title: [Effectiveness of management of children with severe trauma in a pediatric trauma center and in an adult trauma center: A before-after study].
abstract: OBJECTIVE
  To compare management of injured children in an adult trauma center (TC) with competencies in pediatric trauma care (2005-2007) and in a pediatric-only trauma center (2010-2012).
  
  
  METHODS
  A before-after retrospective study.
  
  
  METHODS
  Fifty-nine children between 1 and 15 years of age admitted to the adult TC (2005-2007) were compared to 56 children admitted to the pediatric TC (2010-2012). Epidemiological data, severity scores, early outcome, and care duration in trauma resuscitation before whole-body CT were collected and compared between the two periods.
  
  
  RESULTS
  This study found no significant differences between the two periods in terms of care duration before the whole-body CT scan (28 min [18-40] vs 26.5 min [21-36], P=0.89) and early mortality (eight children [13.5%] vs ten children [17.8%], P=0.35).
  
  
  CONCLUSIONS
  With no differences in early management of injured children demonstrated, this study validates the organization within our pediatric trauma center. The effectiveness of management of children between 1 and 15 years of age with severe trauma seems to be similar in the two contexts.
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, groupement hospitalier EST, 59, boulevard Pinel, 69677 Bron cedex, France. Electronic address: florent.baudin@chu-lyon.fr.
authors.forename: F
authors.initials: F
authors.lastname: Baudin
authors.affiliation: Service de réanimation chirurgicale, hôpital Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: B
authors.initials: B
authors.lastname: Floccard
authors.affiliation: Service d'anesthésie-réanimation, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69500 Bron, France.
authors.forename: F-P
authors.initials: FP
authors.lastname: Desgranges
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, groupement hospitalier EST, 59, boulevard Pinel, 69677 Bron cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Courtil-Teyssedre
authors.affiliation: Service d'anesthésie-réanimation, hôpital Femme-Mère-Enfant, hospices civils de Lyon, 59, boulevard Pinel, 69500 Bron, France.
authors.forename: M
authors.initials: M
authors.lastname: De Queiroz
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, groupement hospitalier EST, 59, boulevard Pinel, 69677 Bron cedex, France.
authors.forename: N
authors.initials: N
authors.lastname: Richard
authors.affiliation: Service de réanimation pédiatrique, hôpital Femme-Mère-Enfant, hospices civils de Lyon, groupement hospitalier EST, 59, boulevard Pinel, 69677 Bron cedex, France; Université Claude-Bernard Lyon 1, 69008 Lyon, France.
authors.forename: E
authors.initials: E
authors.lastname: Javouhey
mesh_terms: D000293:Adolescent; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D065187:Controlled Before-After Studies; D005260:Female; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D008297:Male; D012189:Retrospective Studies; D014193:Trauma Centers; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000628:therapy*