Influence of a statewide trauma system on pediatric hospitalization and outcome

Frieda Hulka, Richard Mullins, N. Clay Mann, Jerris R. Hedges, Donna Rowland, William H. Worrall, Ronald D. Sandoval, Andrew Zechnich, Donald Trunkey

    Research output: Contribution to journalArticle

    120 Citations (Scopus)

    Abstract

    Background: During the years 1987-1991, a statewide trauma system was implemented in Oregon (Ore) but not in Washington (Wash). Incidence of hospitalization, frequency of death and risk-adjusted odds of death for injured children ( 15) had a lower incidence in 1991-1993 of admission to rural hospitals (Ore: 2.98; Wash: 2.82) compared with incidence for entire states (Ore: 4.61; Wash: 4.62); in 1985-1987 the incidence was not different. Furthermore risk adjusted odds of death for seriously injured children was significantly lower in Oregon than in Washington in the later time period. Conclusion: Both states show a similar temporal trend toward a declining frequency of death for children hospitalized with injuries. Injury prevention strategies appear to have reduced the number of serious injuries in both states. However, seriously injured children demonstrated a reduced risk of death in Oregon, consistent with benefit from a statewide trauma system.

    Original languageEnglish (US)
    Pages (from-to)514-519
    Number of pages6
    JournalJournal of Trauma - Injury, Infection and Critical Care
    Volume42
    Issue number3
    DOIs
    StatePublished - Mar 1997

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    Hospitalization
    Pediatrics
    Wounds and Injuries
    Incidence
    Rural Hospitals
    Hospitalized Child

    ASJC Scopus subject areas

    • Surgery

    Cite this

    Influence of a statewide trauma system on pediatric hospitalization and outcome. / Hulka, Frieda; Mullins, Richard; Mann, N. Clay; Hedges, Jerris R.; Rowland, Donna; Worrall, William H.; Sandoval, Ronald D.; Zechnich, Andrew; Trunkey, Donald.

    In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 42, No. 3, 03.1997, p. 514-519.

    Research output: Contribution to journalArticle

    Hulka, Frieda ; Mullins, Richard ; Mann, N. Clay ; Hedges, Jerris R. ; Rowland, Donna ; Worrall, William H. ; Sandoval, Ronald D. ; Zechnich, Andrew ; Trunkey, Donald. / Influence of a statewide trauma system on pediatric hospitalization and outcome. In: Journal of Trauma - Injury, Infection and Critical Care. 1997 ; Vol. 42, No. 3. pp. 514-519.
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    abstract = "Background: During the years 1987-1991, a statewide trauma system was implemented in Oregon (Ore) but not in Washington (Wash). Incidence of hospitalization, frequency of death and risk-adjusted odds of death for injured children ( 15) had a lower incidence in 1991-1993 of admission to rural hospitals (Ore: 2.98; Wash: 2.82) compared with incidence for entire states (Ore: 4.61; Wash: 4.62); in 1985-1987 the incidence was not different. Furthermore risk adjusted odds of death for seriously injured children was significantly lower in Oregon than in Washington in the later time period. Conclusion: Both states show a similar temporal trend toward a declining frequency of death for children hospitalized with injuries. Injury prevention strategies appear to have reduced the number of serious injuries in both states. However, seriously injured children demonstrated a reduced risk of death in Oregon, consistent with benefit from a statewide trauma system.",
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    AU - Hulka, Frieda

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    AU - Mann, N. Clay

    AU - Hedges, Jerris R.

    AU - Rowland, Donna

    AU - Worrall, William H.

    AU - Sandoval, Ronald D.

    AU - Zechnich, Andrew

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