Authors
Alice M Martino, Jeffrey Santos, Andreina Giron, John Schomberg, Laura F Goodman, Jeffry Nahmias, Danh V Nguyen, Areg Grigorian, Joffre Olaya, Peter Yu, Yigit S Guner
Publication date
2024/7/1
Journal
Journal of pediatric surgery
Volume
59
Issue
7
Pages
1319-1325
Publisher
WB Saunders
Description
Introduction
Traumatic brain injury (TBI) causes significant morbidity and mortality in pediatric patients and care is highly variable. Standardized mortality ratio (SMR) summarizes the mortality rate of a specific center relative to the expected rates across all centers, adjusted for case-mix. This study aimed to evaluate variations in SMRs among pediatric trauma centers for TBI.
Methods
Patients aged 1–18 diagnosed with TBI within the National Trauma Data Bank (NTDB) from 2017 to 2019 were included. Center-specific SMRs and 95% confidence intervals identified centers with mortality rates significantly better or worse than the median SMR for all centers.
Results
316 centers with 10,598 patients were included. SMRs were risk-adjusted for patient risk factors. Unadjusted mortality ranged from 16.5 to 29.5%. Three centers (1.5%) had significantly better SMR (SMR <1) and three centers (1.5%) had significantly worse …