کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6250640 1611488 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Southwestern Surgical CongressPediatric trauma system models: do systems using adult trauma surgeons exclusively compare favorably with those using pediatric surgeons after initial resuscitation with an adult trauma surgeon?
ترجمه فارسی عنوان
مدل های سیستم ترومای جنوب غربی جراحی پاتولوژی: آیا سیستم های جراحان آسیب دیده بالغ به طور انحصاری با افرادی که از جراحان کودکان استفاده می کنند پس از جراحی اولیه با یک جراح متخصص جراحی بزرگسالان مناسب است؟
کلمات کلیدی
جراحان جراحی اطفال، جراحان جراحی بزرگسالان، سیستم های تروما عواقب،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی


- Comparison was made of trauma systems using pediatric (C1) and adult surgeons (C2).
- Both centers use adult surgeons initially for resuscitation.
- In C1, care is handed off to a pediatric surgery service for continued care.
- In C1, patients were more injured, with longer length of stay.
- The type of service model was not associated with mortality risk.
- Adult surgeons may help alleviate shortages in pediatric surgeon coverage.

BackgroundA shortage of pediatric surgeons exists. The purpose of this study was to evaluate pediatric outcomes using pediatric surgeons vs adult trauma surgeons.MethodsA review was conducted at 2 level II pediatric trauma centers. Center I provides 24-hour in-house trauma surgeons for resuscitations, with patient hand-off to a pediatric surgery service. Center II provides 24-hour in-house senior surgical resident coverage with an on-call trauma surgeon. Data on demographics, resource utilization, and outcomes were collected.ResultsCenter I patients were more severely injured (injury severity score = 8.3 vs 6.2; Glasgow coma scale score = 13.7 vs 14.3). Center I patients were more often admitted to the intensive care unit (52.2% vs 33.5%) and more often mechanically ventilated (12.9% vs 7.7%), with longer hospital length of stay (2.8 vs 2.3 days). However, mortality was not different between Center I and II (3.1% vs 2.4%). By logistic regression analyses, the only variables predictive of mortality were injury severity score and Glasgow coma scale score.ConclusionAs it appears that trauma surgeons' outcomes compare favorably with those of pediatric surgeons, utilizing adult trauma surgeons may help alleviate shortages in pediatric surgeon coverage.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 210, Issue 6, December 2015, Pages 1063-1069
نویسندگان
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