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September 1990

Pediatric Trauma Score: Predictor 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)