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.
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 traumapatients treated at ATC-AQ.
Authors: Dowin H Boatright; Richard L Byyny; Emily Hopkins; Katherine Bakes; Jennifer Hissett; Java Tunson; Joshua S Easter; Comilla Sasson; Jody A Vogel; Denis Bensard; Jason S Haukoos Journal: J Am Coll Surg Date: 2013-04-23 Impact factor: 6.113
Authors: Rachel B Webman; Elizabeth A Carter; Sushil Mittal; Jichaun Wang; Chethan Sathya; Avery B Nathens; Michael L Nance; David Madigan; Randall S Burd Journal: JAMA Pediatr Date: 2016-08-01 Impact factor: 16.193
Authors: Aaron R Jensen; Francesca Bullaro; Richard A Falcone; Margot Daugherty; L Caulette Young; Cory McLaughlin; Caron Park; Christianne Lane; Jose M Prince; Daniel J Scherzer; Tensing Maa; Julie Dunn; Laura Wining; Joseph Hess; Mary C Santos; James O'Neill; Eric Katz; Karen O'Bosky; Timothy Young; Emily Christison-Lagay; Omar Ahmed; Randall S Burd; Marc Auerbach Journal: Am J Surg Date: 2019-08-05 Impact factor: 2.565