Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members
| Title: | Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members |
|---|---|
| Authors: | Reichert M.; Sartelli M.; Askevold I. H.; Braun J.; Weigand M. A.; Hecker M.; Agnoletti V.; Coccolini F.; Catena F.; Padberg W.; Riedel J. G.; Hecker A.; Dogjani A.; Kuriyama A.; Porcu A.; Martínez-Pérez A.; Coppola A.; Spolini A.; Giordano A.; Kyriakidis A.; Mohamedahmed A. Y. Y.; Vasilopoulou A.; Zakaria A. D.; Balla A.; Fette A.; Litvin A.; Guariniello A.; Isik A.; Kechagias A.; Mitul A. R.; De Simone B.; Zampogna B.; Sensi B.; Gazia C.; Seretis C.; Brooke C.; Luppi D.; Coletta D.; Sasia D.; Corallino D.; Chatzipetris D.; Schizas D.; Lostoridis E.; Hsabo E. A.; Kaouras E.; Schneck E.; Pinotti E.; Dimitrov E.; D’Acapito F.; Saraceno F.; Abu-Zidan F.; Silvestri F. M.; Favi F.; Fleres F.; Mulita F.; Nita G.; Martines G.; Mazzarella G.; Perrone G.; Giraudo G.; Bacchiocchi G.; Argenio G.; Brisinda G.; Currò G.; Palomba G.; Fraga G. P.; Hamid H. K. S.; Katsaros I.; Negoi I.; Tochie J. N.; Davies J.; Kok K. Y. Y.; Apostolou K. G.; Lasithiotakis K.; Tsekouras K.; Sydorchuk L.; Siragusa L.; Solaini L.; Ferrario L.; Buonomo L.; Walędziak M.; Gachabayov M.; Bulanauca M.; Agrawal M. K.; Ceresoli M.; Ranucci M. C.; Petridou M.; D’Oria M.; Veroux M.; Frountzas M.; Teuben M. P. J.; Bala M.; Minger M. A.; Gonçalves M.; Sharma N.; Tamini N.; Medappil N.; Ioannidis O.; Bisagni P.; Rahim R. |
| Contributors: | Reichert, M.; Sartelli, M.; Askevold, I. H.; Braun, J.; Weigand, M. A.; Hecker, M.; Agnoletti, V.; Coccolini, F.; Catena, F.; Padberg, W.; Riedel, J. G.; Hecker, A.; Dogjani, A.; Kuriyama, A.; Porcu, A.; Martínez-Pérez, A.; Coppola, A.; Spolini, A.; Giordano, A.; Kyriakidis, A.; Mohamedahmed, A. Y. Y.; Vasilopoulou, A.; Zakaria, A. D.; Balla, A.; Fette, A.; Litvin, A.; Guariniello, A.; Isik, A.; Kechagias, A.; Mitul, A. R.; De Simone, B.; Zampogna, B.; Sensi, B.; Gazia, C.; Seretis, C.; Brooke, C.; Luppi, D.; Coletta, D.; Sasia, D.; Corallino, D.; Chatzipetris, D.; Schizas, D.; Lostoridis, E.; Hsabo, E. A.; Kaouras, E.; Schneck, E.; Pinotti, E.; Dimitrov, E.; D’Acapito, F.; Saraceno, F.; Abu-Zidan, F.; Silvestri, F. M.; Favi, F.; Fleres, F.; Mulita, F.; Nita, G.; Martines, G.; Mazzarella, G.; Perrone, G.; Giraudo, G.; Bacchiocchi, G.; Argenio, G.; Brisinda, G.; Currò, G.; Palomba, G.; Fraga, G. P.; Hamid, H. K. S.; Katsaros, I.; Negoi, I.; Tochie, J. N.; Davies, J.; Kok, K. Y. Y.; Apostolou, K. G.; Lasithiotakis, K.; Tsekouras, K.; Sydorchuk, L.; Siragusa, L.; Solaini, L.; Ferrario, L.; Buonomo, L.; Walędziak, M.; Gachabayov, M.; Bulanauca, M.; Agrawal, M. K.; Ceresoli, M.; Ranucci, M. C.; Petridou, M.; D’Oria, M.; Veroux, M.; Frountzas, M.; Teuben, M. P. J.; Bala, M.; Minger, M. A.; Gonçalves, M.; Sharma, N.; Tamini, N.; Medappil, N.; Ioannidis, O.; Bisagni, P.; Rahim, R. |
| Publication Year: | 2023 |
| Collection: | Sapienza Università di Roma: CINECA IRIS |
| Subject Terms: | appendiciti; children; emergency; emergency surgery; injury; pediatric surgery; pediatric trauma; trauma surgery; wses |
| Description: | Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients ́ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and ... |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/36639810; info:eu-repo/semantics/altIdentifier/wos/WOS:000913623700001; volume:18; issue:1; firstpage:1; lastpage:14; numberofpages:14; journal:WORLD JOURNAL OF EMERGENCY SURGERY; https://hdl.handle.net/11573/1679081 |
| DOI: | 10.1186/s13017-022-00473-5 |
| Availability: | https://hdl.handle.net/11573/1679081; https://doi.org/10.1186/s13017-022-00473-5 |
| Rights: | info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/ |
| Accession Number: | edsbas.64230939 |
| Database: | BASE |