ArticleWorld journal of surgery2023
Pediatric Trauma in The Netherlands: Incidence, Mechanism of Injury and In-Hospital Mortality.
Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Paediatric trauma mortality at a level 1 trauma centre: a retrospective case series at Karolinska University Hospital, Stockholm.BMC pediatrics · 2026Article
- Lactate-albumin ratio measurements at multiple time points and their association with outcome in pediatric trauma: a PICU-based study.BMC pediatrics · 2026Observational
- The accuracy of the injury severity score in patients below the age of 18 years, a trauma registry data study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Immune function in paediatric trauma patients: a prospective explorative cohort study.Frontiers in immunology · 2026Article
- Risk factors for initially missing injuries in severely injured children and adolescents: a retrospective study from the traumaregister DGU.Scientific reports · 2025Article
- New Max Verstappen's on the Rise?: Go-Kart Incidents in a Level-I Trauma Center in the Netherlands.Children (Basel, Switzerland) · 2025Article
- Improved outcomes for severely injured children in designated pediatric trauma centers in the Netherlands.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Association between paternal involvement in childcare and child injury: the Japan Environment and Children's Study (JECS).BMC pediatrics · 2025Article
- Mechanical trauma in children and adolescents in Berlin.Forensic science, medicine, and pathology · 2025Article
- Article
- Road Fatalities in Children Aged 0-17: Epidemiological Data and Forensic Aspects on a Series of Cases in a Single-Centre in Romania.Children (Basel, Switzerland) · 2024Article
- A Retrospective Study to Compare the Glasgow Coma Score, Pediatric Trauma Score, and Injury Severity Score and Outcomes in 118 Pediatric Trauma Patients at a Single Emergency Center in Turkey.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the Netherlands, there are no specialized or certified pediatric trauma centers, especially for severely injured children. National and regional agreements on centralization of pediatric trauma care are scarce. This study aims to describe the incidence, injury mechanism and in-hospital mortality of pediatric trauma in the Netherlands, as a prelude to the further organization of pediatric trauma care.
methodsA retrospective cohort analysis of data from the Dutch National Trauma Registry in 2009-2018, concerning all children (0-16 years) hospitalized due to injury in the Netherlands.
resultsThe annual number of admitted injured children increased from 8666 in 2009 to 13,367 in 2018. Domestic accidents were the most common cause of non-fatal injury (67.9%), especially in children aged 0-5 years (89.2%). Severe injury (injury severity score ≥ 16) accounted for 2.5% and 74% of these patients were treated in level-1 trauma centers. In both deceased and surviving patients with severe injuries, head injuries were the most common (72.1% and 64.3%, respectively). In-hospital mortality after severe injury was 8.2%. Road-traffic accidents (RTAs) were the leading cause of death (46.5%).
conclusionsDomestic accidents are the most common cause of injury, especially in younger children, whereas RTAs are the lead cause of fatal injury. Severe pediatric trauma in the Netherlands is predominantly managed in level-1 trauma centers, where a multidisciplinary team of experts is available. Improving the numbers of severely injured patients primarily brought to level-1 trauma centers may help to further reduce mortality.
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