A 20-year review of pediatric pregnant trauma from a Level I trauma center

Tanya Zakrison, Xiomara Ruiz, Nicholas Namias, Marie Crandall

Research output: Contribution to journalArticle

Abstract

Background Trauma in pregnancy remains an important but understudied public health issue. We aimed to determine the prevalence of interpersonal violence in our pregnant trauma population (including pediatric) over the last 20 years, from our Level I trauma center. Methods We conducted a descriptive, retrospective chart review to identify all pregnant trauma patients between Jan 1993 and Sept 2013. Pediatric was ≤18 years of age. We evaluated demographics, mechanism of injury, injury location, disposition, and outcome data. Results We treated 438 pregnant patients at our center over 20 years. 378 (86%) were adult and 60 (14%) were pediatric. Intentional injuries occurred in 89 (20%) patients. The pediatric pregnant patients experienced a significantly higher proportion of intentional, interpersonal violence (33% vs. 18%, p = 0.007) compared to adults. Patients presenting after intentional, interpersonal violence had a higher mortality compared to non-intentional 5% vs 1% (p = 0.019). Conclusions Pediatric pregnant trauma patients remain at risk of interpersonal violence, especially firearm-related injury. Screening should be instituted by obstetricians and pediatricians for primary prevention.

Original languageEnglish (US)
Pages (from-to)596-598
Number of pages3
JournalAmerican Journal of Surgery
Volume214
Issue number4
DOIs
StatePublished - Oct 1 2017

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Trauma Centers
Pediatrics
Wounds and Injuries
Violence
Firearms
Primary Prevention
Public Health
Demography
Pregnancy
Mortality
Population

Keywords

  • Firearms
  • Intentional
  • Interpersonal violence
  • Pediatric
  • Pregnant

ASJC Scopus subject areas

  • Surgery

Cite this

A 20-year review of pediatric pregnant trauma from a Level I trauma center. / Zakrison, Tanya; Ruiz, Xiomara; Namias, Nicholas; Crandall, Marie.

In: American Journal of Surgery, Vol. 214, No. 4, 01.10.2017, p. 596-598.

Research output: Contribution to journalArticle

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