Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members
World Journal of Emergency Surgery, Volume 18, No. 1, Article 6, Year 2023
Notification
URL copied to clipboard!
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 in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management. © 2023, The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC9840264/bin/13017_2022_473_MOESM1_ESM.docx
Authors & Co-Authors
Reichert, Martin
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Sartelli, Massimo
Italy, Macerata
Macerata Hospital
Askevold, Ingolf Harald
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Weigand, Markus Alexander
Germany, Heidelberg
Universitätsklinikum Heidelberg
Hecker, Matthias
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Vanni, Agnoletti
Italy, Cesena
Ospedale M. Bufalini
Coccolini, Federico
Italy, Pisa
Azienda Ospedaliero Universitaria Pisana
Catena, Fausto
Italy, Parma
Parma Maggiore Hospital
Padberg, Winfried M.
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Riedel, Jens Guenter
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Hecker, Andreas
Germany, Giessen
Universitätsklinikum Gießen Und Marburg, Standort Gießen
Dogjani, Agron
Unknown Affiliation
Kuriyama, Akira
Unknown Affiliation
Porcu, Alberto
Unknown Affiliation
Martínez-Pérez, Aleix
Unknown Affiliation
Giordano, Alessio Biagio Filippo
Unknown Affiliation
Mohamedahmed, Ali Yasen Y.
Unknown Affiliation
Zakaria, Andee Dzulkarnaen
Unknown Affiliation
Balla, Andrea
Unknown Affiliation
Fette, Andreas Martin
Unknown Affiliation
Litvin, A. A.
Unknown Affiliation
Isik, Arda A.
Unknown Affiliation
Kechagias, Aristotelis
Unknown Affiliation
Rahman, Ashrarur Rahman
Unknown Affiliation
de Simone, Belinda D.
Unknown Affiliation
Seretis, Charalampos
Unknown Affiliation
Luppi, Davide
Unknown Affiliation
Coletta, Diego
Unknown Affiliation
Sasia, Diego
Unknown Affiliation
Schizas, Dimitrios N.
Unknown Affiliation
Lostoridis, Eftychios
Unknown Affiliation
Hsabo, Elmuiz A.
Unknown Affiliation
Dimitrov, Evgeni Nikolaev
Unknown Affiliation
D’Acapito, Fabrizio
Unknown Affiliation
Saraceno, Federica
Unknown Affiliation
Abu‑Zidan, Fikri M.
Unknown Affiliation
Favi, Francesco
Unknown Affiliation
Fleres, Francesco
Unknown Affiliation
Mulita, Francesk
Unknown Affiliation
Nita, Gabriela Elisa
Unknown Affiliation
Perrone, Gennaro
Unknown Affiliation
Giraudo, Giorgio
Unknown Affiliation
Bacchiocchi, Giulia
Unknown Affiliation
Argenio, Giulio
Unknown Affiliation
Brisinda, Giuseppe
Unknown Affiliation
Currò, Giuseppe
Unknown Affiliation
Fraga, Gustavo Pereira
Unknown Affiliation
Hamid, Hytham K.S.
Unknown Affiliation
Negoi, Ionut
Unknown Affiliation
Tochie, Joel Noutakdie
Unknown Affiliation
Davies, Richard Justin
Unknown Affiliation
Kok, Kenneth Yuh Yen
Unknown Affiliation
Lasithiotakis, Konstantinos G.
Unknown Affiliation
Sydorchuk, L. P.
Unknown Affiliation
Siragusa, Leandro
Unknown Affiliation
Solaini, Leonardo
Unknown Affiliation
Ferrario, Luca
Unknown Affiliation
Buonomo, Luis Antonio
Unknown Affiliation
Walędziak, Maciej Stanisław
Unknown Affiliation
Gachabayov, Mahir
Unknown Affiliation
Bulanauca, Maloni Mamada
Unknown Affiliation
Ceresoli, Marco
Unknown Affiliation
D'Oria, Mario Giovanni Gerardo
Unknown Affiliation
Veroux, Massimiliano
Unknown Affiliation
Teuben, Michel Paul Johan
Unknown Affiliation
Bala, Miklosh
Unknown Affiliation
Tamini, Nicolò
Unknown Affiliation
Ioannidis, Orestis M.
Unknown Affiliation
Teixeira Gonsaga, Ricardo Alessandro
Unknown Affiliation
Bini, Roberto
Unknown Affiliation
Sydorchuk, R.
Unknown Affiliation
Di Saverio, S.
Unknown Affiliation
Awad, Selmy Sabry
Unknown Affiliation
Demirli Atlcl, Semra
Unknown Affiliation
Meric, Serhat
Unknown Affiliation
Chowdhury, Sharfuddin M.E.K.
Unknown Affiliation
Pintar, Tadeja
Unknown Affiliation
Perra, Teresa
Unknown Affiliation
Hardcastle, Timothy Craig
Unknown Affiliation
Lohsiriwat, Varut
Unknown Affiliation
Kong, Victor Yeewai
Unknown Affiliation
Statistics
Citations: 2
Authors: 81
Affiliations: 6
Identifiers
Doi:
10.1186/s13017-022-00473-5
ISSN:
17497922
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cross Sectional Study
Study Approach
Quantitative