TY  - JOUR
PY  - 2022//
TI  - Factors Associated with an Increase in On-Site Time of Pediatric Trauma Patients in a Prehospital Setting: A Nationwide Observational Study in Japan
JO  - Children (Basel, Switzerland)
A1  - Otaka, S.
A1  - Ohbe, H.
A1  - Igeta, R.
A1  - Chiba, T.
A1  - Ikeda, S.
A1  - Shiga, T.
SP  - 
EP  - 
VL  - 9
IS  - 11
N2  - 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.<p /> <p>Language: en</p>
LA  - en
SN  - 2227-9067
UR  - http://dx.doi.org/10.3390/children9111658
ID  - ref1
ER  -