Table 3.
Distribution of paediatric trauma patients
| Region | Criteria | Level I | Level II | Level III |
|---|---|---|---|---|
| Central Netherlands (n = 594) | LPA level I criteria | 41 (63.1) | 13 (20.0) | 8 (12.3) |
| ISS > 15 | 6 (85.7) | 0 (0) | 1 (14.3) | |
| LPA level I or II criteria | 139 (63.9) | 26 (11.9) | 41 (18.7) | |
| ISS > 15 | 14 (93.3) | 0 (0) | 1 (6.7) | |
| Vital sign level I criteria | 31 (77.5) | 6 (15.0) | 3 (7.5) | |
| ISS > 15 | 6 (100) | 0 (0) | 0 (0) | |
| Vital sign level I or II criteria | 76 (65.5) | 21 (18.1) | 19 (16.4) | |
| ISS > 15 | 9 (100) | 0 (0) | 0 (0) | |
| Injury-type level I criteria | 16 (53.3) | 9 (30.0) | 5 (6.7) | |
| ISS > 15 | 1 (50.0) | 0 (0) | 1 (50) | |
| Injury-type level I or II criteria | 18 (54.5) | 9 (27.3) | 6 (18.2) | |
| ISS > 15 | 1 (50.0) | 0 (0) | 1 (50.0) | |
| Mechanism of injury level I or II criteriaa | 81 (72.3) | 13 (11.6) | 18 (16.1) | |
| ISS > 15 | 9 (100) | 0 (0) | 0 (0) | |
| Brabant (n = 976) | LPA level I criteria | 68 (38.0) | 94 (52.5) | 17 (9.5) |
| ISS > 15 | 1 (100) | 0 (0) | (0) | |
| LPA level I or II criteria | 85 (38.1) | 117 (52.5) | 21 (9.4) | |
| ISS > 15 | 1 (100) | 0 (0) | 0 (0) | |
| Vital sign level I criteria | 66 (38.2) | 91 (52.6) | 17 (9.8) | |
| ISS > 15 | 1 (100) | 0 (0) | 0 (0) | |
| Vital sign level I or II criteria | – | – | – | |
| ISS > 15 | ||||
| Injury-type level I criteria | 3 (50.0) | 3 (50.0) | 0 (0) | |
| ISS > 15 | 1 (50.0) | 1 (50.0) | 0 (0) | |
| Injury-type level I or II criteria | 8 (47.1) | 8 (47.1) | 1 (5.9) | |
| ISS > 15 | 1 (50.0) | 1 (50.0) | 0 (0) | |
| Mechanism of injury level I or II criteriaa | 16 (39.0) | 22 (53.7) | 3 (7.3) | |
| ISS > 15 | 1 (100) | 0 (0) | 0 (0) |
Central Netherlands region: the following variables were multiply imputed: systolic blood pressure in 41.1%, respiratory rate in 6.2%, paediatric trauma score in 12.8%, and Glasgow Coma Scale in 6.2% of the paediatric trauma patients
Brabant region: multiple imputation was used for systolic blood pressure in 58.3%, respiratory rate in 39.1%, and Glasgow Coma Scale in 7.5% of the paediatric trauma patients. The paediatric trauma score missed in all patients
LPA National Protocol of Ambulance Services, ISS Injury Severity Score
aMechanism of injury criteria indicate transport to either level I or II trauma centres; no separate criteria in this triage protocol exist that indicates transport to a level I trauma centre