Effectiveness of management of children with severe trauma in a pediatric trauma center and in an adult trauma center: A before-after study

Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
F BaudinE Javouhey

Abstract

To compare management of injured children in an adult trauma center (TC) with competencies in pediatric trauma care (2005-2007) and in a pediatric-only trauma center (2010-2012). A before-after retrospective study. Fifty-nine children between 1 and 15 years of age admitted to the adult TC (2005-2007) were compared to 56 children admitted to the pediatric TC (2010-2012). Epidemiological data, severity scores, early outcome, and care duration in trauma resuscitation before whole-body CT were collected and compared between the two periods. This study found no significant differences between the two periods in terms of care duration before the whole-body CT scan (28 min [18-40] vs 26.5 min [21-36], P=0.89) and early mortality (eight children [13.5%] vs ten children [17.8%], P=0.35). With no differences in early management of injured children demonstrated, this study validates the organization within our pediatric trauma center. The effectiveness of management of children between 1 and 15 years of age with severe trauma seems to be similar in the two contexts.

References

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Citations

Jun 4, 2018·Archives of Disease in Childhood·Guillaume MortametUNKNOWN Groupe Francophone de Réanimation et Urgences Pédiatriques (GFRUP)

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