Children treated at trauma centers with highest pediatric readiness less likely to die, study shows

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Children treated at trauma centers with highest pediatric readiness less likely to die, study shows
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Children initially treated at trauma centers with the highest level of preparedness to care for children, called pediatric readiness, are significantly less likely to die than those initially treated at trauma facilities with lower pediatric readiness levels, new research shows.

Reviewed by Danielle Ellis, B.Sc.Oct 20 2023 The findings are being presented at the American College of Surgeons Clinical Congress 2023.

"But most children in the United States receive initial trauma care at non-pediatric centers because they are more readily available," Dr. Jensen said. The NPRP works to ensure that all EDs in the U.S. are prepared to provide high-quality emergency care for children. It uses a voluntary survey for EDs to self-assess pediatric readiness across six domains: administration and care coordination, personnel, quality improvement, patient safety, policies and procedures, and equipment and supplies. Survey responses are used to create a weighted pediatric readiness score that ranges from zero to 100.

Centers that reported pediatric readiness in the top 25th percentile had the lowest adjusted odds of death, the investigators reported. This high-readiness quartile had 17 to 27 percent lower adjusted odds of death than any other quartile. Dr. Jensen stressed that the goal of pediatric readiness is not to transform every ED into a pediatric trauma center providing the full spectrum of emergency care for children. Rather, the goal is to help EDs optimize the initial care for pediatric trauma patients. Ways that EDs can improve their pediatric readiness are easy and usually inexpensive, he stated.

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