Outcomes in pediatric trauma care in the Stockholm region.
Background:: Although trauma is a leading cause of pediatric mortality and morbidity in Sweden, few studies have examined the outcome of pediatric trauma. Objective:: Here, we describe the age and gender distribution, injury mechanisms, injury severity, and outcome of pediatric trauma in the Stockho...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 36; no. 4; pp. 308 - 318 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2010
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105099706&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105099706 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Aug2010 vid: 36 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 105099706 53360970 10.1007/s00068-009-9080-6 105099706 ppf: 308 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Outcomes in pediatric trauma care in the Stockholm region. aug: au: Sluys K Lannge M Iselius L Eriksson LE affil: Department of Pediatric Emergency, Astrid Lindgren Children’s Hospital, Karolinska University Hospital, Stockholm, Sweden sug: subj: Outcomes (Health Care) Sweden Trauma Therapy Human Child Trauma Mortality Retrospective Design Adolescence Record Review Length of Stay Hospital Mortality Intensive Care Units, Pediatric Severity of Illness Indices Descriptive Research Academic Medical Centers Descriptive Statistics Data Analysis Software Male Female Infant Child, Preschool Funding Source Sweden Child: 6-12 years Adolescent: 13-18 years Infant: 1-23 months Child, Preschool: 2-5 years Male Female ab: Background:: Although trauma is a leading cause of pediatric mortality and morbidity in Sweden, few studies have examined the outcome of pediatric trauma. Objective:: Here, we describe the age and gender distribution, injury mechanisms, injury severity, and outcome of pediatric trauma in the Stockholm region. Methods:: This retrospective study comprises all trauma patients (age ≤ 15 years) admitted to a regional pediatric trauma center and all pediatric deaths due to trauma in Stockholm in 2002. Data from the trauma registry database were verified by comparison with medical records and autopsy reports. Outcome was measured by mortality and length of stay in a pediatric intensive care unit (PICU) and acute care hospital. Results:: In all, 432 injured children were included. The median age was 10 years and 59% were males. The median injury severity score was 4 (interquartile range [IQR] 1–9) and 50% sustained head injuries. Mortality was low (1%) and the median length of hospital stay was 2 days (IQR 1–3); 19% stayed in a PICU and, of those, 89% stayed for one day. Comparison with medical records showed that much information in the trauma registry database was either incorrect or missing. Conclusions:: Many injuries were minor and half of the children were discharged home from the emergency department.Head injurieswere themost common injury in all age groups. The most severe head injuries were seen in the youngest group and were caused by falls. Trauma team activation criteria should be improved to avoid overutilization. The quality and completeness of data in the trauma registry must be enhanced. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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