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Pediatric Trauma: What Hurts?

Lindsey L Perea¹, Karla Echeverria Rosario², Stacey Staman²

¹From the Department of Surgery, Division of Trauma and Acute Care Surgery, Penn Medicine Lancaster General Hospital, Lancaster, PA.

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Area of Science:

Pediatric Trauma Care
Child Psychology
Rehabilitation Medicine

Background:

Pediatric trauma affects children during critical developmental stages.
The long-term functional and emotional consequences of pediatric trauma are not well-documented.
Understanding the inpatient experience is crucial for improving care.

Purpose of the Study:

To assess the functional and emotional impact of trauma in pediatric patients.
To evaluate the inpatient experience for performance improvement opportunities.

Main Methods:

Prospective survey of admitted trauma patients under 18 years old.
Surveys administered during inpatient stay and at 3 months postdischarge.
Exclusion of nonaccidental trauma and patients deceased before admission.

Main Results:

31 of 60 enrolled patients completed follow-up.
At 3 months, 71% returned to academics, 58% to extracurriculars.
32% reported emotional/distraction issues; 13% received therapy post-discharge.

Conclusions:

Pediatric trauma leads to significant functional and emotional deficits.
Recommend behavioral medicine evaluation for all pediatric trauma patients.
Post-discharge support and improved pain control/communication are needed.