Evidence map›Paper›PMID 28506480›Full record

Observational studyJournal of pediatric surgery2018

The epidemiology of inpatient pediatric trauma in United States hospitals 2000 to 2011.

Jamie Oliver, Jacob Avraham, Spiros Frangos, Sandra Tomita, Charles DiMaggio

Abstract readObservational Study
In one paragraph

Observational study in Journal of pediatric surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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.

Jamie OliverNew York University School of Medicine, 550 1st Avenue, New York, NY, 10016, United States.
Jacob AvrahamNew York University School of Medicine, Department of Surgery, Division of Trauma and Acute Care Surgery, 550 1st Avenue, New York, NY, 10016, United States.
Spiros FrangosNew York University School of Medicine, Department of Surgery, Division of Trauma and Acute Care Surgery, 550 1st Avenue, New York, NY, 10016, United States.
Sandra TomitaNew York University School of Medicine, Department of Pediatric Surgery, 550 1st Avenue, New York, NY, 10016, United States.
Charles DiMaggioNew York University School of Medicine, Department of Surgery, Division of Trauma and Acute Care Surgery, 550 1st Avenue, New York, NY, 10016, United States; New York University School of Medicine, Department of Population Health, 550 1st Avenue, New York, NY, 10016, United States. Electronic address: Charles.DiMaggio@nyumc.org.

Funding

Data Integration and Advanced Statistical Modeling to Describe and Control Pediatric Pedestrian Injuries in The United StatesR01HD087460 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DIMAGGIO, CHARLES · 2016 to 2018
$984k
NICHD NIH HHS R01 HD087460
6 · The paper itself

Abstract

backgroundThis study provides important updates to the epidemiology of pediatric trauma in the United States.

methodsAge-specific epidemiologic analysis of the Healthcare Cost and Utilization Project's Nationwide Inpatient Sample, representing 2.4 million pediatric traumatic injury discharges in the US from 2000 to 2011. We present yearly data with overlying loess smoothing lines, proportions of common injuries and surgical procedures, and survey-adjusted logistic regression analysis.

resultsFrom 2000 to 2011 there was a 21.7% decline in US pediatric trauma injury inpatient discharges from 273.2 to 213.7 admissions per 100,000. Inpatient case-fatality decreased 5.5% from 1.26% (95% CI 1.05-1.47) to 1.19% (95% CI 1.01-1.38). Severe injuries accounted for 26.5% (se=0.11) of all discharges in 2000 increasing to 31.3% (se=0.13) in 2011. The most common injury mechanism across all age groups was motor vehicle crashes (MVCs), followed by assaults (15-19years), sports (10-14), falls (5-9) and burns (<5). The total injury-related, inflation-adjusted cost was $21.7 billion, increasing 56% during the study period.

conclusionsThe overall rate of inpatient pediatric injury discharges across the United States has been declining. While injury severity is increasing in hospitalized patients, case-fatality rates are decreasing. MVCs remain a common source of all pediatric trauma. LEVELS OF EVIDENCE: Level III.

Indexed as

AdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHealth Care CostsHospitalizationHumansInfantInfant, NewbornLogistic ModelsMaleRetrospective StudiesUnited StatesWounds and InjuriesEpidemiologyInjuryPediatricPublic healthTrauma

Identifiers

PMID28506480
PMCPMC5662496

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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.