Page 17 - Delaware Medical Journal - October 2016
P. 17
SCIENTIFIC ARTICLE
TABLE 3: Admission Substance and Injury Severity by
Mode of Transportation to the Emergency Department
MODERATE OR SEVERE
MILD
SUBSTANTIVE
NON-SUBSTANTIVE
TOTAL
Ground
281 (12.9%)
1,897 (87.1%)
1,324 (60.8%)
854 (39.2%)
2,178
Helicopter
122 (24.3%)
381 (75.8%)
355 (70.6%)
148 (29.4%)
503
Family
46 (3.7%)
1,215 (96.4%)
475 (37.7%)
786 (62.3%)
1,261
Police
0 (0%)
3 (100%)
2 (66.7%)
1 (33.3%)
3
Other
4 (17.4%)
19 (82.6%)
17 (73.9%)
6 (26.1%)
23
Unknown
143 (14.5%)
846 (85.5%)
556 (56.2%)
433 (43.8%)
989
Total
596
4,361
2,729
2,228
4,957
TABLE 4: Admission Substance and Injury Severity by Location of Injury
MODERATE OR SEVERE
MILD
SUBSTANTIVE
NON-SUBSTANTIVE
TOTAL
DE
409 (14.1%)
2,484 (85.9%)
1,649 (57.0%)
1,244 (43.0%)
2,893
MD
27 (11.6%)
205 (88.4%)
143 (61.6%)
89 (38.4%)
232
NJ
12 (7.3%)
152 (92.7%)
74 (45.1%)
90 (54.9%)
164
PA
50 (10.0%)
452 (90.0%)
238 (47.4%)
264 (52.6%)
502
Unknown
140 (9.5%)
1,341 (90.6%)
789 (53.3%)
692 (46.7%)
1,481
Total
638
4,634
2,893
2,379
5,272
DISCUSSION
Over the years of this study, the DTS has served increasing numbers of children with mild TBI, while registrations of children with moderate or severe TBI have remained constant. There has been a corresponding increase in trauma system encounters that marked among younger children. The same trends were evident
among interhospital transfers within the system. Mild TBI and non-substantive admissions were even more prevalent for children injured out of state than in Delaware. The great majority of helicopter transports were for children with mild TBI, and almost one third of helicopter transports were followed by non-substantive primary mission of trauma systems, which is to deliver the most intense services to the most severely injured patients as quickly
as possible. Indeed we note that the mortality rate for severe TBI
Del Med J | October 2016 | Vol. 88 | No. 10
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