Details
| Original language | English |
|---|---|
| Article number | 512 |
| Journal | Children |
| Volume | 10 |
| Issue number | 3 |
| Publication status | Published - 5 Mar 2023 |
Abstract
Background: To investigate the management of children and adolescents with isolated and combined chest trauma in pediatric (PD) and non-pediatric departments (non-PD). Methods: Anonymized claims data were provided by two large German statutory health insurance funds, covering 6.3 million clients over a 10-year period (2010–2019). Data were extracted for patients who had an inpatient ICD diagnosis of section S20–S29 (injuries to the thorax) and were ≤18 years of age. Demographic and clinical data were analyzed. Results: A total of 4064 children and adolescents with chest trauma were included (mean age 12.0 ± 5.0 years; 55% male). In 1928 cases (47.4%), treatment was provided at PD. Patients admitted to PD underwent CT imaging less frequently (8.1%; non-PD: 23.1%; p < 0.0001). Children with a chest drain treated at university/maximum care hospitals (UM) showed more injuries involving multiple body regions compared with non-UM (25.8% vs. 4.5%; p = 0.0061) without a difference in the length of hospital stay. Conclusion: Children and adolescents with chest trauma are treated almost equally often in pediatric and adult departments. CT is significantly less frequently used in pediatric departments. Patients with a chest drain treated at a UM showed more concomitant injuries without a longer hospital stay. However, the clinical validity of this finding is questionable.
Keywords
- chest injury, claims data, CT imaging, pediatric chest trauma, pediatric departments, pediatric thoracic trauma
ASJC Scopus subject areas
- Medicine(all)
- Pediatrics, Perinatology, and Child Health
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In: Children, Vol. 10, No. 3, 512, 05.03.2023.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Management of Children and Adolescents with Chest Trauma in Pediatric and Non-Pediatric Departments
T2 - A Claims Data Analysis
AU - Zimmermann, Peter
AU - Kraemer, Sebastian
AU - Pardey, Nicolas
AU - Bassler, Stefan
AU - Stahmeyer, Jona T.
AU - Lacher, Martin
AU - Zeidler, Jan
N1 - Funding Information: This research was supported by the German Research Foundation within the program Open Access Publication Funding.
PY - 2023/3/5
Y1 - 2023/3/5
N2 - Background: To investigate the management of children and adolescents with isolated and combined chest trauma in pediatric (PD) and non-pediatric departments (non-PD). Methods: Anonymized claims data were provided by two large German statutory health insurance funds, covering 6.3 million clients over a 10-year period (2010–2019). Data were extracted for patients who had an inpatient ICD diagnosis of section S20–S29 (injuries to the thorax) and were ≤18 years of age. Demographic and clinical data were analyzed. Results: A total of 4064 children and adolescents with chest trauma were included (mean age 12.0 ± 5.0 years; 55% male). In 1928 cases (47.4%), treatment was provided at PD. Patients admitted to PD underwent CT imaging less frequently (8.1%; non-PD: 23.1%; p < 0.0001). Children with a chest drain treated at university/maximum care hospitals (UM) showed more injuries involving multiple body regions compared with non-UM (25.8% vs. 4.5%; p = 0.0061) without a difference in the length of hospital stay. Conclusion: Children and adolescents with chest trauma are treated almost equally often in pediatric and adult departments. CT is significantly less frequently used in pediatric departments. Patients with a chest drain treated at a UM showed more concomitant injuries without a longer hospital stay. However, the clinical validity of this finding is questionable.
AB - Background: To investigate the management of children and adolescents with isolated and combined chest trauma in pediatric (PD) and non-pediatric departments (non-PD). Methods: Anonymized claims data were provided by two large German statutory health insurance funds, covering 6.3 million clients over a 10-year period (2010–2019). Data were extracted for patients who had an inpatient ICD diagnosis of section S20–S29 (injuries to the thorax) and were ≤18 years of age. Demographic and clinical data were analyzed. Results: A total of 4064 children and adolescents with chest trauma were included (mean age 12.0 ± 5.0 years; 55% male). In 1928 cases (47.4%), treatment was provided at PD. Patients admitted to PD underwent CT imaging less frequently (8.1%; non-PD: 23.1%; p < 0.0001). Children with a chest drain treated at university/maximum care hospitals (UM) showed more injuries involving multiple body regions compared with non-UM (25.8% vs. 4.5%; p = 0.0061) without a difference in the length of hospital stay. Conclusion: Children and adolescents with chest trauma are treated almost equally often in pediatric and adult departments. CT is significantly less frequently used in pediatric departments. Patients with a chest drain treated at a UM showed more concomitant injuries without a longer hospital stay. However, the clinical validity of this finding is questionable.
KW - chest injury
KW - claims data
KW - CT imaging
KW - pediatric chest trauma
KW - pediatric departments
KW - pediatric thoracic trauma
UR - http://www.scopus.com/inward/record.url?scp=85151162153&partnerID=8YFLogxK
U2 - 10.3390/children10030512
DO - 10.3390/children10030512
M3 - Article
AN - SCOPUS:85151162153
VL - 10
JO - Children
JF - Children
IS - 3
M1 - 512
ER -