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Pediatric trauma centers

Children with blunt trauma have better outcomes at designated pediatric trauma centers than at a major adult trauma centers "with pediatric commitment."

Researchers compared national norms with outcomes of 1,797 children, up to age 15, admitted to a designated pediatric trauma center in Chicago between 1987 and 1993, separating data for blunt and penetrating injury.

Results showed:

• Children 10 and younger with blunt injury had better outcomes at a pediatric trauma center;

• Older children and those with penetrating injuries had the same outcomes at each center; and

• Successful non-operative treatment of liver and spleen injuries is more likely at a pediatric trauma center.