Clinical Pediatric Emergency Medicine
Volume 7, Issue 2 , Pages 76-81 , June 2006

Pediatric Trauma Systems in the United States: Do They Make a Difference?

  • Edward P. Junkins Jr, MD, MPH

      Affiliations

    • Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, UT
    • Corresponding Author InformationReprint requests and correspondence: Edward P. Junkins Jr, MD, MPH, Pediatric Emergency Medicine, Williams Bldg, 295 Chipeta Way, PO Box 581289, Salt Lake City, UT 84108.
    • ,
  • Karen J. O'Connell, MD

      Affiliations

    • Children's National Medical Center, George Washington University School of Medicine, Washington, DC
    • ,
  • N. Clay Mann, PhD, MS

      Affiliations

    • Division of Pediatric Emergency Medicine, Department of Pediatrics, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, UT
    • Intermountain Injury Control and Research Center, Salt Lake City, UT

References 

  1. Centers for Disease Control and Prevention . Trauma care systems. CDC fact book 2001-2002. Available at: http://www.cdc.gov/ncipc/factsheets/childpas.htm[Accessed April 2, 2006]
  2. NHTSA . Traffic safety facts 2003. DOT HS 809 775. Washington (DC): National Highway Traffic Safety Administration; 2005;Available at: http://www-nrd.nhtsa.dot.gov/pdf/nrd-30/NCSA/TSFAnn/TSF2004.pdf. [Accessed April 2, 2006]
  3. Shackford SR, Mackersie RC, Hoyt DB, et al. Impact of a trauma system on outcome of severely injured patients. Arch Surg. 1987;122:523–527
  4. Mann NC, Mullins RJ, MacKenzie EJ, et al. Systematic review of published evidence regarding trauma system effectiveness. J Trauma. 1999;47(3 Suppl):S25–S33
  5. Mullins RJ, Mann NC. Population-based research assessing the effectiveness of trauma systems. J Trauma. 1999;47(3 Suppl):S59–S66
  6. MacKenzie EJ. Review of evidence regarding trauma system effectiveness resulting from panel studies. J Trauma. 1999;47(3 Suppl):S34–S41
  7. Mann CN, Mullins RJ, Hedges JR, et al. Mortality among seriously injured patients treated in remote rural trauma centers before and after implementation of a statewide trauma system. Med Care. 2001;39:643–653
  8. Committee on Injury Scaling . The Abbreviated Injury Scale: 1998 revision (AIS-98). Des Plaines (Ill): Association for the Advancement of Automotive Medicine; 1998;
  9. MacKenzie EJ, Rivara FP, Jurkovich GJ, et al. A national evaluation of the effect of trauma-center care on mortality. N Engl J Med. 2006;354:366–378
  10. Osler TM, Vane DW, Tepas JJ, et al. Do pediatric trauma centers have better survival rates than adult trauma centers? An examination of the National Pediatric Trauma Registry. J Trauma. 2001;50:96–101
  11. Densmore JC, Lim HJ, Oldham KT, Guice KS. Outcomes and delivery of care in pediatric injury. J Pediatr Surg. 2006;41:92–98
  12. Morrison W, Wright J, Paidas C. Pediatric trauma systems. Crit Care Med. 2002;30:S448–S456
  13. Emergency Medical Services for Children. Available at: http://www.ems-c.org. [Accessed April 2, 2006].
  14. Partnership for Development and Dissemination of Outcomes Measures for Injured Children. Grantee: APSA, Collaborators: Committee on Trauma of the American College of Surgeons and Children's Hospital of Wisconsin; EMSC Partnership for Information and Communications (PIC) Grant, 1999.
  15. Bensard DD, McIntyre RC, Moore EE, Moore FA. A critical analysis of acutely injured children managed in an adult level I trauma center. J Pediatr Surg. 1994;29:11–18
  16. Nakayama DK, Copes WS, Sacco W. Differences in trauma care among pediatric and nonpediatric trauma centers. J Pediatr Surg. 1992;27(27):427–431
  17. American College of Surgeons . Resources for optimal care of the injured patient. Chicago (Ill): American College of Surgeons; 1999;
  18. Tepas JJ, Wesson DE, Harris BH. Evaluation and management of the injured child. American College of Surgeons Committee on Trauma. Bull Am Coll Surg. 1995;80:36–39
  19. Hulka F, Mullins RJ, Mann NC, et al. Influence of a statewide trauma system on pediatric hospitalization and outcome. J Trauma. 1997;42:514–519
  20. Hulka F. Pediatric trauma systems: critical distinctions. J Trauma. 1999;47(3 Suppl):S85–S89
  21. Segui-Gomez M, Chang DC, Paidas CN, et al. Pediatric trauma care: an overview of pediatric trauma systems and their practices in 18 US states. J Pediatr Surg. 2003;38:1162–1169
  22. Baker SP, O'Neill B, Haddon W, et al. The Injury Severity Score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14:187–196
  23. Potoka DA, Schall LC, Gardner MJ, et al. Impact of pediatric trauma centers on mortality in a statewide system. J Trauma. 2000;49(2):237–245
  24. Partrick DA, Moore EE, Bensard DD, Karrer FM. Operative management of injured children at an adult level I trauma center. J Trauma. 2000;48:894–901
  25. Stylianos S, Egorova N, Guice KS, et al. Variation in treatment of pediatric spleen injury at trauma centers versus nontrauma centers: a call for dissemination of American Pediatric Surgical Association benchmarks and guidelines. J Am Coll Surg. 2006;202(2):247–251
  26. Mooney DP, Rothstein DH, Forbes PW. Variation in the management of pediatric splenic injuries in the United States. J Trauma. [in press].
  27. Mooney DP, Forbes PW. Variation in the management of pediatric splenic injuries in New England. J Trauma. 2004;56:328–333
  28. Davis DH, Localio AR, Stafford PW, et al. Trends in operative management of pediatric splenic injury in a regional trauma system. Pediatrics. 2005;115:89–94
  29. Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS method. J Trauma. 1987;27:370–378

PII: S1522-8401(06)00025-5

doi: 10.1016/j.cpem.2006.03.004

Clinical Pediatric Emergency Medicine
Volume 7, Issue 2 , Pages 76-81 , June 2006

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