Academic-community partnerships improve outcomes in pediatric trauma care
| Autor: | Kelley-Quon, LI, Crowley, MA, Applebaum, H, Cummings, K, Kang, RJ, Tseng, CH, Mangione, CM, Shew, SB |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
Adolescent Outcome Assessment Clinical Trials and Supportive Activities 8.1 Organisation and delivery of services Community Pediatrics Paediatrics and Reproductive Medicine Trauma Centers Clinical Research Humans Injury - Childhood Injuries Child Preschool Community partnership Retrospective Studies Pediatric Academic Medical Centers Pediatric trauma center Partnership Practice Infant Disease Management Newborn Hospitals United States Health Care Injury (total) Accidents/Adverse Effects Wounds and Injuries Female |
| Zdroj: | Kelley-Quon, LI; Crowley, MA; Applebaum, H; Cummings, K; Kang, RJ; Tseng, CH; et al.(2015). Academic-community partnerships improve outcomes in pediatric trauma care. Journal of Pediatric Surgery, 50(6), 1032-1036. doi: 10.1016/j.jpedsurg.2015.03.033. UCLA: Retrieved from: http://www.escholarship.org/uc/item/2jr9h18d Journal of pediatric surgery, vol 50, iss 6 Kelley-Quon, LI; Crowley, MA; Applebaum, H; Cummings, K; Kang, RJ; Tseng, CH; et al.(2015). Academic-community partnerships improve outcomes in pediatric trauma care. Journal of Pediatric Surgery, 50(6), 1032-1036. doi: 10.1016/j.jpedsurg.2015.03.033. UCLA: Retrieved from: http://www.escholarship.org/uc/item/4ft7857h |
| DOI: | 10.1016/j.jpedsurg.2015.03.033. |
| Popis: | © 2015 Elsevier Inc. All rights reserved. Background To address the specialized needs of injured children, pediatric trauma centers (PTCs) were established at many large, academic hospitals. This study explores clinical outcomes observed for injured children treated at an academic-sponsored community facility. Methods In partnership with an academic medical center in a major metropolitan area, a not-for-profit community hospital became a designated Level II PTC in October 2010. Data for injured children < 15 years old treated prior to PTC designation from January 2000 to September 2010 were prospectively collected using the Trauma and Emergency Medicine Information System and compared to data collected after PTC designation from January 2011 to December 2013. Results Overall, 681 injured children were treated at the community hospital from January 2011 to December 2013. Children treated after PTC designation were less likely to undergo computed tomography (CT) (50.9% vs. 81.3%, p < 0.01), even when controlling for age, gender, injury type, injury severity, and year (OR 0.18, 95%CI 0.08-0.37). Specifically, fewer head (45.7% vs. 68.7%, p < 0.01) and abdominal CTs (13.2% vs. 26.5%, p < 0.01) were performed. Hospital length of stay was significantly shorter (2.8 ± 3.7 days vs. 3.7 ± 5.9 days, p < 0.01). Mortality was low overall, but also decreased after PTC designation (0.4% vs. 2.0%, p = 0.02). Conclusions These results indicate that academic-community partnerships in pediatric trauma care are a feasible alternative and may lead to improved outcomes for injured children. |
| Databáze: | OpenAIRE |
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