Abdomen, Female, Wounds, Gunshot, Blood lead level, Gunshot wound, Emergency Service, Hospital, business, Follow-Up Studies |
| الوصف: | OBJECTIVES Multiple case reports of lead toxicity related to retained bullet fragments in pediatric patients sustaining gunshot wound have been published. The purpose of the present study was to determine whether the demographic and clinical characteristics of gunshot wounds (GSWs) could be classified high/low risk and whether routine blood lead monitoring is necessary in these patients. METHODS A single-center prospective case series of pediatric GSW patients presenting to the emergency department (ED). The data points that were collected and analyzed included age, sex, race, wound location, disposition, and baseline and follow-up lead levels within 6 months post-injury. RESULTS Twenty patients were enrolled in the study and the median age was 7.5 years (interquartile range 5.25-10.75); 75% of the patients were African American. A total of 15 patients (75%) had injuries in either a lower or upper extremity, 9 of whom required admission. Almost all of the injuries involving the head, chest, or abdomen required admission. Of the patients, 65% were admitted and 35% were discharged. All of the patients had an initial blood lead level taken, and follow-up lead levels were determined at 6 months post-injury to be |
| تدمد: | 1541-8243 0038-4348 |
| DOI: | 10.14423/smj.0000000000001052 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c8d6732f91791ef8cddba967ab9432e9 https://doi.org/10.14423/smj.0000000000001052 |
| رقم الانضمام: | edsair.doi.dedup.....c8d6732f91791ef8cddba967ab9432e9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15418243 00384348 |
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| DOI: | 10.14423/smj.0000000000001052 |