AI Article Synopsis
- Trauma systems are designed to improve survival rates by directing severely injured pediatric patients to specialized trauma centers, and this study evaluates their effectiveness on triage and injury death rates.
- Data from injured children under 15 years old in New England between 1996 and 2006 showed that, while hospitalization rates for injuries decreased in both trauma system and non-trauma system states, the decline was more significant in trauma system states.
- Although trauma systems increased the admission of severely injured and brain-injured children to trauma centers more rapidly, overall mortality rates and triage efficiency remained similar across both groups.
Article Abstract
Purpose: Trauma systems improve survival by directing severely injured patients to trauma centers. This study analyzes the impact of trauma systems on pediatric triage and injury mortality rates.
Methods: Population-based data were collected on injured children less than 15 years who were admitted to any hospital in New England from 1996 to 2006. Data from three trauma system states were compared to three non-trauma system states. The percentages of injured children, severely injured children, and brain-injured children admitted to trauma centers were determined as well as injury hospitalization and death rates. Time trend analysis examined the pace of change between the groups.
Results: A total of 58,583 injured children were hospitalized during the study period. Injury hospitalization rates were initially similar between the two groups (with and without trauma systems) and decreased over time in both. Rates decreased more rapidly in trauma system states compared to those without, (P = 0.003). Injury death rates decreased over time in both groups with no difference between the groups, (P = 0.20). A higher percentage of injured children were admitted to trauma centers in non-trauma system states throughout the study period, and this percentage increased in both groups of states. A higher percentage of severely injured children and brain-injured children were admitted to trauma centers in non-trauma system states and both percentages increased over time. The increase was more rapid in trauma system states for children with severe injuries (P < 0.001) and children with brain injuries (P < 0.001).
Discussion: Trauma systems decreased childhood injury hospitalization rates and increased the percentage of severely injured children and brain-injured children admitted to trauma centers. Mortality and overall triage rates were unaffected.
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| http://dx.doi.org/10.1007/s00383-012-3232-1 | DOI Listing |
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