Citation

Kizhakke Veetil D, Kumar V, Khajanchi MU, Warnberg MG. J. Pediatr. Surg. 2019; 54(7): 1421-1426.

Affiliation

Global Health: Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, Sweden. Electronic address: martin.gerdin@ki.se.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.jpedsurg.2018.10.101

PMID

30594307

Abstract

BACKGROUND/PURPOSE: India with its evolving trauma system needs multicenter studies on trauma outcomes to help determine the need for planning and structuring care better and to bridge the gap between the burden of disease and research. Therefore here we studied 24 h and 30 day mortality in adult and pediatric trauma population presenting to urban tertiary care hospitals.

METHODOLOGY: Data from multicenter observational cohort study conducted from July 2013 to December 2015, Towards improved trauma care outcomes in India (TITCO) were used. MAIN FINDINGS: 3381 pediatric and 12,666 adult trauma patients. Unadjusted analyses of mortality were significantly less in pediatric compared to adult group within 24 h (OR 0.513, 99% CI 0.4-0.658, p < 0.001) and 30 days (OR 0.442, 99% CI 0.383-0.511, p < 0.001). In adjusted analyses pediatric group did not have significantly lower odds of 24-h mortality (OR 0.778, 99% CI 0.106-5.717, P = 0.746). At 30 days, pediatric group had 89% lower odds of death compared to adults (OR 0.11, 99% CI 0.017-0.0714, p = 0.002).

CONCLUSION: Children had mechanisms of injury different from adults leading to less severe injuries than adults. Children are more likely than adults to survive until 30 days after admission for trauma in urban India. LEVEL OF EVIDENCE: Level II.

Copyright © 2018 Elsevier Inc. All rights reserved.

Language: en

Keywords

Adult; Child; Hospital mortality; Tertiary healthcare; Urban population; Wounds and injuries