Abstract
Background Trauma systems reduce mortality and improve functional outcomes. The aim of this study was to analyse the demographic and geospatial characteristics of pediatric trauma patients in Scotland, and determine the level of destination healthcare facility which injured children are taken to, to determine the need for, and general feasibility, of developing a pediatric trauma system for Scotland. Methods Retrospective analysis of incidents involving children aged 1-14 attended to by the Scottish Ambulance Service between 1 November 2008 and 31 October 2010. A subgroup with physiological derangement was defined. Incident location postcode was used to determine incident location by health board region, rurality and social deprivation. Destination healthcare facility was classified into one of six categories. Results Of 10,759 incidents, 72.3% occurred in urban areas and 5.8% in remote areas. Incident location was associated with socioeconomic deprivation. Of the patients, 11.6% were taken to a pediatric hospital with pediatric intensive care facilities, 21.8% to a pediatric hospital without pediatric intensive care service, and 50.2% to an adult large general hospital without pediatric surgical service. Conclusions The majority of incidents involving children with injuries occurred in urban areas. Half were taken to a hospital without pediatric surgical service. There was no difference between children with normal and deranged physiology.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1593-1597 |
| Number of pages | 5 |
| Journal | Journal of Pediatric Surgery |
| Volume | 48 |
| Issue number | 7 |
| DOIs | |
| State | Published - Jul 2013 |
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Keywords
- Demographic
- Emergency
- Paediatric
- Scotland
- Surgery
- Trauma
- Trauma system
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
Demographic and geographical characteristics of pediatric trauma in Scotland. / Wohlgemut, Jared M.; Morrison, Jonathan J.; Apodaca, Amy N.; Egan, Gerry; Sponseller, Paul David; Driver, Christopher P.; Jansen, Jan O.
In: Journal of Pediatric Surgery, Vol. 48, No. 7, 07.2013, p. 1593-1597.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Demographic and geographical characteristics of pediatric trauma in Scotland
AU - Wohlgemut, Jared M.
AU - Morrison, Jonathan J.
AU - Apodaca, Amy N.
AU - Egan, Gerry
AU - Sponseller, Paul David
AU - Driver, Christopher P.
AU - Jansen, Jan O.
PY - 2013/7
Y1 - 2013/7
N2 - Background Trauma systems reduce mortality and improve functional outcomes. The aim of this study was to analyse the demographic and geospatial characteristics of pediatric trauma patients in Scotland, and determine the level of destination healthcare facility which injured children are taken to, to determine the need for, and general feasibility, of developing a pediatric trauma system for Scotland. Methods Retrospective analysis of incidents involving children aged 1-14 attended to by the Scottish Ambulance Service between 1 November 2008 and 31 October 2010. A subgroup with physiological derangement was defined. Incident location postcode was used to determine incident location by health board region, rurality and social deprivation. Destination healthcare facility was classified into one of six categories. Results Of 10,759 incidents, 72.3% occurred in urban areas and 5.8% in remote areas. Incident location was associated with socioeconomic deprivation. Of the patients, 11.6% were taken to a pediatric hospital with pediatric intensive care facilities, 21.8% to a pediatric hospital without pediatric intensive care service, and 50.2% to an adult large general hospital without pediatric surgical service. Conclusions The majority of incidents involving children with injuries occurred in urban areas. Half were taken to a hospital without pediatric surgical service. There was no difference between children with normal and deranged physiology.
AB - Background Trauma systems reduce mortality and improve functional outcomes. The aim of this study was to analyse the demographic and geospatial characteristics of pediatric trauma patients in Scotland, and determine the level of destination healthcare facility which injured children are taken to, to determine the need for, and general feasibility, of developing a pediatric trauma system for Scotland. Methods Retrospective analysis of incidents involving children aged 1-14 attended to by the Scottish Ambulance Service between 1 November 2008 and 31 October 2010. A subgroup with physiological derangement was defined. Incident location postcode was used to determine incident location by health board region, rurality and social deprivation. Destination healthcare facility was classified into one of six categories. Results Of 10,759 incidents, 72.3% occurred in urban areas and 5.8% in remote areas. Incident location was associated with socioeconomic deprivation. Of the patients, 11.6% were taken to a pediatric hospital with pediatric intensive care facilities, 21.8% to a pediatric hospital without pediatric intensive care service, and 50.2% to an adult large general hospital without pediatric surgical service. Conclusions The majority of incidents involving children with injuries occurred in urban areas. Half were taken to a hospital without pediatric surgical service. There was no difference between children with normal and deranged physiology.
KW - Demographic
KW - Emergency
KW - Paediatric
KW - Scotland
KW - Surgery
KW - Trauma
KW - Trauma system
UR - http://www.scopus.com/inward/record.url?scp=84880863395&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84880863395&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2013.03.060
DO - 10.1016/j.jpedsurg.2013.03.060
M3 - Article
C2 - 23895978
AN - SCOPUS:84880863395
VL - 48
SP - 1593
EP - 1597
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 7
ER -