Evidence map›Paper›PMID 27132539›Full record

ArticleJournal of pediatric surgery2016

Pediatric and adult trauma centers differ in evaluation, treatment, and outcomes for severely injured adolescents.

Ashley E Walther, Richard A Falcone, Timothy A Pritts, Dennis J Hanseman, Bryce R H Robinson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pediatric surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashley E WaltherDivision of Trauma and Critical Care, Department of Surgery, University of Cincinnati College of Medicine, USA. Electronic address: waltheay@uc.edu.
Richard A FalconeDivision of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Department of Surgery, University of Cincinnati College of Medicine, USA. Electronic address: richard.falcone@cchmc.org.
Timothy A PrittsDivision of Trauma and Critical Care, Department of Surgery, University of Cincinnati College of Medicine, USA. Electronic address: prittsta@uc.edu.
Dennis J HansemanDivision of Trauma and Critical Care, Department of Surgery, University of Cincinnati College of Medicine, USA. Electronic address: hansemdj@uc.edu.
Bryce R H RobinsonDivision of Trauma, Critical Care, and Burns, Department of Surgery, University of Washington, USA. Electronic address: brobinso@uw.edu.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
NCATS NIH HHS UL1 TR001425
6 · The paper itself

Abstract

background/purposeThis study aims to investigate differences in imaging, procedure utilization, and clinical outcomes of severely injured adolescents treated at adult versus pediatric trauma centers.

methodsThe National Trauma Data Bank was queried retrospectively for adolescents, 15-19years old, with a length of stay (LOS) >1day and Injury Severity Score (ISS) >25 treated at adult (ATC) or pediatric (PTC) Level 1 trauma centers from 2007 to 2011. Patient demographics and utilization of imaging and procedures were analyzed. Univariate and multivariate regression analysis was used to compare outcomes.

resultsOf 12,861 adolescents, 51% were treated at ATC. Older age and more nonwhites were seen at ATC (p<0.01). Imaging and invasive procedures were more common at ATC (p<0.01). Shorter LOS (p=0.03) and higher home discharge rates (p<0.01) were seen at PTC. ISS and mortality did not differ. Age, race, ATC care (all p<0.01), and admission systolic blood pressure (SBP) (p=0.03) were predictors of CT utilization. ISS, SBP, and race (p<0.01) were risk factors for overall mortality; SBP (p=0.03) and ISS (p<0.01) predicted death from penetrating injury.

conclusionsSeverely injured adolescents experience improved outcomes and decreased imaging and invasive procedures without additional mortality risk when treated at PTC. PTC is an appropriate destination for severely injured adolescents.

Indexed as

Injury Severity ScoreLength of StayTrauma CentersAdolescentDatabases, FactualFemaleHumansMaleRegression AnalysisRetrospective StudiesRisk FactorsTreatment OutcomeWounds and InjuriesYoung AdultAdolescentsAdult trauma centerImagingPediatric trauma centerTrauma outcomes

Identifiers

PMID27132539
PMCPMC5558261

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.