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J Trauma Nurs. 2012 Oct-Dec;19(4):240-5. doi: 10.1097/JTN.0b013e31827757a7.

The long-term outcome of retained foreign bodies in pediatric gunshot wounds.

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1
Division of Pediatric Surgery, St Louis Children's Hospital, Washington University School of Medicine, St Louis, MO 63110, USA.

Abstract

The purpose of this retrospective review was to determine the long-term consequences of retained bullet foreign bodies in children after gunshot injury. All children managed for gunshot wounds at an urban, level I pediatric trauma center were evaluated, identifying those discharged with retained bullet foreign bodies. Overall, 244 children were treated for gunshot wounds, 107 (44%) had retained foreign bodies, 24 (22%) experienced long-term complications related to retained foreign bodies, and 14 (13%) required removal. Complications occur in a significant subset of pediatric patients with retained bullets. Prophylactic bullet removal appears unnecessary, although close outpatient follow-up is warranted.

PMID:
23222406
DOI:
10.1097/JTN.0b013e31827757a7
[Indexed for MEDLINE]
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