Admission patterns in pediatric trauma patients with isolated injuries

Sandra M. Farach, Paul D. Danielson, Ernest Amankwah, Nicole M. Chandler

Research output: Contribution to journalArticle

Abstract

Background Pediatric trauma patients presenting with stable, isolated injuries are often admitted to the trauma service for initial management. The purpose of this study was to evaluate admission patterns in trauma patients with isolated injuries and compare outcomes based on admitting service. Methods The institutional trauma registry was retrospectively reviewed for patients presenting from January 2007-December 2012. A total of 3417 patients were admitted to a surgical service and further reviewed. Patients with isolated injuries were further stratified by admission to the general trauma service (GTS, n = 738) versus admission to the subspecialty surgical trauma service (STS, n = 2251). Results When compared to patients admitted to GTS, patients admitted to STS with isolated injuries were significantly younger, were more likely to present with injury severity scores ranging from 9-14, Glasgow coma scale ≥13, had shorter emergency room length of stay, were more likely to undergo surgery within 24 h, and had fewer computed tomography scans performed. There were no missed injuries in patients with isolated injuries admitted to STS (with 5% having a GTS consult) compared with one missed injury in those admitted to GTS. Patients with isolated injuries admitted to an STS were found to have significantly lower complication rates (0.6% versus 2.2%, P <0.01). Conclusions Pediatric trauma patients presenting with stable, isolated injuries may be efficiently and safely managed by nontrauma services without an increase in missed injuries or complications.

Original languageEnglish (US)
Pages (from-to)13-18
Number of pages6
JournalJournal of Surgical Research
Volume198
Issue number1
DOIs
StatePublished - Sep 1 2015

Fingerprint

Pediatrics
Wounds and Injuries
Glasgow Coma Scale
Injury Severity Score
Registries
Hospital Emergency Service
Length of Stay
Tomography

Keywords

  • Admission
  • Isolated injuries
  • Pediatric
  • Trauma

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Admission patterns in pediatric trauma patients with isolated injuries. / Farach, Sandra M.; Danielson, Paul D.; Amankwah, Ernest; Chandler, Nicole M.

In: Journal of Surgical Research, Vol. 198, No. 1, 01.09.2015, p. 13-18.

Research output: Contribution to journalArticle

Farach, Sandra M. ; Danielson, Paul D. ; Amankwah, Ernest ; Chandler, Nicole M. / Admission patterns in pediatric trauma patients with isolated injuries. In: Journal of Surgical Research. 2015 ; Vol. 198, No. 1. pp. 13-18.
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