PMID- 27873009
OWN - NLM
STAT- MEDLINE
DCOM- 20170510
LR  - 20191210
IS  - 1437-9813 (Electronic)
IS  - 0179-0358 (Linking)
VI  - 33
IP  - 3
DP  - 2017 Mar
TI  - Systematic review and need assessment of pediatric trauma outcome benchmarking 
      tools for low-resource settings.
PG  - 299-309
LID - 10.1007/s00383-016-4024-9 [doi]
AB  - INTRODUCTION: Trauma is a leading cause of mortality and disability in children 
      worldwide. The World Health Organization reports that 95% of all childhood injury 
      deaths occur in Low-Middle-Income Countries (LMIC). Injury scores have been 
      developed to facilitate risk stratification, clinical decision making, and 
      research. Trauma registries in LMIC depend on adapted trauma scores that do not 
      rely on investigations that require unavailable material or human resources. We 
      sought to review and assess the existing trauma scores used in pediatric 
      patients. Our objective is to determine their wideness of use, validity, setting 
      of use, outcome measures, and criticisms. We believe that there is a need for an 
      adapted trauma score developed specifically for pediatric patients in 
      low-resource settings. MATERIALS AND METHODS: A systematic review of the 
      literature was conducted to identify and compare existing injury scores used in 
      pediatric patients. We constructed a search strategy in collaboration with a 
      senior hospital librarian. Multiple databases were searched, including Embase, 
      Medline, and the Cochrane Central Register of Controlled Trials. Articles were 
      selected based on predefined inclusion criteria by two reviewers and underwent 
      qualitative analysis. RESULTS: The scores identified are suboptimal for use in 
      pediatric patients in low-resource settings due to various factors, including 
      reliance on precise anatomic diagnosis, physiologic parameters maladapted to 
      pediatric patients, or laboratory data with inconsistent accessibility in LMIC. 
      CONCLUSION: An important gap exists in our ability to simply and reliably 
      estimate injury severity in pediatric patients and predict their associated 
      probability of outcomes in settings, where resources are limited. An ideal score 
      should be easy to calculate using point-of-care data that are readily available 
      in LMIC, and can be easily adapted to the specific physiologic variations of 
      different age groups.
FAU - St-Louis, Etienne
AU  - St-Louis E
AUID- ORCID: 0000-0002-2831-2642
AD  - Centre for Global Surgery, McGill University Health Centre, Montreal, QC, Canada. 
      etienne.st-louis@mail.mcgill.ca.
FAU - Seguin, Jade
AU  - Seguin J
AD  - Division of Pediatric Emergency Medicine, McGill University Health Centre, 
      Montreal, QC, Canada.
FAU - Roizblatt, Daniel
AU  - Roizblatt D
AD  - Department of Surgery, Hospital del Trabajador, Santiago, Chile.
FAU - Deckelbaum, Dan Leon
AU  - Deckelbaum DL
AD  - Centre for Global Surgery, McGill University Health Centre, Montreal, QC, Canada.
FAU - Baird, Robert
AU  - Baird R
AD  - Department of Pediatric Surgery, McGill University Health Centre, Montreal, QC, 
      Canada.
FAU - Razek, Tarek
AU  - Razek T
AD  - Centre for Global Surgery, McGill University Health Centre, Montreal, QC, Canada.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20161121
PL  - Germany
TA  - Pediatr Surg Int
JT  - Pediatric surgery international
JID - 8609169
SB  - IM
MH  - Benchmarking/*methods
MH  - Child
MH  - *Developing Countries
MH  - Humans
MH  - *Needs Assessment
MH  - Outcome Assessment, Health Care/*methods
MH  - *Poverty
MH  - Registries
MH  - Wounds and Injuries/*therapy
OTO - NOTNLM
OT  - Benchmarking tool
OT  - Pediatric trauma
OT  - Systematic review
OT  - Trauma score
EDAT- 2016/11/23 06:00
MHDA- 2017/05/11 06:00
CRDT- 2016/11/23 06:00
PHST- 2016/11/14 00:00 [accepted]
PHST- 2016/11/23 06:00 [pubmed]
PHST- 2017/05/11 06:00 [medline]
PHST- 2016/11/23 06:00 [entrez]
AID - 10.1007/s00383-016-4024-9 [pii]
AID - 10.1007/s00383-016-4024-9 [doi]
PST - ppublish
SO  - Pediatr Surg Int. 2017 Mar;33(3):299-309. doi: 10.1007/s00383-016-4024-9. Epub 
      2016 Nov 21.