caa a22 4500 606247033 CHVBK 20210128105231.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-012-0799-7 doi (NATIONALLICENCE)springer-10.1007/s12262-012-0799-7 Afifi Raouf Preventive Medicine Department, Armed Forces Hospitals, PO Box 1347, 21944, Taif, Kingdom of Saudi Arabia aut Impact of Trauma System Preparedness on the Outcomes of Severe Child and Adolescent Injuries [Elektronische Daten] [Raouf Afifi] Severe child trauma poses a heavy burden upon the public's health and the nations' economies, in terms of mortality, morbidity, and disability. The burden varies by the maturity level of the adopted trauma system. This work aimed to identify the impact of trauma system maturity upon the outcomes of care of severely injured children. Discharge data for hospitalized trauma children in Florida (mature trauma system) and Indiana (immature trauma system) were retrospectively analyzed. All severely injured children, 1-15years of age with an injury severity score ≥25 during 1999-2000 were included. Assessment involved the differences in specified treatment procedures, survival rates, hospital length of stay, and the need for post-hospital institutional care. Analysis revealed that Indiana children significantly stay longer in hospital, and that no differences in the rates of patient mortality, discharge home, and selected procedures were found. Trauma system maturity impacts the volume and complexity of interventions, as well as the mortality, morbidity, and disability associated with the severe child and adolescent trauma. The cost of such burden could be directed to improving quality of the state's injury management services. Association of Surgeons of India, 2012 Immature trauma system nationallicence Injury severity score ≥25 nationallicence Mature trauma system nationallicence Pediatric trauma nationallicence Trauma outcomes nationallicence Indian Journal of Surgery Springer India 77(2015-12-01), 293-298 0972-2068 77<293 2015 77 12262 https://doi.org/10.1007/s12262-012-0799-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-012-0799-7 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Afifi Raouf Preventive Medicine Department, Armed Forces Hospitals, PO Box 1347, 21944, Taif, Kingdom of Saudi Arabia aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 293-298 0972-2068 77<293 2015 77 12262 SWISSBIB 494150459