Evidence map›Paper›PMID 42559672›Full record

ArticlePaediatric anaesthesia2026

A Retrospective Study on Time Impact of Major Trauma Patients Requiring Access to the Operating Room on the Anesthesia Department of a Pediatric Trauma Center.

Ruth Bird, Martina Bordini, Suzanne Beno, Clyde T Matava

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Article in Paediatric anaesthesia, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ruth BirdDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto (ON), Canada.
Martina BordiniDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto (ON), Canada.ORCID https://orcid.org/0009-0007-8864-6744
Suzanne BenoDivision of Emergency Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Clyde T MatavaDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto (ON), Canada.ORCID https://orcid.org/0000-0002-9502-0981

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrauma is one of the leading causes of death in children. Trauma patients have been demonstrated to require significant resources, including operating room time. We aimed to describe the characteristics and patterns of access to surgery and outcomes of pediatric major trauma patients at The Hospital for Sick Children.

methodsWe retrospectively collected data from the Hospital for Sick Children trauma registry and the hospital's patient electronic record, from June 01, 2018, to October 31 2020. We analyzed a subset of patients requiring surgery in the operating room. The objective was to describe the distribution of major trauma cases requiring operating room access and their hospital length of stay, blood product use, and mortality rates. We summarized the results into three groups based on operating room access timing: patients with immediate access, within 24 h, and after 24 h.

resultsIn total, 141 of 721 pediatric major trauma patients (19.6%) underwent surgery and were included. Among these, 67 patients received immediate access to the operating room (47.5%), 37 patients received access within 24 h (26.2%) and 37 patients received access after 24 h (26.2%). The median age was 8 (0-17) years, and 65.2% of patients were male. The median ISS score was 11.5 (1-57). The most frequently involved surgical specialties were orthopedics and neurosurgery. The median hospital length of stay was 6 days (range 1-102). The mortality rate was 1.4%. A multivariable regression analysis showed a correlation between the number of surgical procedures and length of stay (p < 0.01, 95% confidence interval 9.11-11.64).

conclusionMajor trauma patients have a significant time impact on the anesthesia department. Further studies are needed to better define the pediatric trauma population and its intra-hospital flow and resource use.

Indexed as

AnesthesiaOperating RoomsTrauma CentersWounds and InjuriesAdolescentChildChild, PreschoolFemaleHumansInfantInfant, NewbornLength of StayMalePediatric AnesthesiaRegistriesRetrospective Studiespediatric airway managementpediatric anesthesiapediatric resuscitationpediatric trauma

Identifiers

PMID42559672
PMCPMC13639194

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