TY - JOUR
PY - 2018//
TI - A 15 year cohort review of in-hospital pediatric trauma center mortality: a catalyst for injury prevention programming
JO - American journal of surgery
A1 - Govind, Shaylan K.
A1 - Merritt, Neil H.
SP - 567
EP - 572
VL - 216
IS - 3
N2 - BACKGROUND: The objective of our study was to identify the most common mechanisms of injury leading to death in our pediatric population.
METHODS: A retrospective cohort of fatally injured children 0-17 years old treated at our trauma center during 2000-2015.
RESULTS: The mortality rate in our population was 8% (n = 103). Fifty-five percent were male. The majority (76%) of fatal injuries were blunt. Overall, motor vehicle collisions (MVCs) were the most common mechanism of injury (61%), followed by assault/abuse (9%). Of the deaths caused by MVCs, 37 (59%) were occupants, 11 (17%) were pedestrians, and 6 (10%) were cyclists. In the infant sub-population, assault/abuse was the most common mechanism of injury.
CONCLUSION: MVCs were the leading cause of death in this population. In the infant subpopulation (<1 year), abusive head trauma emerged as the leading mechanism. Injury prevention programming should target abusive head trauma in infants and teen road safety. SUMMARY: A 15 year cohort review of pediatric trauma center mortality. Common mechanisms of injury leading to death were identified.
Copyright © 2018 Elsevier Inc. All rights reserved.
Language: en
LA - en SN - 0002-9610 UR - http://dx.doi.org/10.1016/j.amjsurg.2018.03.001 ID - ref1 ER -