Evaluating age-based vital sign cutoffs for pediatric trauma: a multicenter evaluation of the Japanese trauma data bank.

ABSTRACT:

Purpose

To evaluate differing vital signs criteria for the prediction of major trauma in children.

Methods

We conducted a multicenter retrospective cohort study including children (< 18 years) from the 2019-2022 Japan Trauma Data Bank. We compared Pediatric Advanced Life Support (PALS), Advanced Trauma Life Support (ATLS), and empirically-derived criteria for first-measured emergency department vital signs. The primary outcome was major trauma, defined as having an elevated Injury Severity Score and meeting Need for Trauma Intervention criteria (mortality, transfusion, intensive care unit admission, mechanical ventilation, and/or performance of surgery or interventional radiology procedure). We evaluated the diagnostic accuracy of each criterion and their performance in a mu

SUBMITTER: Shinohara M 

PROVIDER: S-EPMC12568833 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature