Undertriage of Pediatric Major Trauma Patients in the United States

Clinical Pediatrics
Jin PengHenry Xiang

Abstract

Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age ≤16 years and injury severity score [ISS] >15), and identified factors associated with pediatric trauma undertriage. Nationally, 21.7% of pediatric major trauma patients were undertriaged. Children living in rural areas were more likely to be undertriaged ( P = .02), as were those without insurance ( P = .00). Children with life-threatening injuries were less likely to be undertriaged ( P < .0001), as were those with chronic conditions ( P < .0001). Improving access to specialized pediatric trauma care through innovative service delivery models may reduce undertriage and improve outcomes for pediatric major trauma patients.

References

May 24, 2001·The Journal of Trauma·A B NathensG J Jurkovich
Aug 2, 2003·Journal of Pediatric Surgery·Maria Segui-GomezFrederick P Rivara
Jan 30, 2004·The Journal of Trauma·Avery B NathensFrederick P Rivara
Jan 18, 2006·Journal of Pediatric Surgery·John C DensmoreKaren S Guice
Jan 27, 2006·The New England Journal of Medicine·Ellen J MacKenzieDaniel O Scharfstein
May 12, 2009·American Journal of Surgery·Jennifer ParksShahid Shafi
Jun 3, 2009·Archives of Pediatrics & Adolescent Medicine·Michael L NanceCharles C Branas
Aug 15, 2009·The Journal of Trauma·Mikael PetrosyanHenri R Ford
Dec 3, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Colleen D AcostaN Ewen Wang
May 29, 2012·Annals of Emergency Medicine·Yoko NakamuraUNKNOWN WESTRN Investigators
May 23, 2013·The Journal of Trauma and Acute Care Surgery·Deepika MohanDerek C Angus
Sep 24, 2013·Journal of the American College of Surgeons·Kristan L StaudenmayerCraig D Newgard
Jul 6, 2014·The American Journal of Emergency Medicine·Huiyun XiangKathryn Jo Haley
Aug 27, 2015·The Journal of Trauma and Acute Care Surgery·Sergey TarimaLaura D Cassidy
Mar 18, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mark FaulScott M Sasser
Jan 4, 2017·The American Journal of Emergency Medicine·Michelle M CorradoHuiyun Xiang

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Citations

Mar 20, 2019·The Journal of Trauma and Acute Care Surgery·Amelia T RogersFrederick B Rogers
May 26, 2018·JAMA Surgery·Rogier van der SluijsMark van Heijl
Jan 9, 2021·World Journal of Emergency Surgery : WJES·François-Xavier AgeronUNKNOWN TRENAU Group
Oct 22, 2020·Pediatrics·John Holcroft, James P Marcin

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