@article{ref1,
title="Establishing a regional pediatric trauma preventable/potentially preventable death rate",
journal="Pediatric surgery international",
year="2019",
author="Drake, Stacy A. and Holcomb, John B. and Yang, Yijiong and Thetford, Caitlin and Myers, Lauren and Brock, Morgan and Wolf, Dwayne A. and Persse, David and Naik-Mathuria, Bindi J. and Wade, Charles E. and Harting, Matthew T.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma. <br><br>METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time. <br><br>RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients. <br><br>CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.<p /> <p>Language: en</p>",
language="en",
issn="0179-0358",
doi="10.1007/s00383-019-04597-9",
url="http://dx.doi.org/10.1007/s00383-019-04597-9"
}