ArticleFrontiers in pediatrics2026
Reduction of in-hospital mortality after implementation of a pediatric trauma unit for children with moderate and severe trauma at Baca Ortiz Children's Hospital. Quito-Ecuador.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pediatric trauma is one of the leading causes of childhood morbidity and mortality worldwide. Optimizing early management in specialized units may substantially improve survival and functional outcomes. We therefore evaluated the impact of implementing a specialized Pediatric Trauma Unit on in-hospital mortality among children with moderate and severe trauma at Baca Ortiz Children's Hospital (HPBO) in Quito, Ecuador. Methods: We conducted a retrospective cohort study with historical controls including pediatric patients with moderate or severe trauma admitted before ( Results: In-hospital mortality decreased from 16.3% in the pre-implementation period to 3.3% after implementation of the Pediatric Trauma Unit. Unit implementation was associated with an 88% reduction in the odds of death (adjusted OR 0.12; 95% CI 0.04-0.36; Conclusions: Implementation of a specialized Pediatric Trauma Unit at Baca Ortiz Children's Hospital was associated with a marked reduction in in-hospital mortality among children with moderate and severe trauma. These findings support the development and strengthening of pediatric trauma care systems in similar settings.
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