Citation

Otaka S, Ohbe H, Igeta R, Chiba T, Ikeda S, Shiga T. Children (Basel) 2022; 9(11).

Copyright

(Copyright © 2022, MDPI: Multidisciplinary Digital Publishing Institute)

DOI

10.3390/children9111658

PMID

unavailable

Abstract

The factors that prolong the on-site time in pediatric trauma cases in a prehospital setting are unknown. We investigated these factors using a national trauma registry in Japan. We identified pediatric trauma patients aged ≤18 years, from January 2004 to May 2019. We categorized cases into shorter (≤13 min) and longer (>13 min) prehospital on-site time groups. We performed multivariable logistic regression analysis with multiple imputations to assess the factors associated with longer prehospital on-site time. Overall, 14,535 patients qualified for inclusion. The median prehospital on-site time was 13 min. In the multivariable logistic regression analysis, the longer prehospital on-site time was associated with higher age; suicide (Odds ratio [OR] 1.27; 95% confidence interval [CI] 1.03-1.57); violence (OR 1.74; 95%CI 1.27-2.38); higher revised trauma score, abbreviated injury scale > 3 in the spine (OR 1.25; 95%CI 1.04-1.50), upper extremity (OR 1.26; 95%CI 1.11-1.44), and lower extremity (OR 1.25; 95%CI 1.14-1.37); immobilization (OR 1.16; 95%CI 1.06-1.27); and comorbid mental retardation (OR 1.56; 95%CI 1.11-2.18). In light of these factors, time in the field could be reduced by having more pediatric emergency physicians and orthopedic surgeons available. © 2022 by the authors.

Language: en

Keywords

adolescent; human; age; violence; suicide; trauma; Japan; child; female; infant; male; injury; pediatric; emergency care; comorbidity; major clinical study; disease association; data base; retrospective study; school child; preschool child; mental deficiency; cohort analysis; logistic regression analysis; time; spine injury; patient selection; arm injury; prehospital; immobilization; confidence interval; Article; observational study; leg injury; disease registry; database; pediatric patient; odds ratio; multiple imputation; on-site time