PMID: 8601859Mar 1, 1996Paper

The impact of demographics, injury severity, and trauma type on the likelihood of survival in child and adolescent trauma patients

The Journal of Trauma
G J Wan, M Neff-Smith

Abstract

The purpose of this study was to examine the influence of demographics, clinical factors, and injury types on the likelihood of survival. This cross-sectional analysis was restricted to persons younger than 18 years, treated in trauma centers in 1990. A total of 3,540 individuals from the 1990 Virginia Statewide Trauma Registry was included in the analysis. The outcome variable was the patient's survival likelihood after injury. The independent variables included Injury Severity Score (ISS), demographics (age, gender, and race), and injury types -- motor vehicle collision (MVC) or gunshot wound (GSW). Correlation coefficients were obtained from the study variables. Logistic regression evaluated the effect of injury severity, controlling for demographics and type of injury. Three variables (ISS, GSW, and MVC) exerted significant effects of survival. Individuals with more severe injuries were more likely to die than their counterparts. Patients with gunshot wounds and motor vehicle injuries were more likely to die than those who had other injuries. After adjusting for demographics and injury type, injury severity (beta = -0.323) was found to be the most influential predictor of survival. The overall findings suggest a need for ho...Continue Reading

References

Sep 1, 1991·The Journal of Trauma·A FrutigerA Leutenegger
Nov 1, 1991·The Journal of Trauma·D K NakayamaW J Sacco
May 1, 1990·The Journal of Trauma·H R ChampionS Schwaitzberg
Jun 1, 1990·American Journal of Diseases of Children·B Guyer, B Ellers
Jul 1, 1990·The Journal of Trauma·S W BehrmanJ C Taylor
Sep 12, 1986·JAMA : the Journal of the American Medical Association·J A MorrisD D Trunkey
Mar 1, 1980·The Journal of Trauma·H R ChampionR H Prall

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Citations

Feb 28, 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·Wynne E MorrisonCharles N Paidas
Apr 6, 2001·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·M StevensonG McDonald-Smith
Nov 21, 2008·World Journal of Emergency Surgery : WJES·Stefano Massimiliano CalderaleFranco Baldoni
Mar 13, 2002·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·K J PhelanB P Lanphear
Mar 2, 2005·Public Health Reports·Kieran J PhelanBruce Lanphear
Nov 23, 2016·Pediatric Surgery International·Etienne St-LouisTarek Razek

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