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  • Sluys, Kerstin,1956-Karolinska Institutet,Department of Molecular Medicine and Surgery, Karolinska Institute (författare)

Outcomes in Pediatric Trauma Care in the Stockholm Region

  • Artikel/kapitelEngelska2010

Förlag, utgivningsår, omfång ...

  • 2009-09-05
  • Berlin :Springer Berlin/Heidelberg,2010
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-82303
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-82303URI
  • https://doi.org/10.1007/s00068-009-9080-6DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:121160772URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-506URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agency: Queen Silvia's Jubilee Fund
  • Background:Although trauma is a leading cause of pediatric mortality and morbidity in Sweden, few studies have examined the outcome of pediatric trauma.Objective:Here, we describe the age and gender distribution, injury mechanisms, injury severity, and outcome of pediatric trauma in the Stockholm region.Methods:This retrospective study comprises all trauma patients (age ≤ 15 years) admitted to a regional pediatric trauma center and all pediatric deaths due to trauma in Stockholm in 2002. Data from the trauma registry database were verified by comparison with medical records and autopsy reports. Outcome was measured by mortality and length of stay in a pediatric intensive care unit (PICU) and acute care hospital.Results:In all, 432 injured children were included. The median age was 10 years and 59% were males. The median injury severity score was 4 (interquartile range [IQR] 1–9) and 50% sustained head injuries. Mortality was low (1%) and the median length of hospital stay was 2 days (IQR 1–3); 19% stayed in a PICU and, of those, 89% stayed for one day. Comparison with medical records showed that much information in the trauma registry database was either incorrect or missing.Conclusions:Many injuries were minor and half of the children were discharged home from the emergency department. Head injuries were the most common injury in all age groups. The most severe head injuries were seen in the youngest group and were caused by falls. Trauma team activation criteria should be improved to avoid overutilization. The quality and completeness of data in the trauma registry must be enhanced.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Lange, MargarethaDepartment of Pediatric Emergency, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden (författare)
  • Iselius, LennartDepartment of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden (författare)
  • Eriksson, LarsKarolinska Institutet,Department of Neurobiology, Care Sciences and Society, Karolinska Institute (författare)
  • Karolinska InstitutetDepartment of Molecular Medicine and Surgery, Karolinska Institute (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:European Journal of Trauma and Emergency SurgeryBerlin : Springer Berlin/Heidelberg36:4, s. 308-3171863-99331863-9941

Internetlänk

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