Nakayama D K, Copes W S, Sacco W
Department of Pediatric Surgery, Children's Hospital of Pittsburgh, PA 15213.
J Pediatr Surg. 1992 Apr;27(4):427-31. doi: 10.1016/0022-3468(92)90328-5.
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)
为了描述儿童创伤护理的情况，宾夕法尼亚州所有指定创伤中心的州创伤登记数据被分为三类，分别来自：（1）儿童中心；（2）城市非儿童中心；（3）农村非儿童中心。在1986年10月1日至1989年9月30日（3年）期间，4615名15岁以下的患者被收治于宾夕法尼亚州的28家创伤中心。非儿童中心照料了大多数儿童（2734名，占59.2%），但每个非儿童机构每年治疗的儿童平均数量（105.1名）远少于儿童中心的平均治疗量（940.5名）。与城市和农村非儿童中心相比，该州的儿童创伤中心治疗的人群年龄更小（平均年龄6.4±4.2岁，均值±标准差），城市和农村非儿童中心的平均年龄分别为8.4±4.2岁和8.1±4.3岁（P<0.05）。儿童中心通过转运接收的儿童比例相对更高（56.2%），还有跌倒受害者（34.6%）、行人受伤者（16.8%）以及头部和颈部受伤者（41.8%，所有P<0.05）。非儿童中心接收直接来自受伤现场儿童的频率高于接收从其他医院转运来的儿童。城市非儿童中心的男女比例显著高于其他两组（70.1%，P<0.05）。农村非儿童中心照料的机动车乘客比例更高（28.5%），以及在州登记中被归类为“其他”的患者比例更高，自行车受伤患者被归入这一类别（28.2%，P<0.05）。农村非儿童中心的死亡率最高（6.2%）。儿童中心和城市非儿童中心的死亡率相似（4.1%），且显著更低（P<0.05）。（摘要截断于250词）
