Outcomes in Pediatric Trauma Care in the Stockholm Region

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Fältnamn	Indikatorer	Metadata
000		04041naa a2200469 4500
001		oai:DiVA.org:oru-82303
003		SwePub
008		200602s2010 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:121160772
009		oai:DiVA.org:rkh-506
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-823032 URI
024	7	a https://doi.org/10.1007/s00068-009-9080-62 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1211607722 URI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-5062 URI
040		a (SwePub)orud (SwePub)kid (SwePub)rkh
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Sluys, Kerstin,d 1956-u Karolinska Institutet,Department of Molecular Medicine and Surgery, Karolinska Institute4 aut0 (Swepub:rkh)sluk
245	1 0	a Outcomes in Pediatric Trauma Care in the Stockholm Region
264		c 2009-09-05
264	1	a Berlin :b Springer Berlin/Heidelberg,c 2010
338		a print2 rdacarrier
500		a Funding Agency: Queen Silvia's Jubilee Fund
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653		a Pediatric trauma
653		a Triage
653		a Outcomes
653		a Mortality
653		a Trauma registry
700	1	a Lange, Margarethau Department of Pediatric Emergency, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden4 aut
700	1	a Iselius, Lennartu Department of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden4 aut
700	1	a Eriksson, Larsu Karolinska Institutet,Department of Neurobiology, Care Sciences and Society, Karolinska Institute4 aut
710	2	a Karolinska Institutetb Department of Molecular Medicine and Surgery, Karolinska Institute4 org
773	0	t European Journal of Trauma and Emergency Surgeryd Berlin : Springer Berlin/Heidelbergg 36:4, s. 308-317q 36:4<308-317x 1863-9933x 1863-9941
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-82303
856	4 8	u https://doi.org/10.1007/s00068-009-9080-6
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:121160772
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-506

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Av författaren/redakt...: Sluys, Kerstin, ...; Lange, Margareth ...; Iselius, Lennart; Eriksson, Lars

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Omvårdnad

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