Nine percent of patients with negative CT for anterior abdominal stab wound (AASW) subsequently required surgery. Negative CT for AASW was inadequate to consider patients safe for immediate discharge.
In opioid naïve patients 13-21 years of age, persistent opioid use was found in 4.8% of the post-surgical group vs 0.1% of those in the non-surgical group. Procedures associated with the highest risk of persistent opioid use were cholecystectomy and colectomy. Independent risk factors included older age, female sex, diagnoses of substance use disorder and chronic pain.
Don’t be falsely reassured if rhinovirus on a PCR viral panel is positive. The incidence of UTI was unchanged if </= 90 days, and the incidence of invasive bacterial infection (IBI) was no different </= 28 days. However, it may prove useful for risk stratifying infants for IBI in the 29 to 90-day age group.