Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons
Background: The purpose of this study is to assess the roles of pediatric surgeons and adult trauma surgeons in the management of pediatric torso trauma patients in a Level I adult trauma center. Methods: From 2015 to 2019, pediatric torso trauma patients (age < 18 years) were studied. A comparis...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-03-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/3/444 |
| _version_ | 1827649533940596736 |
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| author | Hsiang-Chieh Huang Tzu-Chi Teng Yung-Ching Ming Jainn-Jim Lin Chien-Hung Liao Chi-Hsun Hsieh Pei-Hua Li Chih-Yuan Fu |
| author_facet | Hsiang-Chieh Huang Tzu-Chi Teng Yung-Ching Ming Jainn-Jim Lin Chien-Hung Liao Chi-Hsun Hsieh Pei-Hua Li Chih-Yuan Fu |
| author_sort | Hsiang-Chieh Huang |
| collection | DOAJ |
| description | Background: The purpose of this study is to assess the roles of pediatric surgeons and adult trauma surgeons in the management of pediatric torso trauma patients in a Level I adult trauma center. Methods: From 2015 to 2019, pediatric torso trauma patients (age < 18 years) were studied. A comparison between patients who did and did not undergo surgery was performed. Older children (age: 10–18 years) were compared with young adults (age: 18–35 years) selected with the same criteria using propensity score matching (PSM) and inverse probability of treatment weighting (IPTW). Results: A total of 226 patients were included in the study. Patients who underwent surgery for torso trauma (<i>N</i> = 61) were significantly older than patients who did not undergo surgery (<i>N</i> = 165) (13.1 vs. 10.4 years, <i>p</i> = 0.019). Both PSM and IPTW showed that the older children and young adult groups had similar proportions of patients requiring surgery (32.6% vs. 32.6%, standard difference (SD) = 0.000), proportions of patients who required torso angioembolization (8.7% vs. 9.8%, SD = 0.072), length of hospital stay (LOS) (8.1 vs. 8.0 days, SD = 0.026), and intensive care unit admission LOS (2.6 vs. 2.7 days, SD = 0.033). However, 7.1% of older children received critical care from pediatric surgeons. Additionally, 31.9% of younger children were cared for by pediatric surgeons/pediatricians. Conclusions: Adult trauma surgeons can feasibly perform surgeries for older children with torso trauma in collaboration with pediatric surgeons who provide critical care. |
| first_indexed | 2024-03-09T19:59:02Z |
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| id | doaj.art-798a177d25c14f80be0d13f79bea7d9f |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-09T19:59:02Z |
| publishDate | 2022-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-798a177d25c14f80be0d13f79bea7d9f2023-11-24T00:48:10ZengMDPI AGChildren2227-90672022-03-019344410.3390/children9030444Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric SurgeonsHsiang-Chieh Huang0Tzu-Chi Teng1Yung-Ching Ming2Jainn-Jim Lin3Chien-Hung Liao4Chi-Hsun Hsieh5Pei-Hua Li6Chih-Yuan Fu7Department of Pediatric Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Pediatric Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Pediatrics, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanDepartment of Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Linkou Medical Center, Chang Gung University, Taoyuan City 333, TaiwanBackground: The purpose of this study is to assess the roles of pediatric surgeons and adult trauma surgeons in the management of pediatric torso trauma patients in a Level I adult trauma center. Methods: From 2015 to 2019, pediatric torso trauma patients (age < 18 years) were studied. A comparison between patients who did and did not undergo surgery was performed. Older children (age: 10–18 years) were compared with young adults (age: 18–35 years) selected with the same criteria using propensity score matching (PSM) and inverse probability of treatment weighting (IPTW). Results: A total of 226 patients were included in the study. Patients who underwent surgery for torso trauma (<i>N</i> = 61) were significantly older than patients who did not undergo surgery (<i>N</i> = 165) (13.1 vs. 10.4 years, <i>p</i> = 0.019). Both PSM and IPTW showed that the older children and young adult groups had similar proportions of patients requiring surgery (32.6% vs. 32.6%, standard difference (SD) = 0.000), proportions of patients who required torso angioembolization (8.7% vs. 9.8%, SD = 0.072), length of hospital stay (LOS) (8.1 vs. 8.0 days, SD = 0.026), and intensive care unit admission LOS (2.6 vs. 2.7 days, SD = 0.033). However, 7.1% of older children received critical care from pediatric surgeons. Additionally, 31.9% of younger children were cared for by pediatric surgeons/pediatricians. Conclusions: Adult trauma surgeons can feasibly perform surgeries for older children with torso trauma in collaboration with pediatric surgeons who provide critical care.https://www.mdpi.com/2227-9067/9/3/444pediatric torso traumatrauma surgeonpediatric surgeonpediatric critical care |
| spellingShingle | Hsiang-Chieh Huang Tzu-Chi Teng Yung-Ching Ming Jainn-Jim Lin Chien-Hung Liao Chi-Hsun Hsieh Pei-Hua Li Chih-Yuan Fu Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons Children pediatric torso trauma trauma surgeon pediatric surgeon pediatric critical care |
| title | Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons |
| title_full | Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons |
| title_fullStr | Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons |
| title_full_unstemmed | Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons |
| title_short | Older Children with Torso Trauma Could Be Managed by Adult Trauma Surgeons in Collaboration with Pediatric Surgeons |
| title_sort | older children with torso trauma could be managed by adult trauma surgeons in collaboration with pediatric surgeons |
| topic | pediatric torso trauma trauma surgeon pediatric surgeon pediatric critical care |
| url | https://www.mdpi.com/2227-9067/9/3/444 |
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