کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4155227 1273739 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Managing moderately injured pediatric patients without immediate surgeon presence: 10 years later
ترجمه فارسی عنوان
مدیریت بیماران کودکان کوچک مجروح بدون حضور فوری جراح: 10 سال بعد
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

PurposeBeginning in 2003, the pediatric emergency medicine (PEM) physician replaced the surgeon as the team leader for all level II trauma resuscitations at a busy pediatric trauma center. The purpose was to review the outcomes 10 years after implementing this practice change.MethodsTrauma registry data for all level II activations requiring admission were extracted for the 21 months (April 1, 2001–December 31, 2002) prior to policy change (period 1, **n = 627) and compared to the admitted patients from the 10 subsequent years (2003–2013; period 2, n = 2694). Data included demographics, length of stay (LOS), injury severity score (ISS), readmissions, complications, and mortality.ResultsMean ISS scores for admitted patients during period 1 (8.5) were higher than during period 2 (7.8). During period 1, 53.6% of patients underwent abdominal CT versus 41.8% in period 2 (p < .001), and the median ED LOS was 135 versus 191 minutes in period 2. From 2000 to 2003, 91% of patients seen as level II trauma alerts were admitted compared to 56.6% of patients in period 2 (p < 0.001). There were no missed abdominal injuries identified, and readmission rate was low.ConclusionsWe conclude that level II trauma resuscitations can be safely evaluated and managed without immediate surgeon presence. Although ED LOS increased, admission rate and CT scan usage decreased significantly without an increase in missed injuries.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Surgery - Volume 50, Issue 1, January 2015, Pages 182–185
نویسندگان
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