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Objective <p>Despite injury being a leading cause of morbidity and mortality in children, especially in low- and middle-income countries, including India, there is a lack of pediatric-specific resuscitation training programs. This study evaluates the impact of Pediatric Trauma Resuscitation Module (PTRM) training on patient outcomes in a Level 1 trauma center in Northern India.</p> Methods <p>A pre–post-intervention study was conducted at Level 1 trauma center in Northern India. The study consisted of a 12-month pre-training phase, a 3-month PTRM training period, and a 12-month post-intervention phase. All pediatric trauma patients admitted during the two 12-month periods were enrolled. Data on patient demographics, injury characteristics, time to interventions, and outcomes were collected and compared between the two phases.</p> Results <p>A total of 164 pediatric trauma patients were included (73 pre-training, 91 post-training); both groups had comparable baseline characteristics. Post-PTRM implementation, survival at 72&#xa0;h improved significantly from 86. % to 94.5%; <i>P</i> = 0.048, and the mean hospital stay decreased from 15.5 (4.8) to 13.2 (3.9) days (<i>P</i> &lt; 0.021). Mortality within the first 60&#xa0;min of admission was observed in the pre-PTRM study group (%) but was absent post-PTRM (<i>P</i> = 0.042). Specialist consultation times showed marked improvement, with 34.2% of patients reviewed within 1–2&#xa0;h post-training compared to none pre-training (<i>P</i> &lt; 0.001).</p> Conclusion <p>The study reiterates the need wider implementation of PTRM in India to improve pediatric trauma care.</p>

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Impact of Pediatric Trauma Resuscitation Module (PTRM) on Clinical Outcomes in a Level-1 Trauma Centre in India

  • 期刊论文

  • 发表日期：

    2026年1月9日

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  • Neha Thakur Rai,
  • Prashant Mahajan,
  • Aaditya Katyal,
  • Jabeen Fayyaz,
  • Devesh Kumar Shukla,
  • Narendra Rai,
  • Samir Misra

摘要

Objective

Despite injury being a leading cause of morbidity and mortality in children, especially in low- and middle-income countries, including India, there is a lack of pediatric-specific resuscitation training programs. This study evaluates the impact of Pediatric Trauma Resuscitation Module (PTRM) training on patient outcomes in a Level 1 trauma center in Northern India.

Methods

A pre–post-intervention study was conducted at Level 1 trauma center in Northern India. The study consisted of a 12-month pre-training phase, a 3-month PTRM training period, and a 12-month post-intervention phase. All pediatric trauma patients admitted during the two 12-month periods were enrolled. Data on patient demographics, injury characteristics, time to interventions, and outcomes were collected and compared between the two phases.

Results

A total of 164 pediatric trauma patients were included (73 pre-training, 91 post-training); both groups had comparable baseline characteristics. Post-PTRM implementation, survival at 72 h improved significantly from 86. % to 94.5%; P = 0.048, and the mean hospital stay decreased from 15.5 (4.8) to 13.2 (3.9) days (P < 0.021). Mortality within the first 60 min of admission was observed in the pre-PTRM study group (%) but was absent post-PTRM (P = 0.042). Specialist consultation times showed marked improvement, with 34.2% of patients reviewed within 1–2 h post-training compared to none pre-training (P < 0.001).

Conclusion

The study reiterates the need wider implementation of PTRM in India to improve pediatric trauma care.