Paediatric anaesthesia & critical care

A Retrospective Study on Time Impact of Major Trauma Patients Requiring Access to the Operating Room on the Anesthesia Department of a Pediatric Trauma Center

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

Major trauma patients have a significant time impact on the anesthesia department.

Study context

Population
Pediatric major trauma patients requiring surgery in the OR, The Hospital for Sick Children, June 2018–October 2020of 721 major trauma patients
Participants
141 patients
Exposure
OR access timing: immediate vs within 24 h vs after 24 h
  • Immediaten = 67
  • Within 24 hn = 37
  • After 24 hn = 37
Outcome
Distribution of major trauma cases requiring OR access, hospital LOS, blood product use and mortality
Methodological detailssingle-centre, trauma registry
  • Single-centre
  • Trauma registry

Main finding

As reported in the abstract

Underwent surgery
141 of 721 (19.6%)
Immediate OR access
67 (47.5%)
OR access within 24 h
37 (26.2%)
OR access after 24 h
37 (26.2%)
Median hospital LOS
6 days (range 1-102)
Mortality rate
1.4%

Observational data: associations, not effects.

Further findings

Patient characteristics

Median age, years (range 0-17)
8
Male
65.2%
Median ISS (range 1-57)
11.5
Most frequent specialties: orthopedics and neurosurgery

Original publication

A Retrospective Study on Time Impact of Major Trauma Patients Requiring Access to the Operating Room on the Anesthesia Department of a Pediatric Trauma Center. Paediatr Anaesth. Published 6 August 2026. doi:10.1002/pan.70278

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