Establishing a regional pediatric trauma preventable/potentially preventable death rate

Stacy A. Drake; John B. Holcomb; Yijiong Yang; Caitlin Thetford; Lauren Myers; Morgan Brock; Dwayne Wolf; David Persse; Bindi J. Naik-Mathuria; Charles E. Wade; Matthew T. Harting

doi:10.1007/s00383-019-04597-9

Establishing a regional pediatric trauma preventable/potentially preventable death rate

Stacy A. Drake, John B. Holcomb, Yijiong Yang, Caitlin Thetford, Lauren Myers, Morgan Brock, Dwayne Wolf, David Persse, Bindi J. Naik-Mathuria, Charles E. Wade, Matthew T. Harting

Houston Methodist

Research output: Contribution to journal › Article › peer-review

18 Scopus citations

Abstract

PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma.

METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time.

RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients.

CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.

Original language	English (US)
Pages (from-to)	179-189
Number of pages	11
Journal	Pediatric Surgery International
Volume	36
Issue number	2
DOIs	https://doi.org/10.1007/s00383-019-04597-9
State	Published - Feb 1 2020

Keywords

Injury
Mortality data
Pediatric trauma
Pediatric trauma death
Trauma systems
Humans
Child, Preschool
Infant
Male
Wounds and Injuries/mortality
Cause of Death/trends
Texas/epidemiology
Survival Rate/trends
Trauma Centers/statistics & numerical data
Adolescent
Female
Retrospective Studies
Child
Infant, Newborn

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

Access to Document

10.1007/s00383-019-04597-9

Cite this

@article{8f8ccf229afb488f96d01442637598b6,

title = "Establishing a regional pediatric trauma preventable/potentially preventable death rate",

abstract = "PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma.METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time.RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients.CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.",

keywords = "Injury, Mortality data, Pediatric trauma, Pediatric trauma death, Trauma systems, Humans, Child, Preschool, Infant, Male, Wounds and Injuries/mortality, Cause of Death/trends, Texas/epidemiology, Survival Rate/trends, Trauma Centers/statistics & numerical data, Adolescent, Female, Retrospective Studies, Child, Infant, Newborn",

author = "Drake, {Stacy A.} and Holcomb, {John B.} and Yijiong Yang and Caitlin Thetford and Lauren Myers and Morgan Brock and Dwayne Wolf and David Persse and Naik-Mathuria, {Bindi J.} and Wade, {Charles E.} and Harting, {Matthew T.}",

note = "Funding Information: The study was in part funded from two internal UTHealth sources: UTHealth Cizik School of Nursing PARTNERS Grant and Center for Translational Injury Research (CeTIR). No external funding was utilized for this manuscript. The authors have indicated they have no financial relationships relevant to this article to disclose. Publisher Copyright: {\textcopyright} 2019, Springer-Verlag GmbH Germany, part of Springer Nature.",

year = "2020",

month = feb,

day = "1",

doi = "10.1007/s00383-019-04597-9",

language = "English (US)",

volume = "36",

pages = "179--189",

journal = "Pediatric Surgery International",

issn = "0179-0358",

publisher = "Springer Verlag",

number = "2",

}

TY - JOUR

T1 - Establishing a regional pediatric trauma preventable/potentially preventable death rate

AU - Drake, Stacy A.

AU - Holcomb, John B.

AU - Yang, Yijiong

AU - Thetford, Caitlin

AU - Myers, Lauren

AU - Brock, Morgan

AU - Wolf, Dwayne

AU - Persse, David

AU - Naik-Mathuria, Bindi J.

AU - Wade, Charles E.

AU - Harting, Matthew T.

N1 - Funding Information: The study was in part funded from two internal UTHealth sources: UTHealth Cizik School of Nursing PARTNERS Grant and Center for Translational Injury Research (CeTIR). No external funding was utilized for this manuscript. The authors have indicated they have no financial relationships relevant to this article to disclose. Publisher Copyright: © 2019, Springer-Verlag GmbH Germany, part of Springer Nature.

PY - 2020/2/1

Y1 - 2020/2/1

N2 - PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma.METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time.RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients.CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.

AB - PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma.METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time.RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients.CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.

KW - Injury

KW - Mortality data

KW - Pediatric trauma

KW - Pediatric trauma death

KW - Trauma systems

KW - Humans

KW - Child, Preschool

KW - Infant

KW - Male

KW - Wounds and Injuries/mortality

KW - Cause of Death/trends

KW - Texas/epidemiology

KW - Survival Rate/trends

KW - Trauma Centers/statistics & numerical data

KW - Adolescent

KW - Female

KW - Retrospective Studies

KW - Child

KW - Infant, Newborn

UR - http://www.scopus.com/inward/record.url?scp=85074809223&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074809223&partnerID=8YFLogxK

U2 - 10.1007/s00383-019-04597-9

DO - 10.1007/s00383-019-04597-9

M3 - Article

C2 - 31701301

AN - SCOPUS:85074809223

SN - 0179-0358

VL - 36

SP - 179

EP - 189

JO - Pediatric Surgery International

JF - Pediatric Surgery International

IS - 2

ER -

Establishing a regional pediatric trauma preventable/potentially preventable death rate

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this