A multicenter observational cohort study of 24 h and 30 day in-hospital mortality of pediatric and adult trauma patients — An Indian urban tertiary care perspective
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In brief
In brief
Multicenter observational study comparing 24-hour and 30-day mortality between pediatric and adult trauma patients across Indian urban tertiary care centers. Analysis of 16,047 patients from the TITCO cohort (2013-2015) found significantly lower unadjusted mortality in pediatric versus adult trauma cases within 24 hours.
Written by the GCMD Library team from the article.
Background/Purpose
India with its evolving trauma system needs multicenter studies on trauma outcomes to help determine the need for planning and structuring care better and to bridge the gap between the burden of disease and research. Therefore here we studied 24 h and 30 day mortality in adult and pediatric trauma population presenting to urban tertiary care hospitals.
Methodology
Data from multicenter observational cohort study conducted from July 2013 to December 2015, Towards improved trauma care outcomes in India (TITCO) were used.
Main findings
3381 pediatric and 12,666 adult trauma patients. Unadjusted analyses of mortality were significantly less in pediatric compared to adult group within 24 h (OR 0.513, 99% CI 0.4–0.658, p