Authors
Patrick T Delaplain, Areg Grigorian, Michael Lekawa, Michael Mallicote, Victor Joe, Sebastian D Schubl, Catherine M Kuza, Matthew Dolich, Jeffry Nahmias
Publication date
2020/3
Journal
Pediatric surgery international
Volume
36
Pages
391-398
Publisher
Springer Berlin Heidelberg
Description
Background
Utilization of ICP monitors for pediatric patients is low and varies between centers. We hypothesized that in more severely injured patients (GCS 3–4), there would be a decreased mortality associated with invasive monitoring devices.
Methods
The pediatric Trauma Quality Improvement Program (TQIP) was queried for patients aged ≤ 16 years meeting criteria for invasive monitors. Our primary outcome was mortality. Patients with ICP monitoring were compared to those without. A logistic regression was used to examine the risk of mortality.
Results
Of 3,808 patients, 685 (18.0%) underwent ICP monitoring. ICP monitors were associated with increased risk of mortality (OR 1.82, CI 1.36–2.44, p < 0.001). A secondary analysis including type of invasive ICP monitor and dividing GCS into 3 categories …
Total citations
Scholar articles
PT Delaplain, A Grigorian, M Lekawa, M Mallicote… - Pediatric surgery international, 2020