Comparison of the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model and Pediatric Trauma Scoring Systems in a Middle-Income Country

This South African study validates the PRESTO trauma scoring model in a middle-income country setting, demonstrating superior performance with a locally-optimized threshold compared to high-income country standards. PRESTO outperformed traditional pediatric trauma scores in predicting in-hospital mortality among 988 injured children.