Table 2. Poisson regression: Outcomes of pediatric trauma patients with traumatic brain injury and solid organ injury having an intervention within 4 hours compared to delayed intervention.
| ICP > 4 hrs compared to ICP placement within 4 hours in patients with TBI | ICP >4 hrs after admission | ICP w/in 4 hrs | Unadjusted RR (95% CI) | Adjusted RR (95% CI) Confounders |
|---|---|---|---|---|
| Mortality | n=278 | n=370 | 1.11 (0.83 - 1.48) GCS motor (GCSm) | |
| 17.6% | 23.5% | 1.33 (0.99 - 1.8) | ||
| Complication | n=98 | n=370 | 0 .86 (0.68 - 1.08) ISS, age, GCSm, peds trauma hospital, peds ICU | |
| 35.3% | 31.9% | 0.9 (0.71 - 1.15) | ||
| Requires assistance at discharge * | n=224 | n=278 | 1 (1- 1.01) ISS, age, gender, GCSm, systolic blood pressure (SBP), pulse, peds trauma hospital, peds ICU, head AIS | |
| 71.9% | 71.2% | 0.99 (0.88-1.11) | ||
| Total Hosp Length of Stay (Days)* | mean=26.3, SD 21.2 | mean=21.7, SD 16 | 0.82 ( 0.72 - 0.95) | 0.84 (0.72- 0.97) ISS |
| ICU Length of Stay (Days) * | mean=16.3, SD 13.9 | mean=13.3, SD 10.9 | 0.82 ( 0.72 - 0.94) | 0.76 (0.66 - 0.86) ISS, age, pulse, GCSm |
| Crani > 4 hrs compared to Crani placement within 4 hours in patients with TBI | Craniotomy >4 hrs | Craniotomy w/in 4 hrs | ||
| Mortality | n=376 | n=550 | 1.98 (1.11 - 3.51) SBP, GCSm, Head AIS | |
| 3.46% | 11.8% | 3.42 (1.91 - 6.12) | ||
| Complication | n=376 | n=550 | 0 .83 (0.56 - 1.22) ISS, age, gender, SBP, Pulse, GCSm, mechanism of injury, peds trauma hospital, peds ICU, head AIS, abdominal AIS | |
| 13.8% | 13.6% | 0.98 (0.69- 1.42) | ||
| Requires assistance at discharge * | n=357 | n=476 | 0.87 (0.68 - 1.12) ISS, age, SBP, pulse, GCSm, peds trauma hospital, peds ICU, head AIS, abdominal AIS | |
| 25.8% | 27.5% | 1.07 (0.84 - 1.35) | ||
| Total Hosp Length of Stay (Days)* | mean= 11.9, SD 15.2 | mean= 9.3, SD 11.5 | 0.78 (0.66 - 0. 92) | 0 .69 (0.59 - 0.81) ISS, GCSm, abdominal AIS |
| ICU Length of Stay (Days) * | mean=6.6, SD 10.2 | mean 5, SD 7.6 | 0.77 (0.62 - 0.96) | 0.69 (0.57 - 0.83) ISS, GCSm, abdominal AIS, Head AIS |
| Abd operation within 4 hours vs greater than 4 hours in patients with SOI ** | Abd operation > 4 hours | Abd operation within 4 hours | ||
| Mortality | n=142 | n=274 | 3.10 (0.99 - 9.75) ISS, SBP, GCSm, mechanism, head AIS, abdominal AIS | |
| 4.23% | 16.42% | 3.88 (1.74 - 8.68) | ||
| Complication | n=142 | n=274 | 0 .67 (0 .42 - 1.07) ISS, GCSm, mechanism, head AIS, abdominal AIS | |
| 32.4% | 19.3% | 0.6 (0.41 - 0.6) | ||
| Requires assistance at discharge * | n=129 | n=221 | 0.87 (0.64 - 1.20) GCSm, mechanism, head AIS | |
| 50.4% | 24% | 0.48 (0.36 - 0.64) | ||
| Total Hosp Length of Stay (Days)* | mean=23.2, SD 29.8 | mean=10.9, SD 11.1 | 0.47 (0.39 - 0.57) | 0 .58 (0.47-0.73) ISS, GCSm, head AIS |
| ICU Length of Stay (Days) * | mean=12.1, SD 11.9 | mean 4.9, SD 7.2 | 0.4 ( 0.31 - 0.52) | 0.52 (0.37-0.74 ) ISS, GCSm, mechanism, head AIS |
*
Those that died in the hospital excluded
**
Those with bowel injury excluded