- •Previous literature shows superior outcomes for traumatically injured patients treated at Level I trauma centers. We sought to determine if this applies to pediatric patients with penetrating thoracic injuries.
- •Retrospective review (2013–2016) demonstrated outcomes improved when patients were treated at adult Level I centers and with increased annual case volume.
- •Firearms were responsible for the majority of penetrating injuries in these pediatric patients and accounted for the highest injury burden and majority of deaths.
Level of evidence
Abbreviations:ACS (American college of surgeons), AIS (abbreviated injury scale), ICU (intensive care unit), ISS (injury severity score), NTDB (national trauma data bank), PTI (penetrating thoracic injury), TMPM (trauma mortality prediction model)
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