A review of children with severe trauma admitted to pediatric intensive care in Queensland, Australia
| Autor: | Mark G. Coulthard, Tona Gillen, Robert S. Ware, Roy M. Kimble, Vanil Varghese, Lauren P. Harvey |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Critical Care and Emergency Medicine Pediatrics Geographical Locations Families Injury Severity Score Medicine and Health Sciences Medicine Public and Occupational Health Child Children Trauma Medicine Data Management Multidisciplinary Major trauma Head injury Child Health Hospitalization Intensive Care Units Head Injury medicine.anatomical_structure Traumatic injury Child Preschool Female Queensland Traumatic Injury Pediatric trauma Research Article medicine.medical_specialty Computer and Information Sciences Adolescent Science Oceania MEDLINE Intensive care Humans business.industry Infant Newborn Australia Infant medicine.disease Age Groups Emergency medicine People and Places Abdomen Wounds and Injuries Population Groupings business human activities |
| Zdroj: | PLoS ONE PLoS ONE, Vol 14, Iss 2, p e0211530 (2019) |
| ISSN: | 1932-6203 |
| Popis: | BACKGROUND:The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children's Health Queensland, Brisbane, Queensland, Australia. METHODS:Routinely recorded data collected prospectively from the Children's Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. RESULTS:There were 542 cases of pediatric trauma identified and 66.4% were male. The overall mortality since January 2012 was 11.1%. The median injury severity score (ISS) was 11 (IQR = 9-22), 48.2% (n = 261) had an ISS > 12 and 41.7% (n = 226) patients had an ISS > 15. The most common injury patterns were isolated head injury (29.7%; n = 161) and multiple trauma (31.2%; n = 169). In 28.4% of cases (n = 154) surgery was required. The home was reported to be the most common place of injury (37.6%; n = 204). Children aged 0-4 years were least likely to survive their injury (15.3% mortality) compared with the 5-9 (5.6% mortality) and 10-15 (9.0% mortality) age groups. Higher mortality was associated with more severe injuries, abdomen/spine/thorax injuries, inflicted injuries, drowning and hanging. CONCLUSION:This description of major pediatric trauma cases admitted to pediatric intensive care in Children's Health Queensland, Australia, will inform future pediatric major trauma service requirements as it identifies injury patterns and profiles, injury severity, management and mortality across different age groups. |
| Databáze: | OpenAIRE |
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