Table 1.
Demographics and mortality by trauma center for all patients ≤18 years of age
Variable | PTC (n=3900) | ATC (n=6128) | P |
---|---|---|---|
Age (years), mean±SD | 11±3 | 14±5 | <0.001 |
Male gender, n (%) | 2619 (67) | 4230 (69) | 0.05 |
Mechanism of injury | |||
Penetrating | 358 (9.2) | 970 (15.8) | <0.001 |
Stab wounds | 43 (1.1) | 128 (2.1) | <0.001 |
GSW | 307 (7.9) | 838 (13.7) | <0.001 |
Other | 8 (0.2) | 4 (0.07) | |
Blunt | 3542 (90.8) | 5158 (84.2) | <0.001 |
HDI at scene, n (%) | 357 (10.5) | 800 (14.6) | <0.001 |
HDI in ED, n (%) | 317 (8.3) | 637 (10.6) | <0.001 |
TT, median (IQR) | 60 (43-85) | 58 (41-81) | <0.001 |
ISS, median (IQR) | 22 (17-29) | 22 (17-29) | 0.64 |
GCS, median (IQR) | 14 (4-15) | 14 (3-15) | 0.06 |
GCS blunt, median (IQR) | 14 (4-15) | 14 (3-15) | 0.06 |
GCS penetrating, median (IQR) | 15 (3-15) | 15 (3-15) | 0.67 |
Severe TBI, n (%) | 1128 (31) | 1905 (33) | 0.05 |
GCS <9, n (%) | 1227 (32) | 1905 (34) | 0.15 |
NS interventions, n (%) | 97 (2.5) | 163 (2.7) | 0.65 |
ICP monitoring, n (%) | 52 (1.3) | 80 (1.4) | 0.93 |
Craniotomy*, n (%) | 45 (1.2) | 83 (1.4) | 0.41 |
ED mortality, n (%) | 112 (2.9) | 305 (5) | <0.001 |
IP mortality, n (%) | 357 (9.2) | 684 (11.2) | 0.001 |
PTC: Pediatric trauma centers, SD: Standard deviation, GSW: Gunshot wounds, HDI: Hemodynamic instability, ED: Emergency Department, IQR: Interquartile range, ISS: Injury severity score, GCS: Glasgow Coma Scale, TBI: Traumatic brain injury, ICP: Intracranial pressure, IP: In-patient NS: Neurosurgery, ATC: Adult trauma center, TT: Tube thoracostomy