@article{ref1,
title="Undertriage of pediatric major trauma patients in the United States",
journal="Clinical pediatrics",
year="2017",
author="Peng, Jin and Wheeler, Krista and Groner, Jonathan I. and Haley, Kathryn J. and Xiang, Henry",
volume="56",
number="9",
pages="845-853",
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.<p /> <p>Language: en</p>",
language="en",
issn="0009-9228",
doi="10.1177/0009922817709553",
url="http://dx.doi.org/10.1177/0009922817709553"
}