Pediatric Trauma Deaths: A Three-Part Analysis from a Nonacademic Trauma Center

Aaland, Mary O.; Hlaing, Thein
March 2006
American Surgeon;Mar2006, Vol. 72 Issue 3, p249
Academic Journal
A three-part analysis was undertaken to assess pediatric trauma mortality in a nonacademic Level II trauma center at Parkview Hospital in Fort Wayne, Indiana. Part I was a comparison of Parkview trauma registry data collected from 1999 through 2003 with those of pediatric and adult trauma centers in Pennsylvania. The same methodology used in Pennsylvania was used for the initial evaluation of pediatric deaths from trauma in our trauma center. Part II was a formal in-depth analysis of all individual pediatric deaths as well as surgical cases with head, spleen, and liver injuries from the same time frame. Part III proposes a new methodology to calculate a risk-adjusted mortality rate based on the TRISS model for the evaluation of a trauma system. The use of specific mortality and surgical intervention rates was not an accurate reflection of trauma center outcome. The proposed risk-adjusted mortality rate calculation is perhaps an effective outcome measure to assess patient care in a trauma system.


Related Articles

  • Injury in childhood: a vexingly simple problem. Howard, Andrew // CMAJ: Canadian Medical Association Journal;10/10/2006, Vol. 175 Issue 8, p899 

    The article comments on the reasons behind children's accidents and injuries in Canada as of October 2006. It is reported that 90% of childhood injuries are preventable but still records show that there are 1 in 8 hospital admissions of children is caused by an injury. The effect of...

  • Pediatric Pelvic Fractures: A Marker for Injury Severity. Spiguel, Lisa; Glynn, Loretto; Liu, Donald; Statter, Mindy // American Surgeon;Jun2006, Vol. 72 Issue 6, p481 

    Pelvic fractures comprise a small number of annual Level I pediatric trauma center admissions. This is a review of the University of Chicago Level 1 Pediatric Trauma Center experience with pediatric pelvic fractures. This is a retrospective review of the University of Chicago Level I Pediatric...

  • Conservative approach to the treatment of injured liver and spleen in children: association with reduced mortality. Feigin, Elad; Aharonson-Daniel, Limor; Savitsky, Bela; Steinberg, Ran; Kravarusic, Dragan; Stein, Michael; Peleg, Kobi; Freud, Enrique // Pediatric Surgery International;Jul2009, Vol. 25 Issue 7, p583 

    Background: Previous analyses of the safety of the conservative versus the operative approach to the treatment of liver and spleen blunt injuries in children often failed to account for differences in quality of care and expertise among dedicated pediatric trauma center,...

  • Pediatric Trauma Evaluations: Current Challenges and Controversies. Mannenbach, Mark; Spahr, Christopher D.; Linzer Sr., Jeffrey // Pediatric Emergency Medicine Reports;Jun2010, Vol. 15 Issue 6, p61 

    Clinicians working in the acute care setting will certainly encounter many pediatric patients who have been injured. Injury remains the most common cause of death and disability for pediatric patients. Motor-vehicle-related injury events still rate as the most common cause of death for children...

  • Accidents More Deadly than Disease.  // Education Digest;Nov1956, Vol. 22 Issue 3, p50 

    This article examines accidents in children. Accidents kill and cripple more of children than all the infectious diseases of childhood put together. The death rate from accidents among children of ages 1 to 19 was cut only 16 percent from 1940 to 1949.

  • Pediatric trauma in sub-Saharan Africa: Challenges in overcoming the scourge. Ademuyiwa, Adesoji O.; Usang, Usang E.; Oluwadiya, Kehinde S.; Ogunlana, Dare I.; Glover-Addy, Hope; Bode, Chris O.; B. Van A. S, Arjan // Journal of Emergencies, Trauma & Shock;Jan2012, Vol. 5 Issue 1, p55 

    All over the world, pediatric trauma has emerged as an important public health problem. It accounts for the highest mortality in children and young adults in developed countries. Reports from Africa on trauma in the pediatric age group are few and most have been single center experience. In many...

  • Childhood injuries in Tehran: a review of 1281 cases. Karbakhsh, Mojgan; Zargar, Moossa; Zarei, Mohammad Reza; Khaji, Ali // Turkish Journal of Pediatrics;2008, Vol. 50 Issue 4, p317 

    Childhood injuries cause significant mortality and morbidity in Iran, like in other developing countries. This study was undertaken to describe the pattern of pediatric trauma in a multi-center hospital-based study. Pre-hospital and hospital data were prospectively gathered on all hospitalized...

  • THE IMPACT OF TRAUMA IN AN URBAN PEDIATRIC ORTHOPAEDIC PRACTICE. Ward, W. Timothy; Rihn, Jeffrey A. // Journal of Bone & Joint Surgery, American Volume;Dec2006, Vol. 88-A Issue 12, p2759 

    Background: National data documenting the impact of pediatric trauma in general and of pediatric orthopaedic trauma in particular on the rates of hospital admissions and emergency-room visits have been reported. This study documents the frequency of and work involved in the care of pediatric...

  • Pediatric trauma mortality by type of designated hospital in a mature inclusive trauma system. Amini, Rachid; André Lavoie; Moore, Lynne; Sirois, Marie-Josée; Émond, Marcel // Journal of Emergencies, Trauma & Shock;Jan2011, Vol. 4 Issue 1, p12 

    Background: Previous studies have shown divergent results regarding the survival of injured children treated at pediatric trauma centers (PTC) and adult trauma centers (ATC). Aims: (1) To document, in a regionalized inclusive trauma system, at which level of trauma centers were the injured...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics