Improved functional outcome for severely injured children treated at pediatric trauma centers

D. A. Potoka, L. C. Schall, H. R. Ford, D. Wesson, G. Rozycki, K. Sartorelli, J. Hammond, A. Cooper

Research output: Contribution to journalArticle

122 Scopus citations

Abstract

Background: Controversy exists regarding the impact of pediatric trauma centers (PTC) on survival for injured children. However, functional outcome for children treated at PTC compared with adult trauma centers (ATC) has not been evaluated. Methods: An analysis of children entered in the Pennsylvania Trauma Outcome Study between 1993 and 1997 was conducted. Patients were stratified according to type of trauma center: PTC; Level I ATC; Level II ATC; or ATC with added qualifications (AQ). Functional outcome at discharge was analyzed. Results: For severely injured children, there was an overall trend toward improved functional outcome at PTC compared with ATC AQ and ATC I, but no difference compared with ATC II. PTC showed improved functional outcome at discharge for head injury compared with ATC AQ and ATC I. Conclusion: There is an overall trend toward improved functional outcome at discharge for children treated at PTC compared with those treated at ATC AQ and ATC I. Improved outcome for head injury may be a key factor contributing to improved outcome at PTC.

Original languageEnglish (US)
Pages (from-to)824-834
Number of pages11
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume51
Issue number5
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

Keywords

  • Blunt trauma
  • Disability
  • Functional outcome
  • Head injury
  • Length of stay
  • Pediatric trauma center
  • Trauma outcome

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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