ArticleJournal of pediatric surgery2017
Missed injuries and unplanned readmissions in pediatric trauma patients.
Article in Journal of pediatric surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- One in five cases of spondylolysis are missed on MRI: a retrospective analysis of pediatric patients with back pain.Spine deformity · 2026Article
- Risk factors for initially missing injuries in severely injured children and adolescents: a retrospective study from the traumaregister DGU.Scientific reports · 2025Article
- [Missed injuries in pediatric trauma care : Still a challenge].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Analysis of Missed Skeletal Injuries Detected Using Whole-Body Bone Scan Applied to Trauma Patients: A Case-Control Study.Diagnostics (Basel, Switzerland) · 2023Article
- US pediatric trauma patient unplanned 30-day readmissions.Journal of pediatric surgery · 2018Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundWe sought to determine the incidence and characteristics of missed injuries and unplanned readmissions at a Level-1 pediatric trauma center.
methodsWe conducted a retrospective review of all trauma patients who presented to our ACS-verified Level-1 pediatric trauma center from 2009 to 2014.
resultsOverall, there were 27 readmissions and 27 missed injuries (0.38%). Patients who were unplanned readmissions had a greater Injury Severity Score (ISS) (8.6 vs 5.2, p=0.03), had longer hospitalizations (4.9 vs 2.5days, p=0.02), and were more likely to have required operative intervention (51.9% vs 32.3%, p=0.04). Similarly, patients identified with missed injuries had a higher ISS (15.2 vs 5.2, p<0.0001), greater length of stay (12.7 vs 2.5days, p<0.0001), and were also more likely to be intubated (25.9% vs 3.6%, p<0.0001) or require critical care (48.1% vs 10.3%, p<0.0001). Seven missed injuries were in patients who were deemed nonaccidental trauma (25.9%) and significantly altered their hospital course while 10 patients (37%) required operative intervention. On multivariate analysis, only ISS was found to be an independent risk factor for readmissions and missed injuries.
conclusionsMissed injuries and unplanned readmissions were rare occurrences among our pediatric patient population. These events, however, did result in longer hospitalizations and additional procedures. Patients with multisystem injuries and compromised physical exam are at higher risk. LEVEL OF EVIDENCE: IV.
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