Pediatric major vascular injuries are on the rise, yet remain rare and complex, making consistent care a challenge across individual centers. Our multicenter registry offers a vital opportunity to unify data, share expertise, and elevate outcomes for our most vulnerable trauma patients.
Objective: to determine incidence, etiology, management, and long-term outcomes of pediatric major vascular injury (MVI). We will aim to do this by developing a pediatric multicenter database. There are several secondary objectives which revolve around using the data to generate hypotheses for future study and ultimately develop evidence-based practice strategies for pediatric patients with MVI.
Design: This is a prospective multicenter observational study that will be conducted at the hospitals within the University of Texas System. Pediatric Trauma Association member hospitals will also enroll, and our goal is to have as many centers as possible participating.
Measure: Data will be collected through prospective chart review. The data collection sheet divides pediatric MVI by anatomic location and there will be no prescriptive changes to the patients’ care. No PHI will be recorded and no specimens will be obtained. This study is approved under a waiver of consent (we are not collecting any identifiers) at the single lead IRB at UTHealth Houston, so there is no consent form or other patient-facing documents.
1. Pediatric trauma patients (age 0-17) with any mechanism of injury and a documented major vascular injury to be included
2. Major vascular injury, in general, refers to injury of a named vascular structure
1. Any patient over 18
2. Patients in custody of the juvenile detention system
3. Patients who do not have diagnosed vascular injuries
4. Patients who have undergone definitive repair of their vascular injury at another hospital
UTHealth Houston will only release aggregate data for presentation/publication with numbers larger than 5 to ensure confidentiality.
ICD 9 codes – 900-904
ICD 10 codes – S15, S25, S35, S45, S55, S65, S75, S85, S95 and all their subheadings
CPT Codes
34001-34490 – embolectomy thrombectomy artery/vein
34501-34530 – venous reconstruction
34701-34834 – endovascular procedure aorta/iliac
35201-35286 – arterial/vein open repair
35500-35683 – bypass grafts35700-35907 – arterial/vein exploration/revision/repair (reoperation)
37184-37218 – endovascular thrombectomy
37220-37239 – endovascular revascularization (stent/angioplasty)
37565-37785 – ligation artery/vein
1. Your IRB can rely on our IRB either through SMART IRB or outside of SMART IRB using reliance forms.
2. Your IRB can take full responsibility (no reliance) and you just submit the study as your normally would as part of a multicenter study. Once it is approved, you would just send us your IRB approval letter.
Name: Committee for the Protection of Human Subjects
Protocol or reference number: UTHealth Houston IRB #: HSC-MS-23-0789
IRB contact Name: Vanessa Fuller, IRB Manager (Panel 3, 4)
IRB Contact Phone Number: (713) 500-7971
IRB contact email address: Susan.V.Fuller@uth.tmc.edu
1. Go to SMART IRB website: https://smartirb.org/participating-institutions/
2. Search by your institution
3. Contact person will be listed next to your institution’s name
Trauma Research and Combat Casualty Care Collaborative
