Twitter  Linkedin
 
Addition of Pediatric Trauma Center to Established Trauma System Resulted in Appropriate Triage of Severely Injured Children

Back to 2nd Annual Meeting Posters


Addition of Pediatric Trauma Center to Established Trauma System Resulted in Appropriate Triage of Severely Injured Children
Emily Murphy, MD, Erin Teeple, MD and Stephen Murphy, MD, Department of Trauma, AI Dupont Hospital for Children, Wilmington DE

Objective:
Background: Decreased operative rates for solid organ injuries have been demonstrated for pediatric trauma patients cared for at Pediatric Trauma Centers (PTC). The impact of adding an ACS-verified Pediatric Trauma Center to a mature trauma system is less well characterized.
Methods: Demographic and treatment dates were collected from the Delaware Trauma Databank from initiation of an organized regional Trauma System in 2000 through 2014. Injured pediatric patients were originally directed to an adult Level I Trauma Center until a PTC joined the system in 2006.
Results: Prior to the addition of an ACS-verified PTC to this system, approximately 25 % of injured children with an ISS > 15 were evaluated at a pediatric hospital. Currently, 88 % of children with ISS > 15 are evaluated at the PTC. Pediatric trauma registry volume in this system has increased from 300 annually to approximately 1000 at present. Over the same period, mortality rate for severely injured patients in the Delaware Trauma system has been reduced by 50 % and pediatric splenectomy rates have dropped from 30 % to 2%. Conclusions: The addition of a PTC to a mature trauma system has resulted in appropriate triage and treatment of the most severely injured pediatric patients in the system, i.e., the right patient arriving at the right place in the right time.
Objective: The audience will recognize the potential for improvement in triaging pediatric trauma patients to appropriate care center with the addition of a pediatric trauma center to an established trauma system.Objective Content: Previous evidence has shown decreased operative rates for solid organ injured in those children who have been treated in a pediatric trauma center. We believe there are other benefits to pediatric trauma patients being treated in a pediatric institution. Our purpose is to demonstrate a change in triage patterns after addition of a pediatric trauma center to an established trauma system.


Back to 2nd Annual Meeting Posters