当前位置： SCI文献检索 > JOURNAL OF PEDIATRIC SURGERY期刊下所有文献 > Differences in trauma care among pediatric and nonpediatric trauma centers.

Differences in trauma care among pediatric and nonpediatric trauma centers.

Abstract：

:To characterize pediatric trauma care, state trauma registry data from all designated trauma centers in Pennsylvania were divided into three categories, that from: (1) pediatric centers, (2) urban nonpediatric centers, (3) and rural nonpediatric centers. From October 1, 1986 through September 30, 1989 (3 years), 4,615 patients less than 15 years old were admitted to 28 trauma centers in Pennsylvania. Nonpediatric centers cared for the majority of children (2,734, 59.2%), but the average number of children treated per nonpediatric institution (105.1 per year) was far fewer than the average treated in the pediatric centers (940.5). Pediatric trauma centers in the state treated a younger population (6.4 +/- 4.2 years, mean +/- SD) compared with urban and rural nonpediatric centers (8.4 +/- 4.2 and 8.1 +/- 4.3 years, respectively; P less than .05). Pediatric centers received proportionately more children by transfer (56.2%), victims of falls (34.6%), pedestrian injuries (16.8%), and head and neck injuries (41.8%, all P less than .05). Nonpediatric centers received children directly from the scene of injury more frequently than transferred from other hospitals. The male:female sex ratio in urban nonpediatric centers was significantly higher (70.1%, P less than .05) than in the other two groups. Rural nonpediatric centers cared for a higher proportion of motor vehicle passengers (28.5%) and patients classified as "other" in the state registry, a category to which bicycle injuries are assigned (28.2%, P less than .05). Mortality was highest in rural nonpediatric centers (6.2%). The death rate in pediatric centers and urban nonpediatric centers were similar (4.1%) and significantly lower (P less than .05).(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Nakayama DK,Copes WS,Sacco W

doi

10.1016/0022-3468(92)90328-5

subject

Has Abstract

pub_date

1992-04-01 00:00:00

pages

427-31

issue

4

eissn

0022-3468

issn

1531-5037

pii

0022-3468(92)90328-5

journal_volume

27

pub_type

杂志文章

相关文献

JOURNAL OF PEDIATRIC SURGERY文献大全
  • Obstructive jaundice associated with polysplenia syndrome in an older child.

    abstract：:Polysplenia syndrome includes malrotation and various forms of heterotaxy. Associated with this and malrotation are extrahepatic biliary anomalies. Actual obstruction, other than in associated biliary atresia, is extremely rare, and rarer still in older children. An 11-year-old girl presented with obstructive jaundice...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(92)90513-7

    authors： Stewart DE,Steigman CK,Mahoney KJ,Signs MM,Cobb LM

    更新日期：1992-12-01 00:00:00

  • Percutaneous transhepatic cholangiography (PTC) in biliary atresia with special reference to the structure of the intrahepatic bile ducts.

    abstract：:Percutaneous transhepatic cholangiography (PTC) was carried out in 30 cases of biliary atresia, 19 prior to surgery, and 11 following hepatic portoenterostomy. The intrahepatic biliary system was demonstrated in 47% of the patients prior to surgery and in all cases following surgery. Two distinct patterns of intrahepa...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(81)80109-1

    authors： Hashimoto T,Yura J

    更新日期：1981-02-01 00:00:00

  • Fetal response to neutral gas and liquid media for intraamniotic distension.

    abstract：PURPOSE:This study was aimed at comparing the effects of a neutral liquid and a neutral gas used as intraamniotic media on umbilical blood flow, O2 delivery, blood pressure, acid-base status, and electrolytes in the fetus at escalating intraamniotic pressures. METHODS:Eight fetal lambs underwent invasive monitoring of...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(99)90081-7

    authors： Fauza DO,Rawn J,Fishman SJ

    更新日期：1999-04-01 00:00:00

  • Intraluminal appendiceal fluid is a predictive factor for recurrent appendicitis after initial successful non-operative management of uncomplicated appendicitis in pediatric patients.

    abstract：BACKGROUND:The risk factors for recurrent appendicitis in pediatric patients are unclear. This study aimed to identify the predictive factors for recurrent appendicitis in pediatric patients who initially underwent successful non-operative management of uncomplicated appendicitis. METHODS:Potential predictive factors ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2014.01.003

    authors： Koike Y,Uchida K,Matsushita K,Otake K,Nakazawa M,Inoue M,Kusunoki M,Tsukamoto Y

    更新日期：2014-07-01 00:00:00

  • Prognosis for children with neuroblastoma presenting with paralysis.

    abstract：:Since 1947, we have treated 19 children with neuroblastoma whose first symptoms were paralysis or weakness of an extremity, and/or incontinence due to tumor in the spinal canal. In 18 patients, the spine tumor was part of a dumbbell tumor which was present in the adjacent paravertebral area and in one, no extraspinal ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(77)90020-3

    authors： Traggis DG,Filler RM,Druckman H,Jaffe N,Cassady JR

    更新日期：1977-06-01 00:00:00

  • Müllerian inhibiting substance in the diagnosis and management of intersex and gonadal abnormalities.

    abstract：:Müllerian inhibiting substance (MIS), a gonadal hormone important in sexual differentiation, is high (10 to 70 ng/mL) in human male serum postnatally for several years before declining during the peripubertal period, but is undetectable in female serum until the onset of puberty. The sexually dimorphic secretion of MI...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(93)90245-g

    authors： Gustafson ML,Lee MM,Asmundson L,MacLaughlin DT,Donahoe PK

    更新日期：1993-03-01 00:00:00

  • Castleman disease: surgical cure in pediatric patients.

    abstract：:Castleman disease is a rare disorder characterized by lymphoid hyperplasia which rarely manifests in children. We present 2 cases which highlight both histologic variants of this disease, and provide suggestions regarding workup and treatment with the goal of making practitioners aware of Castleman disease in the diff...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.09.024

    authors： Buesing K,Perry D,Reyes C,Abdessalam S

    更新日期：2009-01-01 00:00:00

  • Evaluation of Nissen fundoplication in neurologically impaired children.

    abstract：:The value of performing Nissen fundoplication in neurologically impaired children is a controversial issue. To evaluate the benefit of fundoplication in these children, hospital records were reviewed for 77 children who underwent fundoplication for gastroesophageal reflux (GER). Fifty-two children were neurologically ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/0022-3468(91)90013-j

    authors： Rice H,Seashore JH,Touloukian RJ

    更新日期：1991-06-01 00:00:00

  • Staged reduction using a Silastic sac is the treatment of choice for large congenital abdominal wall defects.

    abstract：:Although the survival for infants with abdominal wall defects (AWD) has dramatically improved, agreement on the optimum surgical approach has not been reached. From October 1970 through March 1983, 31 neonates with gastroschisis and 14 neonates with omphalocele were treated. Reduction of the herniated viscera with pri...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(83)80010-4

    authors： Schwartz MZ,Tyson KR,Milliorn K,Lobe TE

    更新日期：1983-12-01 00:00:00

  • Central venous line dressings: can you stick it?

    abstract：AIM:The objective of this study is to investigate which central venous catheter dressing is most secure. BACKGROUND:Central venous catheter insertion is a common procedure. A secure dressing is essential to prevent early line displacement. Many different dressings are used, but there is no consensus in choosing an opt...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.10.103

    authors： Keene D,Hennessey I,Rakoczy G

    更新日期：2009-02-01 00:00:00

  • Keys to career satisfaction: insights from a survey of women pediatric surgeons.

    abstract：BACKGROUND/PURPOSE:Declining interest in the field of surgery is attributed to lifestyle issues, more women per class, high debt, and long residency. To maintain surgery as a premier career choice, female students must find surgery to be professionally and personally rewarding. METHODS:A 35-item questionnaire was mail...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2004.02.039

    authors： Caniano DA,Sonnino RE,Paolo AM

    更新日期：2004-06-01 00:00:00

  • Citrulline levels following proximal versus distal small bowel resection.

    abstract：PURPOSE:Citrulline, a nonprotein amino acid synthesized by enterocytes, is a biomarker of bowel length and the capacity to wean from parenteral nutrition. However, the potentially variant effect of jejunal versus ileal excision on plasma citrulline concentration [CIT] has not been studied. This investigation compared s...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2014.02.056

    authors： Gutierrez IM,Fisher JG,Ben-Ishay O,Jones BA,Kang KH,Hull MA,Shillingford N,Zurakowski D,Modi BP,Jaksic T

    更新日期：2014-05-01 00:00:00

  • Primary nephrectomy and intraoperative tumor spill: report from the Children's Oncology Group (COG) renal tumors committee.

    abstract：PURPOSE:Initial Children's Oncology Group (COG) management for Wilms' tumor (WT) consists of primary nephroureterectomy with lymph node sampling. While this provides accurate staging to define further treatment, it may result in intraoperative spill (IOS), which is associated with higher recurrence rates and therefore ...

    journal_title：Journal of pediatric surgery

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/j.jpedsurg.2012.10.015

    authors： Gow KW,Barnhart DC,Hamilton TE,Kandel JJ,Chen MK,Ferrer FA,Price MR,Mullen EA,Geller JI,Gratias EJ,Rosen N,Khanna G,Naranjo A,Ritchey ML,Grundy PE,Dome JS,Ehrlich PF

    更新日期：2013-01-01 00:00:00

  • The incidence and surgical management of paratubal cysts in a pediatric and adolescent population.

    abstract：PURPOSE:The aim of this study is to determine the incidence of paratubal cysts (PTCs) in a pediatric and adolescent population. METHODS:An institutional review board-approved retrospective chart review was performed between the years of 1998 and 2008 at a single children's hospital. Inclusion criteria were met if path...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2011.04.054

    authors： Muolokwu E,Sanchez J,Bercaw JL,Sangi-Haghpeykar H,Banszek T,Brandt ML,Dietrich JE

    更新日期：2011-11-01 00:00:00

  • Rare late complication of the Nuss procedure: a case report.

    abstract：:The Nuss procedure is a surgical repair technique for pectus excavatum with fewer delayed complications reported in the current literature. We report the case of a 23-year-old male who presented after a syncopal episode during activity. Further evaluation demonstrated a fibrous band causing severe right ventricle outf...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2011.12.002

    authors： Obert L,Munyon R,Choe A,Rubenstein J,Azizkhan R

    更新日期：2012-03-01 00:00:00

  • Disparities in pediatric gonadal torsion: Does gender, race and insurance status affect outcomes?

    abstract：PURPOSE:Ovarian and testicular torsions are emergencies requiring prompt surgical treatment to preserve gonadal function. However, diagnosis in females is often delayed owing to nonspecific symptoms. We sought to assess disparities in management and outcomes between males and females with torsion. METHODS:The National...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2018.02.046

    authors： Buicko JL,Satahoo SS,Rao KA,Sola JE,Neville HL

    更新日期：2018-07-01 00:00:00

  • Computed tomography before transfer to a level I pediatric trauma center risks duplication with associated increased radiation exposure.

    abstract：INTRODUCTION:Community hospitals commonly obtain computed tomographic (CT) imaging of pediatric trauma patients before triaging to a level I pediatric trauma center (PTC). This practice potentially increases radiation exposure when imaging must be duplicated after transfer. METHODS:A retrospective review of our level ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.08.061

    authors： Chwals WJ,Robinson AV,Sivit CJ,Alaedeen D,Fitzenrider E,Cizmar L

    更新日期：2008-12-01 00:00:00

  • Pediatric hernia repair: 1-stop shopping.

    abstract：PURPOSE:Multiple visits for the evaluation, treatment, and follow-up of straightforward surgical problems are inconvenient, can result in lost work for the parents, and missed school for the child. We hypothesized that with proper previsit screening, patients with select diagnoses can be evaluated in an outpatient clin...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2011.10.047

    authors： Barnett SJ,Frischer JS,Gaskey JA,Ryckman FC,von Allmen D

    更新日期：2012-01-01 00:00:00

  • Sibling occurrence of biliary atresia and biliary dilatation.

    abstract：:Familial occurrence of extrahepatic biliary atresia (EHBA) or biliary dilatation has been reported; however, the genetic influences on these disorders are still obscure. The authors previously reported the occurrence of biliary dilatation and EHBA in sisters, which is extremely rare. Recently, a similar pair of sister...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(96)90259-6

    authors： Ando K,Miyano T,Fujimoto T,Ohya T,Lane G,Tawa T,Tokita A,Yabuta K

    更新日期：1996-09-01 00:00:00

  • Medical conferences in the era of environmental conscientiousness and a global health crisis: The carbon footprint of presenter flights to pre-COVID pediatric urology conferences and a consideration of future options.

    abstract：INTRODUCTION:Medical conferences are integral to academic medicine, with academic posters being a well-established medium for presenting research. However, conferences carry an ecological footprint due to greenhouse gas emissions. Furthermore, traditional conference formats have recently not been possible due to the CO...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jpedsurg.2020.07.013

    authors： Milford K,Rickard M,Chua M,Tomczyk K,Gatley-Dewing A,Lorenzo AJ

    更新日期：2020-07-16 00:00:00

  • Management of children and adolescents with a critical airway due to compression by an anterior mediastinal mass.

    abstract：:This study used retrospective review of patients with critical airway due to compression by an anterior mediastinal mass treated at a single pediatric teaching institution. Diagnostic workup is reviewed with a focus on diagnostic biopsy. Algorithm for streamlining the choice of biopsy technique and minimizing invasive...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2008.02.083

    authors： Perger L,Lee EY,Shamberger RC

    更新日期：2008-11-01 00:00:00

  • Pseudorheumatoid nodule in the liver of an adolescent male.

    abstract：:Focal hepatic lesions in the pediatric population are rare and are usually found on incidental imaging of the abdomen. The most common lesions are focal nodular hyperplasia and hemangioma, but the differential diagnosis is quite broad. We present a case of an adolescent male who was found to have a large pseudorheumat...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2006.04.036

    authors： Saeed SA,Kelly DR,Hardin WD Jr

    更新日期：2006-08-01 00:00:00

  • Surfactant levels after reversible tracheal occlusion and prenatal steroids in experimental diaphragmatic hernia.

    abstract：BACKGROUND/PURPOSE:In normal lungs, fetal tracheal occlusion (TO) induces lung growth but decreases the number of type II cells; this is remedied if TO is released (TR) before delivery. In the current study, the effects of TO with or without TR on pulmonary structure and surfactant were assessed in the ovine model in w...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2001.20027

    authors： Bratu I,Flageole H,Laberge JM,Possmayer F,Harbottle R,Kay S,Khalife S,Piedboeuf B

    更新日期：2001-01-01 00:00:00

  • Swallowing disorders after esophageal atresia evaluated with videomanometry.

    abstract：BACKGROUND:Patients with repaired esophageal atresia often show persistent motility disorders of the esophagus. METHODS:In this study, the authors used a newly developed method, videomanometry, to study intraluminal pressures and function of the pharynx and upper esophagus in such a group of patients and compared the ...

    journal_title：Journal of pediatric surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0022-3468(98)90154-3

    authors： Montgomery M,Witt H,Kuylenstierna R,Frenckner B

    更新日期：1998-08-01 00:00:00

  • Preduodenal portal vein causing duodenal obstruction associated with situs inversus, intestinal malrotation, and polysplenia: A case report.

    abstract：:Preduodenal portal vein (PDPV) is a rare anomaly described in only 82 patients in the literature. In a few patients, the PDPV was the direct cause of duodenal obstruction. The authors have treated a newborn with PDPV associated with total situs inversus, intestinal malrotation and polysplenia who presented clinically ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2002.31643

    authors： Mordehai J,Cohen Z,Kurzbart E,Mares AJ

    更新日期：2002-04-01 00:00:00

  • Is selective echocardiography in duodenal atresia the future standard of care?

    abstract：BACKGROUND:Duodenal atresia (DA) is associated with cardiac defects that may have perioperative care implications. Standard preoperative care includes echocardiography to identify such cardiac defects, but this dogma has been challenged. We aimed to assess selective and selective strategies for preoperative echocardiog...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2017.08.046

    authors： Khan A,Tanny ST,Perkins EJ,Hunt RW,Hutson JM,King SK,Jones B,Teague WJ

    更新日期：2017-12-01 00:00:00

  • Splenic abscess following nonoperative management of splenic rupture.

    abstract：:A recent case of posttraumatic splenic abscess in a young man following nonoperative management of his splenic rupture is reported. With the recent trend toward nonoperative management of hemodynamically stable splenic rupture, the potential complications of splenic abscess may become more common. In view of the high ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/s0022-3468(86)80020-3

    authors： Sands M,Page D,Brown RB

    更新日期：1986-10-01 00:00:00

  • Improved quality of life by combined transplantation in Hirschsprung's disease with a very long aganglionic segment.

    abstract：BACKGROUND/PURPOSE:The treatment of children with Hirschsprung's disease beginning in the proximal jejunum remains a challenge for the pediatric surgeon. These patients need a definitive parenteral nutrition, which could lead to a liver impairment. The goal of this work is to assess the quality of life after combined l...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2003.50072

    authors： Yann R,Yves A,Dominique J,Thierry Y,Olivier G,Florence L

    更新日期：2003-03-01 00:00:00

  • Pig bite of prolapsed rectum in a child.

    abstract：:A case of pig bite to the prolapsed rectum in a 2(1/2) year old boy is reported because of its rarity and successful management in spite of delayed presentation. ...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1053/jpsu.2002.31633

    authors： Gangopadhyay AN,Gupta DK,Dhulkotia A,Apte AV,Sharma SP

    更新日期：2002-04-01 00:00:00

  • Does hypertension at initial presentation adversely affect outcomes in pediatric traumatic brain injury?

    abstract：BACKGROUND:Adults with traumatic brain injury (TBI) who present hypertensive suffer worse outcomes and increased mortality compared to normotensive patients. The purpose of this study is to determine if age-adjusted hypertension on presentation is associated with worsened outcomes in pediatric TBI. METHODS:A retrospec...

    journal_title：Journal of pediatric surgery

    pub_type： 杂志文章

    doi：10.1016/j.jpedsurg.2019.06.008

    authors： Freeman AD,Fitzgerald CA,Baxter KJ,Neff LP,McCracken CE,Bryan LN,Morsberger JL,Zahid AM,Santore MT

    更新日期：2020-04-01 00:00:00