To clarify and delineate the current national standards in the care of pediatric polytrauma patients in Italy.
Approach:
Key Findings:
33% of surveyed institutions were pediatric hospitals, while 67% were hybrid institutions treating adults.
89% of institutions had a dedicated pediatric emergency department.
44% had a senior pediatric surgeon on call.
72% had a multidisciplinary trauma team.
94% had an internal protocol for pediatric polytrauma management.
High-volume centers reported a higher annual incidence of polytrauma compared to low-volume centers.
Interpretation:
The study highlights the current state of pediatric polytrauma management in Italy and the need for standardization and evidence-based guidelines.
Limitations:
The survey may not represent all pediatric polytrauma facilities in Italy.
Variability in definitions and practices may affect the comparability of results.
Conclusion:
The study emphasizes the need for specialized training and the development of a national trauma registry to improve pediatric polytrauma care in Italy.
by Simone Frediani, Angelo Zarfati, Pietro Betalli, Marco Gambino, Pietro Impellizzeri, Francesco Morini, Sezione Chirurgia Pediatrica d’Urgenza SICP Study Group, Ivan Pietro Aloi