Predicting Pediatric Patients Who Require Care at a Trauma Center: Analysis of Injuries and Other Factors Andrea N. Doud, MD, Samantha L. Schoell, PhD,

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Presentation transcript:

Predicting Pediatric Patients Who Require Care at a Trauma Center: Analysis of Injuries and Other Factors Andrea N. Doud, MD, Samantha L. Schoell, PhD, Jennifer W. Talton, MS, Ryan T. Barnard, MS, John K. Petty, MD, J. Wayne Meredith, MD, FACS, R. Shayn Martin, MD, FACS, Joel D. Stitzel, PhD, Ashley A. Weaver, PhD Journal of the American College of Surgeons Volume 226, Issue 1, Pages 70-79.e8 (January 2018) DOI: 10.1016/j.jamcollsurg.2017.09.018 Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 1 Overview of the calculation of the transfer score (TS) metric using the “x1” and “x2” weighting factors to compute a weighted sum of the proportion of patients managed at a non-trauma center (non-TC) and the proportion of patients managed at TC. The overall TS metric was normalized on a 0 to 1 scale using the normalization values “a” and “b.” The TS metrics closer to 1 indicate more highly transferred injuries. MVC, motor vehicle crash. Journal of the American College of Surgeons 2018 226, 70-79.e8DOI: (10.1016/j.jamcollsurg.2017.09.018) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 2 Box-and-whisker plots showing median and interquartile ranges (IQRs) for (A) transfer score (TS) and (B) median co-injury adjusted transfer score to account for maximum Abbreviated Injury Scale (TSMAIS) within each age group. The white line in the center of the box represents the median of each age-specific TS and TSMAIS. The upper and lower limits of the boxes show the 25% and 75% quantiles of the TS and TSMAIS within each age group. The lower limit of each line (whisker) represents the value at the 25th% − 1.5 × IQR and the upper limit of each line represents the value at the 75th% + 1.5 × IQR. The n values denote the number of children included in each calculation. Data source: National Inpatient Sample, years 1998 to 2007. Journal of the American College of Surgeons 2018 226, 70-79.e8DOI: (10.1016/j.jamcollsurg.2017.09.018) Copyright © 2017 American College of Surgeons Terms and Conditions

Figure 3 Median co-injury adjusted transfer score to account for maximum Abbreviated Injury Scale (TSMAIS) by age and body region. The symbol corresponds to the median TSMAIS of the age group. The lines are drawn to allow the reader to better visualize the trends. The n values denote the number of children included in each calculation. Data source: National Inpatient Sample, years 1998 to 2007. Journal of the American College of Surgeons 2018 226, 70-79.e8DOI: (10.1016/j.jamcollsurg.2017.09.018) Copyright © 2017 American College of Surgeons Terms and Conditions