Journal article

Identifying Homogeneous Patterns of Injury in Paediatric Trauma Patients to Improve Risk-Adjusted Models of Mortality and Functional Outcomes

Joanna F Dipnall, Belinda J Gabbe, Warwick J Teague, Ben Beck

International Journal of Environmental Research and Public Health | MDPI | Published : 2020

Abstract

Injury is a leading cause of morbidity and mortality in the paediatric population and exhibits complex injury patterns. This study aimed to identify homogeneous groups of paediatric major trauma patients based on their profile of injury for use in mortality and functional outcomes risk-adjusted models. Data were extracted from the population-based Victorian State Trauma Registry for patients aged 0-15 years, injured 2006-2016. Four Latent Class Analysis (LCA) models with/without covariates of age/sex tested up to six possible latent classes. Five risk-adjusted models of in-hospital mortality and 6-month functional outcomes incorporated a combination of Injury Severity Score (ISS), New ISS (N..

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Grants

Awarded by National Health and Medical Research Council (NHMRC) of Australia


Awarded by Australian Research Council Discovery Early Career Researcher Award Fellowship


Awarded by Australian Research Council Future Fellowship


Funding Acknowledgements

The Victorian State Trauma Registry (VSTR) is a Department of Health and Human Services, State Government of Victoria and Transport Accident Commission funded project. This study was supported by a National Health and Medical Research Council (NHMRC) of Australia Project Grant (APP1142325). BB was supported by an Australian Research Council Discovery Early Career Researcher Award Fellowship (DE180100825). WT's role as Director of Trauma Services at The Royal Children's Hospital, Melbourne, is supported by a grant from the Royal Children's Hospital Foundation. BJG was supported by an Australian Research Council Future Fellowship (FT170100048).