ArticleJournal of paediatrics and child health2025
Paediatric Care in a Combined Trauma Centre - A Retrospective Cohort Study Examining Major Trauma Processes and Outcomes.
Article in Journal of paediatrics and child health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Paediatric Care in a Combined Trauma Centre - A Retrospective Cohort Study Examining Major Trauma Processes and Outcomes.Journal of paediatrics and child health · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimPriorities in the assessment and management of major trauma between paediatric and adult patients vary due to clinically relevant differences in anatomy and physiology. Christchurch Hospital is a combined trauma centre, where-in a paediatric trauma service is nested into a predominantly adult hospital, providing specialist paediatric surgical care to the South Island of New Zealand. A system analysis comparing outcomes between adult and paediatric patients was undertaken to assess this service.
methodsA retrospective analysis comparing outcomes between all paediatric and adult major trauma patients (Injury Severity score > 12) who presented to Christchurch Hospital Emergency Department (ED) between June 2016 and November 2021.
resultsA total of 1594 adult (median age 51, IQR 33-67) and 77 paediatric (median age 11, IQR 7-14) patients were identified. Median time to CT was significantly shorter in paediatric patients compared to adults (83 min vs. 96 min, p = 0.05). Similarly, the ED length of stay was significantly shorter in paediatric patients (124 min vs. 282 min, p < 0.001). The paediatric and adult mortality rates were 4% and 8% respectively (p value 0.06).
conclusionsThese results serve to establish baseline characteristics of our trauma service and demonstrate efficient paediatric trauma care delivery within our current nested paediatric trauma service model. Further research may help delineate clinical demand for population-specific trauma services and characterise trauma-specific interventions in the paediatric population.
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