Paediatric Rural vs Urban Trauma

Comparing Paediatric Trauma Presentations in a Rural District General Hospital and an Urban Major Trauma Centre: a Retrospective Cohort Study

Retrospective cohort study examining paediatric trauma admission over 1 year in a rural hospital vs urban centre

Study Overview

• Status: Completed
• Conditions: Paediatric Trauma
• Intervention / Treatment: Other: Type of hospital (rural DGH vs Urban MTC)

Detailed Description

As above. All patient data was anonymised.

• Study Type: Observational
• Enrollment (Actual): 100

Contacts and Locations

Study Locations

• United Kingdom
  • Scotland
    • Inverness, Scotland, United Kingdom, IV2 3XP
      • Jennifer Dunn, Raigmore hospital orthopaedic department

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: No older than 16 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

age 0-16yr olds with paediatric trauma, treated operatively.

Description

Inclusion Criteria:

• All paediatric trauma in each centre over the above time frame, treated operatively, seen on an acute orthopaedic take

Exclusion Criteria:

• Adults, non-operative trauma

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Urban trauma cohort; All paediatric trauma admissions in an urban, MTC treated operatively, isolated from a departmental trauma list between 1st April 2019- 1st April 2021	Other: Type of hospital (rural DGH vs Urban MTC); In this small cohort study, the hospital in which the patients were treated was the intervention. One was in a rural area and was a district general, whereas one was in an urban enviroment and was a major trauma centre.
Rural trauma cohort; All paediatric trauma admissions in a rural district general, treated operatively, isolated from a departmental trauma list between 1st April 2019- 1st April 2021	Other: Type of hospital (rural DGH vs Urban MTC); In this small cohort study, the hospital in which the patients were treated was the intervention. One was in a rural area and was a district general, whereas one was in an urban enviroment and was a major trauma centre.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Type of operation performed	Type of orthopaedic intervention documented	1st April 2019- 1st April 2020
Distribution of type of paediatric trauma	Sub-types of fractures seen documented	1st April 2019- 1st April2020

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Seasonality of trauma	winter vs summer months trauma numbers documented	1st April 2019- 1st April 2020

Collaborators and Investigators

• Sponsor: Mrs Jennifer M Dunn
• Investigators: Principal Investigator: Jennifer Dunn, Nhs Highland

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 1, 2019
• Primary Completion (ACTUAL): April 1, 2020
• Study Completion (ACTUAL): April 1, 2020

Study Registration Dates

• First Submitted: February 15, 2021
• First Submitted That Met QC Criteria: February 15, 2021
• First Posted (ACTUAL): February 18, 2021

Study Record Updates

• Last Update Posted (ACTUAL): February 18, 2021
• Last Update Submitted That Met QC Criteria: February 15, 2021
• Last Verified: February 1, 2021

More Information

Terms related to this study

• Keywords: Paediatric trauma
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: Paediatric trauma study

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No