Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons
Bibliographic Data
| ID | 15717465 |
|---|---|
| Authors | Hsiang-Chieh Huang (Chang Gung University), Tzu-Chi Teng (0000-0002-9766-8781, Linkou Chang Gung Memorial Hospital), Yung-Ching Ming (0000-0002-2560-4615, Linkou Chang Gung Memorial Hospital), Jainn‐Jim Lin (0000-0001-5592-6343, Linkou Chang Gung Memorial Hospital), Chien‐Hung Liao (0000-0003-2812-9773, Linkou Chang Gung Memorial Hospital), Chien-Hung Liao (Chang Gung University), Chi‐Hsun Hsieh (0000-0003-2021-9555, Chang Gung University), Chi-Hsun Hsieh (Chang Gung University), Pei‐Hua Li (Chang Gung University, corresponding author), Pei-Hua Li (Chang Gung University), Chih‐Yuan Fu (0000-0003-1536-1549, Chang Gung University, corresponding author) |
| Year | 2022 |
| Volume | 9 |
| Issue | 3 |
| Pages | 444-444 |
| Publication date | 2022-03-21 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children9030444 |
| PMID | 35327816 |
| OpenAlex | W4220672983 |
| Language | EN |
| References cited | 30 |
Background: The purpose of this study is to assess the roles of pediatric surgeons and adult trauma surgeons in the management of pediatric torso trauma patients in a Level I adult trauma center. Methods: From 2015 to 2019, pediatric torso trauma patients (age < 18 years) were studied. A comparison between patients who did and did not undergo surgery was performed. Older children (age: 10−18 years) were compared with young adults (age: 18−35 years) selected with the same criteria using propensity score matching (PSM) and inverse probability of treatment weighting (IPTW). Results: A total of 226 patients were included in the study. Patients who underwent surgery for torso trauma (N = 61) were significantly older than patients who did not undergo surgery (N = 165) (13.1 vs. 10.4 years, p = 0.019). Both PSM and IPTW showed that the older children and young adult groups had similar proportions of patients requiring surgery (32.6% vs. 32.6%, standard difference (SD) = 0.000), proportions of patients who required torso angioembolization (8.7% vs. 9.8%, SD = 0.072), length of hospital stay (LOS) (8.1 vs. 8.0 days, SD = 0.026), and intensive care unit admission LOS (2.6 vs. 2.7 days, SD = 0.033). However, 7.1% of older children received critical care from pediatric surgeons. Additionally, 31.9% of younger children were cared for by pediatric surgeons/pediatricians. Conclusions: Adult trauma surgeons can feasibly perform surgeries for older children with torso trauma in collaboration with pediatric surgeons who provide critical care
Injury prevention · Intensive care medicine · Intensive care unit · Pediatric surgery · Pediatric trauma · Poison control · Retrospective cohort study · Torso · Trauma center · Young adult · Abdominal Trauma and Injuries · Medicine · Pelvic and Acetabular Injuries · Trauma and Emergency Care Studies · Emergency Medicine · Internal Medicine · Pediatrics · Surgery
Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity‐score matched samples
An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies
The Cost of Childhood Unintentional Injuries and the Value of Prevention
| Highly cited | No |
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