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September 1990

Pediatric Trauma ScorePredictor of Hospital Resource Use?

Author Affiliations

From the Departments of Surgery (Drs Aprahamian, Cattey, and Walker) and Vascular Surgery (Dr Seabrook), Medical College of Wisconsin, Milwaukee; and the Department of Public Health Education, University of North Carolina at Greensboro (Dr Gruchow).

Arch Surg. 1990;125(9):1128-1131. doi:10.1001/archsurg.1990.01410210054007

• The Pediatric Trauma Score has been recommended to triage children with scores of 8 or less to a level 1 pediatric trauma center. The Injury Severity Score correlates well with the Pediatric Trauma Score. During a 36-month period ending December 31, 1985, paramedics saw 983 pediatric trauma patients (aged 17 years and younger) and intervened with advanced life support procedures in 196 (20%). One hundred forty-four patients receiving advanced life support were transported to either a level 1 adult trauma center or a pediatric community hospital. Our data confirm the correlation between Pediatric Trauma Score and Injury Severity Score and support recommendations to transport patients with Pediatric Trauma Scores of 8 or less to trauma facilities. We also conclude that Pediatric Trauma Scores may be useful in predicting hospital resource use.

(Arch Surg. 1990;125:1128-1131)