Pediatric trauma care by « adult » surgeons is debated, despite the paucity of pediatric trauma surgeons ; 424 patients ¾17 admitted to a Level I Center run by « adult » surgeons were analyzed.
Demographics mirrored NPTR (mean ISS 11.5 ; mean age 10). « Adult » critical care surgeons treated MTOS-comparable patients with outcomes comparable to MTOS.
Among other specialists, only neurosurgeons saw a MTOS-comparable population.
Nonoperative protocols for solid organ injury were used appropriately.
Z for all patients was+0.17 with M 0.908.
Ps was 0.951 ; actual survival was 0.958 with 18 deaths (mean Ps 0.158).
There were two unexpected survivors and one unexpected death ; 73% of survivors had age-appropriate locomotion.
Pediatric trauma outcomes by « adult » surgeons compare favorably to national standards.
The recommendation that pediatric trauma care be directed by pediatric surgeons should be qualified in view of such outcomes and the paucity of pediatric trauma surgeons.
Mots-clés Pascal : Traumatisme, Enfant, Chirurgien, Chirurgie, Traitement, Mortalité, Homme
Mots-clés Pascal anglais : Trauma, Child, Surgeon, Surgery, Treatment, Mortality, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0039713
Code Inist : 002B30A03B. Création : 01/03/1996.