Trauma & major bleeding

Mortality Among Severely Injured Adolescents Admitted to Pediatric vs Adult Trauma Centers

JAMA Netw OpenPublished Retrospective cohort study

Main findingResult — go to the resultAdjusted odds ratio 2.61 95% CI 0.88–7.69

Authors' conclusion

In this cohort study of severely injured adolescents, pediatric trauma center admission was not associated with improved hospital mortality.

Study context

Population
Severely injured adolescents aged 12 to 16 years admitted to level I/II trauma centers in British Columbia, Canada, 2012–2020
Participants
416 participants
Exposure
Pediatric vs adult trauma center admission
  • Pediatric trauma centern = 201
  • Adult trauma centern = 215reference
Outcome
Hospital mortality for the index trauma incident
Methodological detailsinverse probability of treatment weighting
  • Inverse probability of treatment weighting

Main finding

As reported in the abstract

Adjusted odds ratio

2.61

95% CI 0.88–7.69

P = 0.08

Events by group

Pediatric trauma center vs Adult trauma center
aOR 2.61 (95% CI 0.88–7.69); P = 0.08

Observational data: associations, not effects.

Original publication

Mortality Among Severely Injured Adolescents Admitted to Pediatric vs Adult Trauma Centers. JAMA Netw Open. Published 2 December 2024. doi:10.1001/jamanetworkopen.2024.50647

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