Paediatric trauma systems and their impact on the health outcomes of severely injured children: An integrative review

Injury
Amy McCarthyAndrew J A Holland

Abstract

Injury is a leading cause of death and disability for children. Regionalised trauma systems have improved outcomes for severely injured adults, however the impact of adult orientated trauma systems on the outcomes of severely injured children remains unclear. This research aims to identify the impact of trauma systems on the health outcomes of children following severe injury. Integrative review with data sourced from Medline, Embase, CINAHL, Scopus and hand searched references. Abstracts were screened for inclusion/exclusion criteria with fifty nine articles appraised for quality, analysed and synthesised into 3 main categories. The key findings from this review include: (1) a lack of consistency of prehospital and inhospital triage criteria for severely injured children leading to missed injuries, secondary transfer and poor utilisation of finite resources; (2) severely injured children treated at paediatric trauma centres had improved outcomes when compared to those treated at adult trauma centres, particularly younger children; (3) major causes of delays to secondary transfer are unnecessary imaging and failure to recognise the need for transfer; (4) a lack of functional or long term outcomes measurements identified in the ...Continue Reading

References

Apr 1, 1992·Journal of Pediatric Surgery·D K NakayamaW Sacco
Jun 1, 1992·The Journal of Trauma·M M KnudsonF R Lewis
Oct 1, 1990·The Journal of Trauma·C L SnyderA S Leonard
Dec 1, 1990·The Journal of Trauma·R A JubelirerG W Welch
Mar 1, 1993·Journal of Pediatric Surgery·A CooperL Mottley
Jan 1, 1996·Journal of Pediatric Surgery·J R HallR Dembek
Aug 1, 1996·Pediatric Emergency Care·N KissoonM O Gayle
Aug 1, 1996·Journal of Pediatric Surgery·M L MorontM R Eichelberger
Jun 8, 1999·Journal of Pediatric Surgery·E J DoolinC DiScala
Sep 25, 1999·The Journal of Trauma·T R PaulE E Moore
Jan 26, 2000·Journal of Pediatric Surgery·S A EngumJ L Grosfeld
Aug 30, 2000·The Journal of Trauma·D A PotokaH R Ford
Jan 11, 2001·Journal of Pediatric Surgery·D A PotokaH R Ford
Feb 24, 2001·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·A J MacnabC Sun
Jul 12, 2002·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Stephen J Kotch, Brian E Burgess
Aug 2, 2003·Journal of Pediatric Surgery·Maria Segui-GomezFrederick P Rivara
Jul 2, 2005·Journal of Pediatric Surgery·Barish H EdilNikola K Puffinbarger
Aug 5, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Craig D NewgardRoger J Lewis
Nov 5, 2005·Journal of Advanced Nursing·Robin Whittemore, Kathleen Knafl
Jan 18, 2006·Journal of Pediatric Surgery·John C DensmoreKaren S Guice
Apr 7, 2007·The Journal of Trauma·Ahmed NasrPaul Wales
Jun 19, 2007·BMC Medical Informatics and Decision Making·Connie SchardtPaul Fontelo
Dec 22, 2007·The Journal of Trauma·Christian OchoaHenri R Ford
Feb 5, 2008·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·L Sminkey
Apr 9, 2008·Seminars in Pediatric Surgery·Steven Stylianos, Henri R Ford
May 22, 2008·Prehospital and Disaster Medicine·Eileen M BulgerCharles Mock
Dec 17, 2008·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·M Peden
Apr 11, 2009·The Journal of Trauma·Ivan R DiamondDavid E Wesson
Jun 25, 2009·Bulletin of the World Health Organization·Alison HarveyKidist Bartolomeos
Jul 29, 2009·Journal of Pediatric Surgery·Loes JanssensHerman R Holtslag
Sep 5, 2009·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Craig D NewgardUNKNOWN ROC Investigators
Feb 16, 2010·Critical Care Medicine·Henry T StelfoxSharon E Straus
Aug 24, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sunday BankoleShonola Da-Silva
Dec 3, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Colleen D AcostaN Ewen Wang
Mar 23, 2011·American Journal of Surgery·Tolulope A OyetunjiSuryanarayana M Siram
Mar 24, 2011·The Journal of Trauma·Belinda J GabbePeter A Cameron

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Citations

May 15, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kate CurtisAndrew J A Holland
Oct 7, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E Brooke LernerArthur Cooper
Dec 31, 2016·Journal of Neurotrauma·Jaspreet K DhillonJulie C Leonard
Nov 18, 2018·The Journal of Trauma and Acute Care Surgery·Omar Z AhmedMurray M Pollack
Jan 11, 2020·Trauma Surgery & Acute Care Open·Jessica Lynn RyanMarie Crandall
Mar 25, 2017·Journal of Paediatrics and Child Health·Rebecca J MitchellSarah Adams
Jul 30, 2020·Trauma Surgery & Acute Care Open·Fabio BotelhoSimone de Campos Vieira Abib
May 11, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·E Brooke LernerArthur Cooper
Mar 1, 2017·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kate CurtisHenry T Stelfox
Apr 30, 2021·Nursing in Critical Care·Raya MadarAvishay Goldberg
Jun 3, 2021·JAMA Surgery·Randall S BurdAndrew R Yates
Dec 17, 2019·Pediatric Emergency Care·Julianna SvantnerPatrick Schoettker

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