Undertriage of Pediatric Major Trauma Patients in the United States

作者：Peng Jin; Wheeler Krista; Groner Jonathan I; Haley Kathryn J; Xiang Henry^*

来源：Clinical Pediatrics, 2017, 56(9): 845-853.

DOI：10.1177/0009922817709553

• undertriage
• pediatric major trauma
• access to pediatric trauma care

Although trauma undertriage has been widely discussed in the literature, undertriage in the pediatric trauma population remains understudied. Using the 2009-2013 Nationwide Emergency Department Sample, we assessed the national undertriage rate in pediatric major trauma patients (age 16 years and injury severity score [ISS] >15), and identified factors associated with pediatric trauma undertriage. Nationally, 21.7% of pediatric major trauma patients were undertriaged. Children living in rural areas were more likely to be undertriaged (P = .02), as were those without insurance (P = .00). Children with life-threatening injuries were less likely to be undertriaged (P < .0001), as were those with chronic conditions (P < .0001). Improving access to specialized pediatric trauma care through innovative service delivery models may reduce undertriage and improve outcomes for pediatric major trauma patients.

• 出版日期2017-8