Featured Research

from universities, journals, and other organizations

Injured Children Have Higher Survival Rates at Pediatric Trauma Centers than at Adult Trauma Centers

Date:
November 2, 2000
Source:
The Children's Hospital of Philadelphia
Summary:
Injured children who receive care at trauma centers certified to treat children have better survival rates than children treated at adult trauma centers, according to a Pennsylvania study. The better outcomes may occur because the care is specifically tailored to children.

Philadelphia, Pa. — Injured children who receive care at trauma centers certified to treat children have better survival rates than children treated at adult trauma centers, according to a recent Pennsylvania study. The better outcomes, said the researchers, may occur because pediatric trauma centers provide care specifically tailored to children, rather than following medical practices designed for adults.

The study of 13,000 injured children, conducted by trauma teams at The Children’s Hospital of Philadelphia and the Children’s Hospital of Pittsburgh, was published in the August issue of the Journal of Trauma. "Parents should find out in advance where the nearest certified pediatric trauma center is located, and request prompt transfer there if their child is injured," said Perry W. Stafford, M.D., director of the Trauma Center at The Children’s Hospital of Philadelphia, and a co-author of the study. "This research underscores the importance of the having standards of care that are geared to the special needs of injured children."

Using information collected by the Pennsylvania Trauma Systems Foundation, an accrediting agency for trauma centers, the researchers analyzed records of more than 13,000 injured children seen in 26 hospital-based trauma centers. Two of the centers were pediatric trauma centers (The Children’s Hospital of Philadelphia and the Children’s Hospital of Pittsburgh), five were adult trauma centers with added qualifications in pediatrics, and the remaining 19 were adult trauma centers.

To be accredited as a pediatric trauma center, a hospital must have comprehensive pediatric services that include full-time availability of pediatric surgeons, neurosurgeons, orthopedic surgeons, emergency physicians, pediatric anesthesiologists and critical care specialists.

The researchers found that, overall, children treated at pediatric trauma centers or at the adult centers with added pediatric qualifications had significantly better outcomes than those treated at adult trauma centers. For instance, the mortality rate for all pediatric injuries was 3.6 percent at pediatric trauma centers, compared to 8 percent at level I adult trauma centers, and 4.7 percent at level II adult trauma centers (level I indicates more comprehensive services than level II).

Furthermore, survival rates for children who sustained head, spleen and liver injuries were significantly better at pediatric trauma centers compared to all other trauma centers. Mortality rates, regardless of severity, were 6.6 percent (head injuries), 9.1 percent (liver injuries) and 5.8 percent (spleen injuries) at pediatric trauma centers, compared to figures such as 21.3 percent (head injuries in children at level I adult trauma centers) and 32.3 percent (liver injuries in children at level II adult trauma centers).

More than 1.5 million childhood injuries occur each year, resulting in 500,000 hospitalizations and between 15,000 and 20,000 deaths. Regional pediatric trauma centers have been developed to provide the best care for injured children, but given the relative shortage of such centers, many injured children receive care at adult trauma centers, Dr. Stafford said.

However, optimal care for particular injuries to children may be different than for corresponding adult injuries. For instance, it is often better to treat spleen injuries in children without surgery, in contrast to adult injuries, in which surgery is more frequently recommended. Yet the study found that children had injured spleens removed 16 to 28 percent of the time in adult trauma centers, compared to less than 3 percent of the time in pediatric trauma centers. The authors say such results suggest that "in adult trauma centers, injured children may be treated according to adult norms rather than pediatric standards."

Collaborating on the study with Dr. Stafford was Henri R. Ford, M.D., director of the Benedum Pediatric Trauma Center at the Children’s Hospital of Pittsburgh.

Founded in 1855 as the nation’s first pediatric hospital, The Children’s Hospital of Philadelphia is recognized today as one of the leading treatment and research facilities in the world. Through its longstanding commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children’s Hospital has fostered discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking second in National Institutes of Health funding. In addition, its unique outreach and public service programs have brought the 381-bed hospital recognition as a leading advocate for children from before birth through age 19. ###

Note to editors: The Children’s Hospital of Philadelphia is the only Level I pediatric trauma center in eastern Pennsylvania, one of only two such centers in the entire state. Children’s Hospital was the first accredited pediatric trauma center in Pennsylvania, having received that designation in 1986. Trauma center accreditation is provided by the Pennsylvania Trauma Systems Foundation, a nonprofit organization formed by Pennsylvania Act 45. More than 1,000 children are treated here annually for traumatic injuries. In addition to comprehensive pediatric medical services and high standards of training, a level I pediatric trauma center is required to provide education about injury prevention to healthcare professionals and members of the public, to evaluate its own programs, and to conduct trauma research. For more details about the pediatric trauma center at The Children’s Hospital of Philadelphia, including injury prevention tips for parents, see http://safekids.chop.edu.

Perry W. Stafford, M.D., has been director of the Pediatric Trauma Center at The Children’s Hospital of Philadelphia since 1995. He is board-certified in general and pediatric surgery as well as surgical critical care and nutrition. Among his professional positions, he is a fellow of the American College of Surgery, the American Academy of Pediatrics and the American College of Critical Care Medicine. He is a member of many state and national committees dealing with childhood injury prevention and care, and is a frequent contributor to the scientific and lay literature.


Story Source:

The above story is based on materials provided by The Children's Hospital of Philadelphia. Note: Materials may be edited for content and length.


Cite This Page:

The Children's Hospital of Philadelphia. "Injured Children Have Higher Survival Rates at Pediatric Trauma Centers than at Adult Trauma Centers." ScienceDaily. ScienceDaily, 2 November 2000. <www.sciencedaily.com/releases/2000/10/001031164110.htm>.
The Children's Hospital of Philadelphia. (2000, November 2). Injured Children Have Higher Survival Rates at Pediatric Trauma Centers than at Adult Trauma Centers. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2000/10/001031164110.htm
The Children's Hospital of Philadelphia. "Injured Children Have Higher Survival Rates at Pediatric Trauma Centers than at Adult Trauma Centers." ScienceDaily. www.sciencedaily.com/releases/2000/10/001031164110.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Health Insurers' Profits Slide

Health Insurers' Profits Slide

Reuters - Business Video Online (July 30, 2014) Obamacare-related costs were said to be behind the profit plunge at Wellpoint and Humana, but Wellpoint sees the new exchanges boosting its earnings for the full year. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Concern Grows Over Worsening Ebola Crisis

Concern Grows Over Worsening Ebola Crisis

AFP (July 30, 2014) Pan-African airline ASKY has suspended all flights to and from the capitals of Liberia and Sierra Leone amid the worsening Ebola health crisis, which has so far caused 672 deaths in Guinea, Liberia and Sierra Leone. Duration: 00:43 Video provided by AFP
Powered by NewsLook.com
At Least 20 Chikungunya Cases in New Jersey

At Least 20 Chikungunya Cases in New Jersey

AP (July 30, 2014) At least 20 New Jersey residents have tested positive for chikungunya, a mosquito-borne virus that has spread through the Caribbean. (July 30) Video provided by AP
Powered by NewsLook.com
Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins