Inpatient Pediatric Trauma Epidemiology at the Puerto Rico Trauma Hospital From 2015 Through 2019.

Puerto Rico health sciences journal Pub Date : 2025-03-01
Pedro E Ruiz-Medina, Ediel O Ramos-Meléndez, Mariely Nieves-Plaza, Laura Ramírez-Martínez, Adrianna Rivera-Delgado, Lourdes Guerrios-Rivera, Pablo Rodríguez-Ortiz
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Abstract

Objective: Despite the high volume of admissions to the Puerto Rico Trauma Hospital (PRTH), there is no evidence of any recent trends related to pediatric trauma. Therefore, we aimed to update, describe, and compare the epidemiology of the pediatric (≤21 years) trauma population in PR according to age group (≤15 years and 16-21 years).

Methods: This was a retrospective cohort study of 853 PRTH pediatric admissions from January 2015 through June 2019. A comparison between age groups was done using Pearson's chi-square test. The association between age and study outcomes was evaluated with multivariate analyses.

Results: Of the admissions, 220 (25.8%) were patients aged 15 years and younger and 633 (74.2%) were patients aged 16 to 21 years; the percentage of males was higher in the latter group (65.5% vs. 79.0%; P < .01). Motor vehicle accidents were the primary injury mechanism. Major trauma (Injury Severity Score >15) incidence was higher in the under 15 group (40.8% vs. 24.5%; P < .01). After adjusting for confounders, 16- to 21-year-old trauma patients were less likely to be admitted to the intensive care unit (ICU) than were their younger counterparts but were more prone to having longer ICU and hospital stays. However, age was not associated with the need for mechanical ventilation (MV), days of MV, or in-hospital mortality.

Conclusion: Understanding the specific characteristics of our pediatric patient population can help us guide treatment and elucidate these patients' needs to improve their outcomes.

目的:尽管波多黎各创伤医院 (PRTH) 的入院人数很多,但没有证据表明最近有任何与儿童创伤有关的趋势。因此,我们旨在根据年龄组(≤15 岁和 16-21 岁)更新、描述和比较波多黎各儿科(≤21 岁)创伤人群的流行病学:这是一项回顾性队列研究,研究对象是2015年1月至2019年6月期间入住珠江医院的853名儿科患者。年龄组之间的比较采用皮尔逊卡方检验。通过多变量分析评估了年龄与研究结果之间的关系:在入院患者中,220 名(25.8%)为 15 岁及以下患者,633 名(74.2%)为 16 至 21 岁患者;男性在后一组中的比例更高(65.5% 对 79.0%;P < .01)。机动车事故是主要的受伤机制。15岁以下组的重大创伤(伤害严重程度评分>15)发生率更高(40.8%对24.5%;P < .01)。在对混杂因素进行调整后,16 至 21 岁的外伤患者入住重症监护室(ICU)的可能性低于年轻患者,但入住重症监护室和住院的时间更长。然而,年龄与机械通气需求、机械通气天数或院内死亡率无关:结论:了解儿科患者的具体特征有助于我们指导治疗并阐明这些患者的需求,从而改善他们的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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