TY  - JOUR
PY  - 2019//
TI  - Establishing a regional pediatric trauma preventable/potentially preventable death rate
JO  - Pediatric surgery international
A1  - Drake, Stacy A.
A1  - Holcomb, John B.
A1  - Yang, Yijiong
A1  - Thetford, Caitlin
A1  - Myers, Lauren
A1  - Brock, Morgan
A1  - Wolf, Dwayne A.
A1  - Persse, David
A1  - Naik-Mathuria, Bindi J.
A1  - Wade, Charles E.
A1  - Harting, Matthew T.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0179-0358
UR  - http://dx.doi.org/10.1007/s00383-019-04597-9
ID  - ref1
ER  -