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Clinical Characteristics of Pediatric Patients With Cervical Collar-Related Pressure Injuries

Anastasia M Kahan1, Natalya E McNamara, Stephanie E Iantorno

  • 1Department of Surgery, Division of Pediatric Surgery, University of Utah Salt Lake City, UT (Kahan, McNamara, Iantorno, Smith, Larsen, Swendiman, and Russell).

Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses
|June 25, 2026
PubMed

Insights

Pediatric trauma patients requiring intensive care are at risk for cervical collar-related pressure injuries (CCRPIs). These injuries, often occurring after prolonged collar use, necessitate careful consideration of risks versus benefits.

Area of Science:

  • Pediatric Trauma Care
  • Critical Care Medicine
  • Wound Prevention

Background:

  • Hospitalized critically ill patients face a high risk of pressure injuries.
  • Cervical collar-related pressure injuries (CCRPIs) in pediatric trauma patients are not well-documented.
  • Understanding risk factors is crucial for preventing these injuries.

Purpose of the Study:

  • To determine the incidence and timing of CCRPIs in pediatric trauma patients.
  • To describe the clinical characteristics of pediatric trauma patients who develop CCRPIs.
  • To identify demographic factors associated with CCRPIs in this population.

Main Methods:

  • A single-center, retrospective cohort study was conducted.
  • Pediatric trauma patients (<18 years) with CCRPIs were analyzed from 2017 to 2024.
  • Descriptive statistics were used to analyze demographic and clinical data.

Main Results:

  • Twenty CCRPIs occurred in 15 pediatric trauma patients over 8 years.
  • Patients were typically young (mean age 7 years) and required pediatric intensive care unit (PICU) admission, mechanical ventilation, and sedation.
  • Injuries commonly affected the occiput and chin, with collars in place for a mean of 13 days.

Conclusions:

  • Pediatric patients with CCRPIs often require intensive care, mechanical ventilation, and sedation.
  • Prophylactic cervical collar use for extended periods was common in patients with CCRPIs.
  • Cervical collars require a careful risk-benefit assessment in pediatric trauma care.
Abstract

Keywords:
Cervical collar–related pressure injury (CCRPI)Hospital-acquired pressure injuryMedical device–related pressure injuryPediatric trauma

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