Pediatric trauma in an austere combat environment

The objective of this study was to describe the epidemiology of pediatric patients admitted with traumatic injuries to U.S. combat support hospitals and to provide insight into both critical care and noncritical care challenges this presents. The authors provide a descriptive report. This study was...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:Critical care medicine Ročník 36; číslo 7 Suppl; s. S293
Hlavní autoři: Spinella, Philip C, Borgman, Mathew A, Azarow, Kenneth S
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.07.2008
Témata:
Adolescent
Afghanistan - epidemiology
Age Distribution
Child
Child, Preschool
Critical Care - organization & administration
Female
Health Facility Environment - organization & administration
Health Services Needs and Demand
Health Services Research
Hospital Mortality
Hospitals, Military - organization & administration
Humans
Iraq - epidemiology
Iraq War, 2003-2011
Length of Stay - statistics & numerical data
Male
Medically Underserved Area
Military Medicine - organization & administration
Organizational Innovation
Patient Admission - statistics & numerical data
Pediatrics - organization & administration
Total Quality Management - organization & administration
Triage - organization & administration
United States - epidemiology
Wounds and Injuries - epidemiology
Wounds and Injuries - etiology
Wounds and Injuries - therapy
United States
Afghanistan
Iraq
ISSN:1530-0293, 1530-0293
On-line přístup:Zjistit podrobnosti o přístupu
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Popis
Shrnutí:The objective of this study was to describe the epidemiology of pediatric patients admitted with traumatic injuries to U.S. combat support hospitals and to provide insight into both critical care and noncritical care challenges this presents. The authors provide a descriptive report. This study was conducted at seven combat support hospitals in both Iraq and Afghanistan. Subjects were pediatric patients age <18 yrs. There were 1,305 (7.1%) pediatric patients admitted to Army combat support hospitals who required 12% of all hospital bed days. The hospital length of stay was increased in pediatric patients compared with both adult coalition and noncoalition patients. Thirteen percent of all the patients who died at combat support hospitals and 11% of all transfusions and patients on mechanical ventilation were children. In-hospital mortality for pediatric patients was increased 71 of 1,305 (5.4%) compared with both adult coalition (114 of 8,567 [1.3%]) and noncoalition patients (369 of 8,511 [4.3%]) (p < .05). In-hospital mortality was increased for children <6 yrs of age compared with children 6 to 17 yrs of age, 10.7% versus 3.8%, respectively (p < .05). Pediatric patients with traumatic injuries are common at deployed U.S. military medical facilities as a result of combat-related and noncombat-related injuries and have increased in-hospital mortality compared with adults. Mortality was also increased for younger compared with older children. Innovative adaptations in addition to logistic and organizational changes have potentially improved pediatric care since the early stages of both wars from 2001 to 2003. Self-improvement through coalition support of the Iraqi and Afghani medical systems is needed to permit advancement and self-reliance.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1530-0293
1530-0293
DOI:10.1097/CCM.0b013e31817da99f