The associations between injury mechanism and extended hospital stay among pediatric patients: findings from a trauma Center in Saudi Arabia
| Autor: | Jawaher Towhari, Hamad Alkhalaf, Mahna Alyami, Suliman Alghnam, Muhannad Al Nahdi, Ibrahim Al Babtain, Mohammed Hamad Aldebasi |
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| Rok vydání: | 2019 |
| Předmět: |
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Poison control Injury Severity Score 0302 clinical medicine Trauma Centers Odds Ratio Registries 030212 general & internal medicine Child Pediatric trauma Trauma center Accidents Traffic lcsh:RJ1-570 Revised Trauma Score Motorcycles Child Preschool Regression Analysis Female Burns Research Article medicine.medical_specialty Adolescent Saudi Arabia Injury mechanism 03 medical and health sciences Age Distribution 030225 pediatrics Injury prevention Confidence Intervals medicine Humans Glasgow Coma Scale Sex Distribution Retrospective Studies Drowning business.industry Infant Newborn Infant lcsh:Pediatrics Odds ratio medicine.disease Pediatrics Perinatology and Child Health Emergency medicine Wounds and Injuries Length of stay Accidental Falls business |
| Zdroj: | BMC Pediatrics, Vol 19, Iss 1, Pp 1-8 (2019) BMC Pediatrics |
| ISSN: | 1471-2431 |
| DOI: | 10.1186/s12887-019-1559-7 |
| Popis: | Background A hospitalized patient’s length of stay (LOS) can have a significant impact on the performance and operating costs of a healthcare facility. Among pediatric patients, traumatic injuries are common causes of emergency room visits and hospitalizations. In Saudi Arabia, little is known about the burden of pediatric traumas on population health and the healthcare facilities. Therefore, the aim of this study was to investigate the associations between traumatic pediatric injury mechanisms and extended LOS in a trauma center. Methods Data was obtained from the trauma registry. From 2001 to 2018, trauma patients between the ages of 0 and 18 years old with LOSs of > 0 days were analyzed. The independent variable was the injury mechanism, which was classified as follows: falls, burns, drowning, motor vehicle collisions, motorcycle collisions, pedestrian, and intentional injuries. The dependent variable was an extended LOS defined as ≥21 days. A multivariate logistic regression analysis was used to evaluate the associations between the injury mechanisms and an extended LOS. Results A total of 5563 pediatric patients were included in this study. Of those, 774 (14%) had extended LOSs. Those patients with extended LOSs suffered more severe injuries than those with short hospital stays as measured by the Injury Severity Score (mean scores: 15.4 vs. 6.8, p |
| Databáze: | OpenAIRE |
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