TY  - JOUR
PY  - 2017//
TI  - Undertriage of pediatric major trauma patients in the United States
JO  - Clinical pediatrics
A1  - Peng, Jin
A1  - Wheeler, Krista
A1  - Groner, Jonathan I.
A1  - Haley, Kathryn J.
A1  - Xiang, Henry
SP  - 845
EP  - 853
VL  - 56
IS  - 9
N2  - 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>
LA  - en
SN  - 0009-9228
UR  - http://dx.doi.org/10.1177/0009922817709553
ID  - ref1
ER  -