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Characteristics of operative pediatric trauma transfer patients
Su Yeon Lee1, Jordan E Jackson2, Olivia Vukcevich3
1Department of surgery, Montefiore Medical Center, USA; Division of Pediatric General, Thoracic and Fetal Surgery, University of California Davis Medical Center, USA.
Insights
Pediatric trauma transfers requiring surgery are common. Orthopedic patients, though less injured, had delayed surgeries, suggesting potential for optimized resource use in pediatric trauma care.
Area of Science:
- Trauma surgery
- Pediatric surgery
- Healthcare resource management
Background:
- Pediatric trauma centers improve outcomes.
- Optimal resource utilization for pediatric trauma transfers requires investigation.
- This study evaluates operative pediatric trauma transfer patients for resource optimization.
Purpose of the Study:
- To evaluate characteristics of operative pediatric trauma transfer patients.
- To identify opportunities for optimizing resource utilization in pediatric trauma care.
Main Methods:
- Retrospective review of pediatric trauma patients transferred to a Level 1 pediatric trauma center (2009-2019).
- Patients categorized by initial operative subspecialty.
- Analysis of operative intervention rates and timing.
Main Results:
- 33.9% of 4164 transferred patients required surgery.
- 65% of operations were on orthopedic patients, who had significantly lower injury severity.
- General surgery patients were more likely to have surgery on the day of transfer compared to orthopedic patients (OR 2.0).
Conclusions:
- One-third of pediatric trauma transfers necessitate operative intervention.
- Orthopedic patients, despite lower injury severity, experienced delayed surgical intervention.
- Critical evaluation of this patient cohort is needed to develop less resource-intensive transfer processes.
Background:
Pediatric patients treated at trauma centers demonstrate improved outcomes, but investigation of optimal resource utilization surrounding the transfer is ongoing. We evaluated characteristics of operative pediatric trauma transfer patients for resource optimization.
Methods:
A retrospective review of pediatric trauma patients transferred to a level 1 pediatric trauma center from 2009 to 2019 was performed. Patients were categorized by initial operative subspecialty.
Results:
Of 4164 transferred patients, 33.9 % required operative intervention. 65 % of operations were performed on orthopedic patients, who were significantly less injured compared to other patients. General surgery patients were more likely to undergo surgery on day of transfer compared to orthopedic patients (39.4%vs 56.3 %, OR 2.0, CI 1.4-2.8).
Conclusions:
One-third of pediatric trauma transfer patients required operative intervention. The majority of surgeries were on orthopedic patients, who were less likely to undergo surgery on day of transfer. Critical evaluation of this patient population is required to safely utilize a less resource-intensive transfer process.
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