TY - JOUR
T1 - Treatment outcomes of injured children at adult level 1 trauma centers
T2 - Are there benefits from added specialized care?
AU - Oyetunji, Tolulope A.
AU - Haider, Adil H.
AU - Downing, Stephanie R.
AU - Bolorunduro, Oluwaseyi B.
AU - Efron, David T.
AU - Haut, Elliott R.
AU - Chang, David C.
AU - Cornwell, Edward E.
AU - Abdullah, Fizan
AU - Siram, Suryanarayana M.
PY - 2011/4
Y1 - 2011/4
N2 - Background: Accidental traumatic injury is the leading cause of morbidity and mortality in children. The authors hypothesized that no mortality difference should exist between children seen at ATC (adult trauma centers) versus ATC with added qualifications in pediatrics (ATC-AQ). Methods: The National Trauma Data Bank, version 7.1, was analyzed for patients aged <18 years seen at level 1 trauma centers. Bivariate analysis compared patients by ATC versus ATC-AQ using demographic and injury characteristics. Multivariate analysis adjusting for injury and demographic factors was then performed. Results: A total sample of 53,702 children was analyzed, with an overall mortality of 3.9%. The adjusted odds of mortality was 20% lower for children seen at ATC-AQ (odds ratio, .80; 95% confidence interval, .68.94). Children aged 3 to 12 years, those with injury severity scores > 25, and those with Glasgow Coma Scale scores < 8 all had significant reductions in the odds of death at ATC-AQ. Conclusions: Improved overall survival is associated with pediatric trauma patients treated at ATC-AQ.
AB - Background: Accidental traumatic injury is the leading cause of morbidity and mortality in children. The authors hypothesized that no mortality difference should exist between children seen at ATC (adult trauma centers) versus ATC with added qualifications in pediatrics (ATC-AQ). Methods: The National Trauma Data Bank, version 7.1, was analyzed for patients aged <18 years seen at level 1 trauma centers. Bivariate analysis compared patients by ATC versus ATC-AQ using demographic and injury characteristics. Multivariate analysis adjusting for injury and demographic factors was then performed. Results: A total sample of 53,702 children was analyzed, with an overall mortality of 3.9%. The adjusted odds of mortality was 20% lower for children seen at ATC-AQ (odds ratio, .80; 95% confidence interval, .68.94). Children aged 3 to 12 years, those with injury severity scores > 25, and those with Glasgow Coma Scale scores < 8 all had significant reductions in the odds of death at ATC-AQ. Conclusions: Improved overall survival is associated with pediatric trauma patients treated at ATC-AQ.
KW - Pediatric
KW - Trauma
KW - Trauma center
UR - http://www.scopus.com/inward/record.url?scp=79952959093&partnerID=8YFLogxK
U2 - 10.1016/j.amjsurg.2010.10.006
DO - 10.1016/j.amjsurg.2010.10.006
M3 - Article
C2 - 21421097
AN - SCOPUS:79952959093
SN - 0002-9610
VL - 201
SP - 445
EP - 449
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 4
ER -