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Academic-community partnerships improve outcomes in pediatric trauma care

Lorraine I Kelley-Quon1, Melanie A Crowley2, Harry Applebaum3

  • 1Division of Pediatric Surgery, Department of Surgery, Mattel Children's Hospital, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, CHS Bldg., MC 957098, Los Angeles, CA, USA, 90095-7098; Robert Wood Johnson Foundation Clinical Scholars, Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, 10940 Wilshire Blvd. Ste 710, Los Angeles, CA, USA, 90095-7394.

Journal of Pediatric Surgery
|March 28, 2015
PubMed

Insights

Academic-community partnerships in pediatric trauma care are feasible, showing reduced CT scans and shorter hospital stays for injured children. This collaboration led to improved patient outcomes and decreased mortality rates.

Area of Science:

  • Trauma Care
  • Pediatric Surgery
  • Health Services Research

Background:

  • Pediatric Trauma Centers (PTCs) were established in academic hospitals to meet the specific needs of injured children.
  • This study evaluates clinical outcomes for pediatric patients treated at a community facility with academic sponsorship.

Purpose of the Study:

  • To assess the clinical outcomes of injured children treated at an academic-sponsored community pediatric trauma center.
  • To determine the feasibility and impact of academic-community partnerships in pediatric trauma care.

Main Methods:

  • A community hospital partnered with an academic medical center to become a Level II PTC in October 2010.
  • Data from injured children (<15 years) treated before (Jan 2000-Sep 2010) and after (Jan 2011-Dec 2013) PTC designation were compared.
  • The Trauma and Emergency Medicine Information System was used for data collection.

Main Results:

  • Children treated post-PTC designation showed reduced computed tomography (CT) use (50.9% vs. 81.3%, p<0.01), including head and abdominal CTs.
  • Hospital length of stay was significantly shorter after PTC designation (2.8 days vs. 3.7 days, p<0.01).
  • Overall mortality decreased post-PTC designation (0.4% vs. 2.0%, p=0.02).

Conclusions:

  • Academic-community partnerships offer a viable model for delivering specialized pediatric trauma care.
  • This collaborative approach may lead to enhanced clinical outcomes for injured children.
  • The findings support the integration of academic expertise within community settings for pediatric trauma management.
Abstract

Keywords:
Community partnershipPediatric trauma center

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