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- W4385194447 abstract "PURPOSE: Mandibular fractures are among the most common pediatric facial fractures and are typically managed conservatively. Despite this, pediatric patients are often transferred, leading to costly “inappropriate” transfers. This study evaluates factors influencing “inappropriate” transfer, defined as a patient receiving conservative treatment post-transfer to a children’s hospital. METHODS: A retrospective review was performed of patients under 18 years of age who were evaluated for mandibular fractures at a pediatric level I trauma center between 2006 and 2021. Variables studied included demographics, etiology, medical history, associated injuries, treatments, and outcomes. RESULTS: 532 pediatric patients (141 female, 391 male) with a total of 1005 mandibular fractures were included; more than half of the patients (56.77%, n = 302) were transferred. Out of 302 total transfers, 178 (58.9%) were inappropriate. Subsequent treatment (conservative vs. surgical) did not differ significantly between transfer and non-transfer groups (p=0.72). Patients who were uninsured (p=0.038) or had concomitant soft tissue injury (p=0.019) were more likely to be transferred. Trauma level, cause of injury, gender, and presence of concomitant fracture, musculoskeletal or brain injury did not significantly influence rate of transfer. CONCLUSION: Uninsured pediatric mandibular fracture patients were more likely to be transferred than their insured peers regardless of presenting trauma level. There was no difference in the rate of surgical management between transferred vs. non-transferred patients. Concurrent soft-tissue injuries were a significant factor influencing “inappropriate” transfers. Research and innovation in remote plastic surgery consultations for pediatric patients who may not benefit from urgent transfer is needed." @default.
- W4385194447 created "2023-07-25" @default.
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- W4385194447 date "2023-04-01" @default.
- W4385194447 modified "2023-09-25" @default.
- W4385194447 title "D54. Characteristics Driving “Inappropriate” Transfers of Pediatric Mandibular Fracture Patients" @default.
- W4385194447 doi "https://doi.org/10.1097/01.gox.0000934824.29803.01" @default.
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