Pediatric trauma transfer patients have low rates of additional traumatic injuries

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-02-25 DOI:10.1016/j.amjsurg.2025.116259

Su Yeon Lee , Jordan E. Jackson , Sarah C. Stokes , Olivia Vukcevich , Holly Leshikar , Tanya Rinderknecht , Jonathan E. Kohler , Shinjiro Hirose , Erin G. Brown

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引用次数: 0

Abstract

Background

Pediatric trauma patients often require interfacility transfer for subspecialty management of presumed isolated injuries. Understanding the frequency of additional injury in these low-acuity patients may improve resource utilization.

Methods

Pediatric trauma patients transferred to a level 1 trauma center in 2019 were compared by type of presenting injury in a retrospective review. Primary outcome was additional traumatic injuries identified.

Results

530 pediatric trauma patients were transferred, most commonly for an isolated orthopedic injury (56.5 %). The overall rate of additional injuries identified was 2.8 %, with the highest rate in patients transferred with neurosurgical injuries (6.7 %). When compared to other transfer patients, patients with isolated orthopedic injuries were least likely to have any additional injuries (1.0 % vs. 4.8 %, p = 0.01).

Conclusions

Pediatric trauma patients transferred with isolated injuries rarely had additional injuries identified after transfer. Streamlining care for this population while maintaining vigilance for missed injuries is a target for future interventions.

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.