The Injury Prevention Priority Score In Pediatric Trauma: Matching Preventative Resources To Injuries
Luis deLeon1, Huirong Zhu2, Sara C Fallon2, *Bindi Naik-Mathuria2, *Adam M Vogel2
1Baylor College of Medicine, Houston, TX;2Texas Children's Hospital, Houston, TX
Background (issue):The injury prevention priority score (IPPS) is a means to rank injury mechanisms at trauma centers based on severity and frequency and has been used to characterize priorities in pediatric trauma. The purpose of this study is to evaluate the evolution of injury mechanisms based on the IPPS in children.
Methods:Children (age<18 years) were identified from the National Trauma Databank Research Data Sets (2007-2015). Patients were grouped into injury mechanisms based on ICD-9 E-Codes. Patients were also stratified by age. The IPSS was calculated by mechanism and age.
Findings:334,741 children were identified and grouped by: age < 1 (n=26,153), 1-4 (n=47,298), 4-9 (n=108,164), 9-14 (n=93,304), and 14-17 (n=59,822) years. Motor vehicle collision as an occupant (MVC-O) was the most common injury mechanism (49%) overall with a mean ISS of 7.9 and the highest IPSS of 83. Drowning, while infrequent, has the third highest IPPS (Table). Child physical abuse has the highest overall mean ISS at 13. In infants, falls demonstrated the highest IPPS group (73), but this score decreased with increasing age. Firearm injuries, based on IPPS, were in the top 5 of all age groups except infants.
Conclusions (implications for practice):Injuries related to motor vehicle collisions and falls, as well as firearms, are both frequent and severe. This study may be used to direct resources for age-appropriate education, awareness, and prevention.
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