PMID- 27490985
OWN - NLM
STAT- MEDLINE
DCOM- 20170206
LR  - 20220409
IS  - 1478-7083 (Electronic)
IS  - 0035-8843 (Print)
IS  - 0035-8843 (Linking)
VI  - 99
IP  - 1
DP  - 2017 Jan
TI  - Mechanisms, patterns and outcomes of paediatric polytrauma in a UK major trauma 
      centre.
PG  - 39-45
LID - 10.1308/rcsann.2016.0222 [doi]
AB  - Introduction Paediatric trauma is a significant burden to healthcare worldwide 
      and accounts for a large proportion of deaths in the UK. Methods This 
      retrospective study examined the epidemiological data from a major trauma centre 
      in the UK between January 2012 and December 2014, reviewing all cases of moderate 
      to severe trauma in children. Patients were included if aged </=16 years and if 
      they had an abbreviated injury scale score of >/=2 in one or more body region. 
      Results A total of 213 patients were included in the study, with a mean age of 
      7.8 years (standard deviation [SD]: 5.2 years). The most common cause of injury 
      was vehicle related incidents (46%). The median length of hospital stay was 5 
      days (interquartile range [IQR]: 4-10 days). Approximately half (52%) of the 
      patients had to stay in the intensive care unit, for a median of 1 day (IQR: 0-2 
      days). The mortality rate was 6.6%. The mean injury severity score was 19 (SD: 
      10). Pearson's correlation coefficient showed a positive correlation for injury 
      severity score with length of stay in hospital (p<0.001). Conclusions There is 
      significant variation in mechanism of injury, severity and pattern of paediatric 
      trauma across age groups. A multidisciplinary team approach is imperative, and 
      patients should be managed in specialist centres to optimise their care and 
      eventual functional recovery. Head injury remained the most common, with 
      significant mortality in all age groups. Rib fractures and pelvic fractures 
      should be considered a marker for the severity of injury, and should alert 
      doctors to look for other associated injuries.
FAU - Naqvi, G
AU  - Naqvi G
AD  - Cambridge University Hospitals NHS Foundation Trust , UK.
FAU - Johansson, G
AU  - Johansson G
AD  - University of Cambridge , UK.
FAU - Yip, G
AU  - Yip G
AD  - Cambridge University Hospitals NHS Foundation Trust , UK.
FAU - Rehm, A
AU  - Rehm A
AD  - Cambridge University Hospitals NHS Foundation Trust , UK.
FAU - Carrothers, A
AU  - Carrothers A
AD  - Cambridge University Hospitals NHS Foundation Trust , UK.
FAU - Stohr, K
AU  - Stohr K
AD  - Cambridge University Hospitals NHS Foundation Trust , UK.
LA  - eng
PT  - Journal Article
DEP - 20160804
PL  - England
TA  - Ann R Coll Surg Engl
JT  - Annals of the Royal College of Surgeons of England
JID - 7506860
SB  - IM
MH  - Accidents/statistics & numerical data
MH  - Adolescent
MH  - Age Distribution
MH  - Child
MH  - Child, Preschool
MH  - England/epidemiology
MH  - Female
MH  - Fractures, Bone/epidemiology
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Multiple Trauma/*epidemiology
MH  - Pelvic Bones/injuries
MH  - Rib Fractures/epidemiology
MH  - Trauma Centers/statistics & numerical data
PMC - PMC5392781
OTO - NOTNLM
OT  - Major trauma centre
OT  - Paediatrics
OT  - Pelvic fracture
OT  - Polytrauma
OT  - Rib fracture
OT  - Trauma network
EDAT- 2016/08/05 06:00
MHDA- 2017/02/07 06:00
PMCR- 2018/01/01
CRDT- 2016/08/05 06:00
PHST- 2016/08/05 06:00 [pubmed]
PHST- 2017/02/07 06:00 [medline]
PHST- 2016/08/05 06:00 [entrez]
PHST- 2018/01/01 00:00 [pmc-release]
AID - 2016.0222 [pii]
AID - 10.1308/rcsann.2016.0222 [doi]
PST - ppublish
SO  - Ann R Coll Surg Engl. 2017 Jan;99(1):39-45. doi: 10.1308/rcsann.2016.0222. Epub 
      2016 Aug 4.