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dc.contributor.authorCoulthard, Mark G
dc.contributor.authorVarghese, Vanil
dc.contributor.authorHarvey, Lauren P
dc.contributor.authorGillen, Tona C
dc.contributor.authorKimble, Roy M
dc.contributor.authorWare, Robert S
dc.date.accessioned2019-06-09T01:34:26Z
dc.date.available2019-06-09T01:34:26Z
dc.date.issued2019
dc.identifier.issn1932-6203
dc.identifier.doi10.1371/journal.pone.0211530
dc.identifier.urihttp://hdl.handle.net/10072/384384
dc.description.abstractBackground: The aim of this study is to review patient characteristics, injury patterns, and outcomes of trauma cases admitted to pediatric intensive care in Children’s Health Queensland, Brisbane, Queensland, Australia. Methods: Routinely recorded data collected prospectively from the Children’s Health Queensland Trauma Service registry from November 2008 to October 2015 were reviewed. Demographic and clinical characteristics of trauma cases in children under 16 years of age are described, and their association with age and mortality analyzed. Results: There were 542 cases of pediatric trauma identified and 66.4% were male. The overall mortality since January 2012 was 11.1%. The median injury severity score (ISS) was 11 (IQR = 9–22), 48.2% (n = 261) had an ISS > 12 and 41.7% (n = 226) patients had an ISS > 15. The most common injury patterns were isolated head injury (29.7%; n = 161) and multiple trauma (31.2%; n = 169). In 28.4% of cases (n = 154) surgery was required. The home was reported to be the most common place of injury (37.6%; n = 204). Children aged 0–4 years were least likely to survive their injury (15.3% mortality) compared with the 5–9 (5.6% mortality) and 10–15 (9.0% mortality) age groups. Higher mortality was associated with more severe injuries, abdomen/spine/thorax injuries, inflicted injuries, drowning and hanging. Conclusion: This description of major pediatric trauma cases admitted to pediatric intensive care in Children’s Health Queensland, Australia, will inform future pediatric major trauma service requirements as it identifies injury patterns and profiles, injury severity, management and mortality across different age groups.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofissue2
dc.relation.ispartofjournalPLoS ONE
dc.relation.ispartofvolume14
dc.subject.fieldofresearchPaediatrics
dc.subject.fieldofresearchEmergency medicine
dc.subject.fieldofresearchIntensive care
dc.subject.fieldofresearchcode3213
dc.subject.fieldofresearchcode320207
dc.subject.fieldofresearchcode320212
dc.titleA review of children with severe trauma admitted to pediatric intensive care in Queensland, Australia
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2019 Coulthard et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
gro.hasfulltextFull Text
gro.griffith.authorWare, Robert


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