Summary of Pediatric Trauma Patients

Transcription

1 Santa Rosa Memorial Hospital Trauma Services Summary of Pediatric Trauma Patients Reporting Dates Jan 1, 2004 May 31, 2006 The mission of the Santa Rosa Memorial Hospital Trauma Services is to provide complete and comprehensive care to all patients suffering from a traumatic injury. We have a commitment to provide this care through a cohesive and coordinated multidisciplinary team approach, which is typified by mutual respect, trust, collaboration, and commitment to continuous quality management.

2 Demographics of Pediatric Trauma Patients All Pediatric Trauma Patients All Patients by Age and Gender Number of Patients < Age(years) Females Males All Patients All Pediatric Trauma Patients Females Males Age in Total Patients Years < % 7 54% % 8 62% % 3 50% % 7 58% % 5 45% % 6 60% % 2 50% % 2 100% % 7 78% % 5 50% % 8 73% % 7 54% % 11 73% % 12 80% Totals % 90 63% Page 1

3 Summary of all pediatric patients Total Pediatric Patients 144 Injury Severity Score (ISS) Total Pts Mechanism of Injury Collisions/MVA 38 26% Falls 35 24% Bike Related 24 17% Pedestrian 19 13% Accidentally Struck by Object 13 9% Motorized Bike/MCC 6 4% Animal Accidents 3 2% Burns 3 2% Accidental Penetrating Injury 1 1% Assaults 1 1% GSW 1 1% Total All non-superficial ICD9 Diagnoses of 144 Pediatric Trauma Patients # of Dx's Disposition from ED total Home % Contusion with intact skin surface 69 23% Ward % Intracranial injury, excluding those with skull fractures 53 18% Other Hospital % Open wound of head, neck, and trunk 45 15% OR % Fracture of extremities 35 12% ICU 8 5.6% Burns 23 8% Direct Admit 5 3.5% Fractures of skull, with or without intracranial injury 22 7% Died in ER 1 0.7% Internal injury of chest, abdomen, and pelvis 20 7% Total Fracture of neck and trunk 17 6% Open wound of extremities 4 1% Sprains and strains of joints/muscles 5 2% Other & unspecified effects of external causes 4 1% Injury to nerves and spinal cord 3 1% Total Diagnoses 300 Page 2

4 Demographics of Pediatric Trauma Patients Motor Vehicle Collision Pediatric Trauma Patients Motor Vehicle Injuries by Age and Gender Number of Patients < Age(years) Females Males All Patients Motor Vehicle Injuries Females Males Age in Total Patients Years < % 3 75% % 2 50% % 2 67% % 3 60% % 3 75% % 3 100% % 1 100% % 2 100% % 2 40% % 0 0% % 1 50% % 2 100% Totals % 24 65% Page 3

5 Summary of Motor Vehicle Accident Injuries (Pediatric) Total Pediatric Injuries from MVAs 37 Injury Severity Score (ISS) Total Pts Age (Years) < % % % % % % % % % % % % % % Total All non-superficial ICD9 Diagnoses of 37 Pediatric MVA Injuries # of Dx's Protective Devices total None % Contusion with intact skin surface 21 34% 3 Pt Restraint % Open wound of head, neck, and trunk 14 23% Child Seat % Intracranial injury, excluding those with skull fractures 10 16% Lap/Shld Only % Fracture of extremities 6 10% Bag+Belt 3 8.1% Fractures of skull, with or without intracranial injury 5 8% Other 2 5.4% Fracture of neck and trunk 2 3% Total Internal injury of chest, abdomen, and pelvis 2 3% Open wound of extremities 1 2% Sprains and strains of joints/muscles 1 2% Total Diagnoses 62 Page 4

6 Demographics of Pediatric Trauma Patients Injuries from Falls Injuries from Falls by Age & Gender Number of Patients < Age(years) Females Males All Patients Injuries from Falls Females Males Age in Total Patients Years < % 3 43% % 1 100% % 1 33% % 1 25% % 1 33% % 1 100% % 1 100% % 1 50% % 1 50% % 2 100% % 1 50% % 2 100% % 2 40% Totals % 18 51% Page 6

7 Summary of Injuries from Falls (Pediatric) Total Pediatric Injuries from Falls 35 Injury Severity Score (ISS) Total Pts Age (Years) < % % % % % % % % % % % % % % Total All non-superficial ICD9 Diagnoses of 35 Pediatric Fall Injuries # of Dx's Location of Fall total Home % Intracranial injury, excluding those with skull fractures 17 27% Rec. or Sport % Contusion with intact skin surface 14 23% Unspecified % Fractures of skull, with or without intracranial injury 8 13% Public Building % Open wound of head, neck, and trunk 6 10% Other Specified 2 5.7% Fracture of extremities 6 10% Street 1 2.9% Fracture of neck and trunk 5 8% Total Internal injury of chest, abdomen, and pelvis 2 3% Open wound of extremities 2 3% Sprains and strains of joints/muscles 1 2% Other & unspecified effects of external causes 1 2% Total Diagnoses 62 Page 7

8 Demographics of Pediatric Trauma Patients Bicycle Injuries Bicycle Injuries by Age & Gender Number of Patients < Age(years) Females Males All Patients Bicycle Injuries Females Males Age in Total Patients Years < % 1 100% % 2 100% % 1 50% % 2 100% % 1 100% % 1 50% % 2 67% % 5 71% % 4 100% Totals % 19 79% Page 8

9 Summary of Bicycle Injuries (Pediatric) Total Pediatric Injuries from Bicycles 24 Injury Severity Score (ISS) Total Pts Age (Years) < 1 0 0% % % % % % % % % % % % % % Total All non-superficial ICD9 Diagnoses of 24 Pediatric Bicycle Injuries # of Dx's Protective Devices total Helmet % Contusion with intact skin surface 12 23% Child Seat 1 4.2% Intracranial injury, excluding those with skull fractures 9 17% Unknown 1 4.2% Open wound of head, neck, and trunk 9 17% None % Fracture of extremities 6 12% Total Fracture of neck and trunk 6 12% Internal injury of chest, abdomen, and pelvis 4 8% Open wound of extremities 3 6% Sprains and strains of joints/muscles 1 2% Fractures of skull, with or without intracranial injury 1 2% Dislocation 1 2% Total Diagnoses 52 Page 9

10 Bike Protective Device By Age (Pediatric) January May 2006 Bike Protective Devices Age (Years) Protective Device Used Helmet None Child Seat Unkn Totals < Totals: Page 10

11 Total Pediatric Injuries from Pedestrian 19 Summary of Pedestrian Injuries (Pediatric) Injury Severity Score (ISS) Total Pts Age (Years) < 1 0 0% % % % % % % % % Recorded Streets of Injury % Street of Injury # of pts % Corby Ave % Montgomery Dr % Humboldt St % W. 9th St 1 Total W. 3rd St 1 Quarry Ridge 1 All non-superficial ICD9 Diagnoses of 19 Pediatric Pedestrian Injuries # of Dx's Poppy Lane 1 total Stony Point Rd Contusion with intact skin surface 9 20% Jane Dr Intracranial injury, excluding those with skull fractures 8 18% Commerce Dr Fractures of extremities 7 16% Dutton Ave Open wound of head, neck, and trunk 6 14% Edith Fractures of skull, with or without intracranial injury 6 14% Western Ave Internal injury of chest, abdomen, and pelvis 4 9% Donna Maria Fracture of neck and trunk 2 5% Moorland Dr Open wound of extremities 1 2% Badger Rd Injuries to Nerves and Spinal Cord 1 2% Hearn Ave 1 Total Diagnoses 44 Total Ped. Pedestrians 19 Page 12