Treatment outcomes of injured children at adult level 1 trauma centers: Are there benefits from added specialized care?

Tolulope A. Oyetunji, Adil H. Haider, Stephanie R. Downing, Oluwaseyi B. Bolorunduro, David T. Efron, Elliott R. Haut, David C. Chang, Edward E. Cornwell, Fizan Abdullah, Suryanarayana M. Siram

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)445-449
Number of pages5
JournalAmerican journal of surgery
Volume201
Issue number4
DOIs
StatePublished - Apr 1 2011

Keywords

  • Pediatric
  • Trauma
  • Trauma center

ASJC Scopus subject areas

  • Surgery

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