TY - JOUR
T1 - Do prehospital criteria optimally assign injured children to the appropriate level of trauma team activation and emergency department disposition at a level I pediatric trauma center?
AU - Nabaweesi, Rosemary
AU - Morlock, Laura
AU - Lule, Charles
AU - Ziegfeld, Susan
AU - Gielen, Andrea
AU - Colombani, Paul M.
AU - Bowman, Stephen M.
N1 - Publisher Copyright:
© 2014, Springer-Verlag Berlin Heidelberg.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2014/11
Y1 - 2014/11
N2 - Purpose: To examine the association of prehospital criteria with the appropriate level of trauma team activation (TTA) and emergency department (ED) disposition among injured children at a level I pediatric trauma center.Methods: Injured children younger than 15 years and transported by emergency medical services (EMS) from the scene of injury between January 1, 2008 and December 31, 2011 were identified using the institution’s trauma registry. Logistic regression was used to study the main outcomes of interest, full TTA (FTTA) and ED disposition.Results: Out of 3,213 children, 1,991 were eligible and analyzed. Only 279 children initiated the FTTA and 73.9 % were admitted. Having a chest injury, abnormal heart rate or Glasgow Coma Scale less than 9 (GCSLT9) in the field was associated with higher odds of initiating the FTTA (odds ratio [OR] = 3.33, 95 % confidence interval [CI] 1.54–7.20; OR = 2.59, CI 1.15–5.79 and OR = 2.67, CI 1.14–6.22, respectively). Children with the criteria above in addition to abdominal injury were more likely to be discharged to the ICU, OR or morgue compared to those without them.Results: Out of 3,213 children, 1,991 were eligible and analyzed. Only 279 children initiated the FTTA and 73.9 % were admitted. Having a chest injury, abnormal heart rate or Glasgow Coma Scale less than 9 (GCSLT9) in the field was associated with higher odds of initiating the FTTA (odds ratio [OR] = 3.33, 95 % confidence interval [CI] 1.54–7.20; OR = 2.59, CI 1.15–5.79 and OR = 2.67, CI 1.14–6.22, respectively). Children with the criteria above in addition to abdominal injury were more likely to be discharged to the ICU, OR or morgue compared to those without them.
AB - Purpose: To examine the association of prehospital criteria with the appropriate level of trauma team activation (TTA) and emergency department (ED) disposition among injured children at a level I pediatric trauma center.Methods: Injured children younger than 15 years and transported by emergency medical services (EMS) from the scene of injury between January 1, 2008 and December 31, 2011 were identified using the institution’s trauma registry. Logistic regression was used to study the main outcomes of interest, full TTA (FTTA) and ED disposition.Results: Out of 3,213 children, 1,991 were eligible and analyzed. Only 279 children initiated the FTTA and 73.9 % were admitted. Having a chest injury, abnormal heart rate or Glasgow Coma Scale less than 9 (GCSLT9) in the field was associated with higher odds of initiating the FTTA (odds ratio [OR] = 3.33, 95 % confidence interval [CI] 1.54–7.20; OR = 2.59, CI 1.15–5.79 and OR = 2.67, CI 1.14–6.22, respectively). Children with the criteria above in addition to abdominal injury were more likely to be discharged to the ICU, OR or morgue compared to those without them.Results: Out of 3,213 children, 1,991 were eligible and analyzed. Only 279 children initiated the FTTA and 73.9 % were admitted. Having a chest injury, abnormal heart rate or Glasgow Coma Scale less than 9 (GCSLT9) in the field was associated with higher odds of initiating the FTTA (odds ratio [OR] = 3.33, 95 % confidence interval [CI] 1.54–7.20; OR = 2.59, CI 1.15–5.79 and OR = 2.67, CI 1.14–6.22, respectively). Children with the criteria above in addition to abdominal injury were more likely to be discharged to the ICU, OR or morgue compared to those without them.
KW - Emergency department disposition
KW - Trauma team activation
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U2 - 10.1007/s00383-014-3587-6
DO - 10.1007/s00383-014-3587-6
M3 - Article
C2 - 25142797
AN - SCOPUS:84920946519
VL - 30
SP - 1097
EP - 1102
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 11
ER -