Pediatric trauma registries: the foundation of quality care

Journal of Pediatric Surgery
A S CondelloR Postuma

Abstract

Traumatic injuries cause substantial morbidity and mortality in children. Trauma registries are essential to assess and improve standards of trauma care. An interprovincial study of pediatric trauma between 6 centers across Canada who use identical software components was completed. Data were collected from April 1, 1995 to December 31, 1998 for children aged 1 day to 17 years with an injury severity score of > or = 12. Cause of injury, injury time and day, gender, age, injury scores, length of hospital stay, and outcomes were compared. A total of 1,276 patients were included. Mean age was 10.3 +/- 5.6 years. Motor vehicle collisions were the most common mechanism of injury (56%). Boys were more often injured (66%; P < .05). Injuries occurred mainly between 1600 and 2400 hours (P < .0001). Mean hospital stay was 11.5 +/- 16.6 days. The longest stays in the hospital were among those who had an abdominal abbreviated injury score (AIS) of 1 (P < or = .03). Patients with similar injury severities remained twice as long in Winnipeg Children's Hospital (hospital 5), hospital 2, and hospital 6 as compared with patients in hospital 3 (P < .05). Differences existed in discharge placement between hospitals (P < .0001). This study was the...Continue Reading

Citations

Jan 19, 2008·European Journal of Pediatrics·Patrick Van de VoordeUNKNOWN PaEdiatric Network around TraumA Study Group
Nov 23, 2016·Pediatric Surgery International·Etienne St-LouisTarek Razek
Jan 17, 2003·Critical Care Medicine·Randall C Wetzel, R Cartland Burns
Jan 8, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sean J Barnett, Daniel A Saltzman
Dec 25, 2007·Journal of Pediatric Orthopedics·Christian BuschmannSteffen Ruchholtz
Jul 25, 2014·The Journal of Trauma and Acute Care Surgery·Simon Peter RowlandAlun H Davies
Aug 5, 2016·Annals of the Royal College of Surgeons of England·G NaqviK Stöhr
Jun 3, 2014·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Jayantha C HerathMarc R Del Bigio
Dec 2, 2006·The Medical Journal of Australia·Tamzyn M DaveyChristine O'Connor

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