Community Health Department, International Management-Health Services Institute, Indianapolis, USA. Public Health Department, Faculty of Medicine, South Valley University, Qena, Egypt.
Objective: To identify how hospital discharge data could discriminate the distribution patterns of high-risk trauma children in mandated and non-mandated trauma
systems. Methods: Hospital discharge data of pediatric trauma patients 1 - 15 years
of age in Florida (FL), USA—[a mature mandated trauma system
with certified trauma centers (TCs)] and in Indiana (IN), USA—(an immature
non-mandated trauma system) admitted both to trauma center (TC)
and non-TC healthcare facilities were analyzed. The injury severity score (ISS)
measurement was used to verify injury severities. Results: Analysis
showed that the majority of admissions were mild injuries (ISS = 1 - 8), [FL
70%, IN 66%, odds ratio (OR)
1.2, 95% confidence interval (CI) 1.1, 1.3].
R. Afifi and S. Zaytoun, "Distribution Patterns of Severe Pediatric Trauma: Mandated vs. Non-Mandated Trauma Systems," Surgical Science, Vol. 4 No. 9, 2013, pp. 385-392. doi: 10.4236/ss.2013.49076.
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