Research trends in pediatric splenic trauma in Brazil: how much has changed in the last two decades?

被引：0

作者：

Telles, Luiza ^{[1
]}

Gerk, Ayla ^{[2
,3
,4
]}

Diniz, Ana Maria ^{[5
]}

Carroll, Madeleine ^{[2
]}

Lopes, Sarah ^{[6
]}

Kim, Ana ^{[7
]}

Feres, Brenda ^{[8
]}

Fontes, Anna ^{[9
]}

Ferreira, Roseanne ^{[10
]}

Bustorff-Silva, Joaquim ^{[11
]}

Mooney, David P. ^{[12
]}

机构：

[1] Estacio Inst Educ Med, Rio De Janeiro, RJ, Brazil

[2] Harvard Med Sch, Program Global Surg & Social Change, Boston, MA USA

[3] McGill Univ, Dept Surg & Intervent Sci, Montreal, PQ, Canada

[4] Montreal Childrens Hosp, Harvey E Beardmore Div Pediat Surg, Montreal, PQ, Canada

[5] Univ Sao Paulo, Fac Med Ribeirao Preto, Ribeirao Preto, SP, Brazil

[6] Univ Sao Paulo, Hosp Anomalias Craniofaciais, Programa Posgrad Ciencias Reabilitacao, Sao Paulo, SP, Brazil

[7] Ctr Univ Sao Camilo, Sao Paulo, SP, Brazil

[8] Kursk State Med, Kursk, Kurskaya Oblast, Russia

[9] IFG Brazil, Goiania, MG, Brazil

[10] Univ Hlth Network, Div Urol, Toronto, ON, Canada

[11] IFG Brazil, Goiania, SP, Brazil

[12] Boston Childrens Hosp, Boston, MA USA

来源：

ACTA CIRURGICA BRASILEIRA | 2024年 / 39卷

关键词：

Spleen; Wounds and Injuries; Pediatrics; Surgery; Global Health; Brazil; SOLID-ORGAN INJURY; MANAGEMENT;

D O I：

10.1590/acb399524

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose: Research in high-income countries has extensively documented the non-operative management of spleen injuries in children, resulting in low splenectomy rates (5%). However, there is a lack of literature on this topic in low- and-middle-income countries (LMICs), including Brazil. This scoping review analyzed pediatric spleen trauma research trends in Brazil and the United States of America (USA). Methods: Search strategywas conducted across five databases, considering articles published in English or Portuguese from January 1968 to 2023 that reported spleen injury in patients younger than 18 years old in Brazil or the USA. Two pairs of independent reviewers screened the title and the abstract, followed by a full-text review. Results: The total of 7,150 studies was identified, of which 295 were eligible for data extraction. Most papers (98.64%, 301) originated from the USA, while only 1.36% (4) were from Brazil. In addition, 46.44% (137) articles reported intrabdominal injury, including splenic trauma, 16.27% (48) liver and spleen injury, and 37.29% (110) reported isolated spleen injury. The operative rate for spleen injury was 11.33% in American studies (40,812/359,926) compared to 98.57% (137/139) in Brazilian studies. Conclusion: Brazil contributed only with four studies on pediatric splenic trauma over two decades. Future studies should explore the incidence and management of splenictrauma in LMICs.

引用

页数：7