University of Utah Health, Primary Children's Hospital, Salt Lake City, Utah.
Keck School of Medicine of USC, Los Angeles, California, USA.
Curr Opin Anaesthesiol. 2023 Apr 1;36(2):159-162. doi: 10.1097/ACO.0000000000001245. Epub 2023 Jan 20.
Pediatric trauma centers (PTCs) have been championed as multidisciplinary facilities specializing in the care of pediatric trauma, the leading cause of childhood mortality in the United States. 1 However, the vast majority of pediatric trauma is still seen in trauma centers focused on treating adults. This article reviews the latest evidence comparing the relative strengths of PTCs and adult trauma centers (ATCs) in treating childhood injury.
Recent multicenter studies comparing outcomes of pediatric injury in PTCs and ATCs have found no differences in mortality or hospital length of stay, contradicting earlier findings. However, fewer invasive procedures and CT scans were performed at PTCs, and more children were discharged back to their homes.
It is difficult to demonstrate a difference in outcomes for children treated at PTCs vs. ATCs. However, PTCs do offer a multidisciplinary, nuanced approach to pediatric trauma care, which may result in long term benefits and offer opportunities for regional collaboration.
儿科创伤中心（PTC）被认为是专门治疗儿科创伤的多学科医疗机构，儿科创伤是美国儿童死亡的主要原因。然而，绝大多数儿科创伤仍在专注于治疗成人的创伤中心中得到诊治。本文综述了最新的证据，比较了 PTC 和成人创伤中心（ATC）在治疗儿童创伤方面的相对优势。
最近的多中心研究比较了 PTC 和 ATC 治疗儿童损伤的结果，发现死亡率或住院时间无差异，这与早期的研究结果相矛盾。然而，PTC 进行的侵入性操作和 CT 扫描较少，更多的儿童出院回家。
很难证明在 PTC 和 ATC 治疗的儿童的结果有差异。然而，PTC 确实为儿科创伤护理提供了一种多学科、细致入微的方法，这可能会带来长期的益处，并为区域合作提供机会。
