Secondary overtriage of pediatric neurosurgical trauma at a Level I pediatric trauma center.
The authors looked at all of the pediatric patients with a head injury who were transferred from other hospitals to their own over 12 years and tried to identify factors that would allow patients to stay closer to home at their local hospitals and not be transferred. Many patients with isolated, nondisplaced skull fractures or negative CT imaging likely could have avoided transfer. While hospitals should be cautious, this may help families stay closer to home.
['Mackel|Charles E|CE|', 'Morel|Brent C|BC|', 'Winer|Jesse L|JL|', 'Park|Hannah G|HG|', 'Sweeney|Megan|M|', 'Heller|Robert S|RS|', 'Rideout|Leslie|L|', 'Riesenburger|Ron I|RI|', 'Hwang|Steven W|SW|']
D000293:Adolescent D002648:Child D006259:Craniocerebral Trauma D005260:Female D006801:Humans D008297:Male D010360:Patient Transfer D012189:Retrospective Studies D014193:Trauma Centers D014218:Triage
pediatric trauma head injury transfer ATC = adult trauma center ED = emergency department GCS = Glasgow Coma Scale ISS = Injury Severity Score LOS = length of stay PICU = pediatric intensive care unit PTC = pediatric trauma center TBI = traumatic brain injury triage