Establishing a regional pediatric trauma preventable/potentially preventable death rate.
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PURPOSE: Although trauma is the leading cause of death for the pediatric population, few studies have addressed the preventable/potentially preventable death rate (PPPDR) attributable to trauma. METHODS: This is a retrospective study of trauma-related death records occurring in Harris County, Texas in 2014. Descriptive and Chi-squared tests were conducted for two groups, pediatric and adult trauma deaths in relation to demographic characteristics, mechanism of injury, death location and survival time. RESULTS: There were 105 pediatric (age < 18 years) and 1738 adult patients. The PPPDR for the pediatric group was 21.0%, whereas the PPPDR for the adult group was 37.2% (p = 0.001). Analysis showed fewer preventable/potentially preventable (P/PP) deaths resulting from any blunt trauma mechanism in the pediatric population than in the adult population (19.6% vs. 48.4%, p < 0.001). Amongst the pediatric population, P/PP traumatic brain injury (TBI) were more common in the youngest age range (age 0-5) vs. the older (6-12 years) pediatric and adolescent (13-17 years) patients. CONCLUSION: Our results identify areas of opportunities for improving pediatric trauma care. Although the overall P/PP death rate is lower in the pediatric population than the adult, opportunities for improving initial acute care, particularly TBI, exist.
author list (cited authors)
Drake, S. A., Holcomb, J. B., Yang, Y., Thetford, C., Myers, L., Brock, M., ... Harting, M. T.
complete list of authors
Drake, Stacy A||Holcomb, John B||Yang, Yijiong||Thetford, Caitlin||Myers, Lauren||Brock, Morgan||Wolf, Dwayne A||Persse, David||Naik-Mathuria, Bindi J||Wade, Charles E||Harting, Matthew T