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Updated: Jul 16, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

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Published on: March 26, 2019

New Technology Dependence Among Children Hospitalized for Traumatic Injury.

Jillian K Gorski1, Ryan J Coller2, Adam S Brinkman3

  • 1BerbeeWalsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Pediatrics
|July 14, 2026
PubMed
Summary

Approximately 2% of pediatric trauma survivors require new technology dependence procedures. Firearm and traffic injuries, along with severe head/neck trauma, increase this risk, highlighting the need for specialized care.

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Last Updated: Jul 16, 2026

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

Area of Science:

  • Trauma Surgery
  • Pediatric Critical Care
  • Health Services Research

Background:

  • Hospitalized pediatric trauma survivors face long-term health challenges.
  • The emergence of new technology dependence (NTD) in this population requires further investigation.
  • Understanding factors associated with NTD is crucial for optimizing care pathways.

Purpose of the Study:

  • To determine the incidence of new technology dependence among pediatric trauma survivors.
  • To identify factors associated with the development of new technology dependence in this cohort.
  • To analyze the impact of new technology dependence on patient outcomes.

Main Methods:

  • Retrospective cross-sectional study utilizing the 2021-2022 American College of Surgeons National Trauma Data Bank.
  • Inclusion of pediatric patients (<18 years) hospitalized for trauma and discharged alive.
  • Multivariable logistic regression analysis to identify predictors of new technology dependence.

Main Results:

  • 2.0% of 183,948 pediatric trauma survivors developed new technology dependence.
  • Firearm (OR 3.8) and traffic injuries (OR 2.4) were significantly associated with NTD.
  • Serious injuries, especially to the head and neck (OR 9.2), increased NTD risk. Common procedures included spinal fusion, CSF drainage, and feeding tube placement.

Conclusions:

  • One in 50 pediatric trauma survivors require procedures for new technology dependence.
  • These findings emphasize the necessity of trauma-informed survivorship care.
  • Prevention strategies targeting chronic health consequences of childhood injury are essential.