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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.

Pediatric Emergency Care
|July 16, 2021
PubMed

Insights

Pediatric trauma significantly impacts children

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.
Abstract

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