Alternative model for a pediatric trauma center: efficient use of physician manpower at a freestanding children's hospital.
Pediatr Emerg Care
; 21(1): 18-22, 2005 Jan.
Article
em En
| MEDLINE
| ID: mdl-15643318
ABSTRACT
BACKGROUND:
Freestanding children's hospitals may lack resources, especially surgical manpower, to meet American College of Surgeons trauma center criteria, and may organize trauma care in alternative ways. MATERIALS ANDMETHODS:
At a tertiary care children's hospital, attending trauma surgeons and anesthesiologists took out-of-hospital call and directed initial care for only the most severely injured patients, whereas pediatric emergency physicians directed care for patients with less severe injuries. Survival data were analyzed using TRISS methodology.RESULTS:
A total of 903 trauma patients were seen by the system during the period 10/1/96-6/30/01. Median Injury Severity Score was 16, and 508 of patients had Injury Severity Score > or =15. There were 83 deaths, 21 unexpected survivors, and 13 unexpected deaths. TRISS analysis showed that z-score was 4.39 and W-statistic was 3.07.CONCLUSIONS:
Mortality outcome from trauma in a pediatric hospital using this alternative approach to trauma care was significantly better than predicted by TRISS methodology.
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Base de dados:
MEDLINE
Assunto principal:
Centros de Traumatologia
/
Modelos Organizacionais
/
Serviço Hospitalar de Emergência
/
Hospitais Pediátricos
/
Corpo Clínico Hospitalar
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Pediatr Emerg Care
Assunto da revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos