Improved functional outcome for severely injured children treated at pediatric trauma centers. J Trauma 2001 Nov;51(5):824-32; discussion 832-4
Date
11/14/2001Pubmed ID
11706326DOI
10.1097/00005373-200111000-00002Scopus ID
2-s2.0-0035214071 (requires institutional sign-in at Scopus site) 148 CitationsAbstract
BACKGROUND: Controversy exists regarding the impact of pediatric trauma centers (PTC) on survival for injured children. However, functional outcome for children treated at PTC compared with adult trauma centers (ATC) has not been evaluated.
METHODS: An analysis of children entered in the Pennsylvania Trauma Outcome Study between 1993 and 1997 was conducted. Patients were stratified according to type of trauma center: PTC; Level I ATC; Level II ATC; or ATC with added qualifications (AQ). Functional outcome at discharge was analyzed.
RESULTS: For severely injured children, there was an overall trend toward improved functional outcome at PTC compared with ATC AQ and ATC I, but no difference compared with ATC II. PTC showed improved functional outcome at discharge for head injury compared with ATC AQ and ATC I.
CONCLUSION: There is an overall trend toward improved functional outcome at discharge for children treated at PTC compared with those treated at ATC AQ and ATC I. Improved outcome for head injury may be a key factor contributing to improved outcome at PTC.
Author List
Potoka DA, Schall LC, Ford HRAuthor
Laura Cassidy PhD Associate Dean, Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Activities of Daily LivingAdolescent
Chi-Square Distribution
Child
Child Health Services
Child, Preschool
Female
Glasgow Coma Scale
Humans
Infant
Infant, Newborn
Injury Severity Score
Male
Pennsylvania
Recovery of Function
Statistics, Nonparametric
Survival Analysis
Trauma Centers
Wounds and Injuries
