{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:30:52Z","timestamp":1793331052361,"version":"4.5.0"},"reference-count":22,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpedhc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Health Care"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.pedhc.2026.07.002","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:18:51Z","timestamp":1786652331000},"page":"e159-e168","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hospital Type and Clinical Outcomes for Pediatric Lower-Extremity Open Fracture: Implications for Child Health Services Organizations"],"prefix":"10.1016","volume":"40","author":[{"given":"Keri M.","family":"Spitler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0812-3120","authenticated-orcid":false,"given":"Andrea","family":"Krzyzaniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kuhn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3362-0102","authenticated-orcid":false,"given":"Alexandra S.","family":"Rooney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret N.","family":"Mericle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr","given":"Romeo C.","family":"Ignacio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasheed I.","family":"Ahmad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Culotta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Krzyzaniak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vishal","family":"Bansal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Sise","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"19","key":"10.1016\/j.pedhc.2026.07.002_bib0001","doi-asserted-by":"crossref","DOI":"10.3390\/jcm12196378","article-title":"Management of open pediatric fractures: Proposal of a new multidisciplinary algorithm","volume":"12","author":"Aulisa","year":"2023","journal-title":"Journal of Clinical Medicine"},{"issue":"1","key":"10.1016\/j.pedhc.2026.07.002_bib0002","doi-asserted-by":"crossref","first-page":"e86","DOI":"10.1097\/BPO.0000000000002281","article-title":"Impact of pediatric orthopaedic fellowship training on pediatric supracondylar humerus fracture treatment and outcomes: A meta-analysis","volume":"43","author":"Bram","year":"2023","journal-title":"Journal of Pediatric Orthopedics"},{"issue":"6","key":"10.1016\/j.pedhc.2026.07.002_bib0003","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3928\/01477447-20200910-02","article-title":"The effect of length of hospital stay and patient factors on patient satisfaction in an academic hospital","volume":"43","author":"Diwan","year":"2020","journal-title":"Orthopedics"},{"issue":"1S","key":"10.1016\/j.pedhc.2026.07.002_bib0004","article-title":"Open fractures of the limbs in children and adolescents","volume":"110","author":"Fraisse","year":"2024","journal-title":"Orthopaedics & Traumatology, Surgery & Research: OTSR"},{"issue":"1","key":"10.1016\/j.pedhc.2026.07.002_bib0005","first-page":"39","article-title":"The most frequent traumatic orthopaedic injuries from a national pediatric inpatient population","volume":"25","author":"Galano","year":"2005","journal-title":"Journal of Pediatric Orthopedics"},{"issue":"Suppl 1","key":"10.1016\/j.pedhc.2026.07.002_bib0006","doi-asserted-by":"crossref","first-page":"S6","DOI":"10.1097\/BPO.0000000000000766","article-title":"Type I open fractures benefit from immediate antibiotic administration but not necessarily immediate surgery","volume":"36","author":"Godfrey","year":"2016","journal-title":"Journal of Pediatric Orthopedics"},{"issue":"2","key":"10.1016\/j.pedhc.2026.07.002_bib0007","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.ocl.2024.10.002","article-title":"Perioperative risks associated with the use of external fixators in adult and pediatric patients with trauma","volume":"56","author":"Gonzalez","year":"2025","journal-title":"The Orthopedic Clinics of North America"},{"issue":"23","key":"10.1016\/j.pedhc.2026.07.002_bib0008","doi-asserted-by":"crossref","first-page":"5313","DOI":"10.12998\/wjcc.v12.i23.5313","article-title":"Discharging patients home from the intensive care unit: A new trend","volume":"12","author":"Hassan","year":"2024","journal-title":"World Journal of Clinical Cases"},{"issue":"3","key":"10.1016\/j.pedhc.2026.07.002_bib0009","doi-asserted-by":"crossref","first-page":"e224","DOI":"10.1097\/BPO.0000000000002858","article-title":"Pediatric orthopaedic surgeons manage pediatric diaphyseal clavicle fractures differently than nonpediatric orthopaedic specialists","volume":"45","author":"Higgins","year":"2025","journal-title":"Journal of Pediatric Orthopedics"},{"issue":"1","key":"10.1016\/j.pedhc.2026.07.002_bib0010","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/s11832-014-0554-7","article-title":"A protocol for the management of pediatric type I open fractures","volume":"8","author":"Iobst","year":"2014","journal-title":"Journal of Children\u2019s Orthopaedics"},{"issue":"11","key":"10.1016\/j.pedhc.2026.07.002_bib0011","doi-asserted-by":"crossref","first-page":"3270","DOI":"10.1007\/s11999-012-2376-6","article-title":"In brief: Gustilo-Anderson classification","volume":"470","author":"Kim","year":"2012","journal-title":"Clinical Orthopaedics and Related Research"},{"key":"10.1016\/j.pedhc.2026.07.002_bib0012","doi-asserted-by":"crossref","first-page":"726","DOI":"10.2340\/17453674.2025.44752","article-title":"Proximal femoral fractures in children: Incidence, complications, and functional outcomes-a population-based study from Finland","volume":"96","author":"Koivisto","year":"2025","journal-title":"Acta Orthopaedica"},{"issue":"8","key":"10.1016\/j.pedhc.2026.07.002_bib0013","doi-asserted-by":"crossref","DOI":"10.3390\/children9081243","article-title":"Pediatric open long-bone fracture and subsequent deep infection risk: The importance of early hospital care","volume":"9","author":"Kuhn","year":"2022","journal-title":"Children"},{"issue":"2","key":"10.1016\/j.pedhc.2026.07.002_bib0014","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1097\/BPB.0000000000001211","article-title":"Pediatric orthopedic surgeons may perform better in terms of surgical outcomes in type 3 supracondylar humerus fractures: A comparative analysis","volume":"34","author":"Lapidus","year":"2025","journal-title":"Journal of Pediatric Orthopedics. Part B"},{"issue":"11","key":"10.1016\/j.pedhc.2026.07.002_bib0015","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1002\/jhm.2624","article-title":"Epidemiology of pediatric hospitalizations at general hospitals and freestanding children\u2019s hospitals in the United States","volume":"11","author":"Leyenaar","year":"2016","journal-title":"Journal of Hospital Medicine"},{"issue":"5","key":"10.1016\/j.pedhc.2026.07.002_bib0016","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.amjsurg.2018.07.044","article-title":"The burden of excess length of stay in trauma patients","volume":"216","author":"Mathew","year":"2018","journal-title":"American Journal of Surgery"},{"issue":"9","key":"10.1016\/j.pedhc.2026.07.002_bib0017","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.34266","article-title":"Pediatric vs adult or mixed trauma centers in children admitted to hospitals following trauma: A systematic review and meta-analysis","volume":"6","author":"Moore","year":"2023","journal-title":"JAMA Network Open"},{"issue":"3","key":"10.1016\/j.pedhc.2026.07.002_bib0018","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/BOT.0b013e318299cd20","article-title":"Pediatric orthopaedic injuries requiring hospitalization: Epidemiology and economics","volume":"28","author":"Nakaniida","year":"2014","journal-title":"Journal of Orthopaedic Trauma"},{"issue":"9","key":"10.1016\/j.pedhc.2026.07.002_bib0019","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1111\/acem.12213","article-title":"Patient choice in the selection of hospitals by 9-1-1 emergency medical services providers in trauma systems","volume":"20","author":"Newgard","year":"2013","journal-title":"Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine"},{"issue":"4","key":"10.1016\/j.pedhc.2026.07.002_bib0020","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"61","author":"von Elm","year":"2008","journal-title":"Journal of Clinical Epidemiology"},{"key":"10.1016\/j.pedhc.2026.07.002_bib0021","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.jss.2025.06.062","article-title":"Statewide analysis of pediatric appendicitis outcomes by pediatric surgeon availability","volume":"313","author":"West","year":"2025","journal-title":"The Journal of Surgical Research"},{"issue":"5","key":"10.1016\/j.pedhc.2026.07.002_bib0022","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/BOT.0000000000001981","article-title":"Variation in treatment approaches to adolescent midshaft clavicle fractures in pediatric versus adult hospitals","volume":"35","author":"Zhang","year":"2021","journal-title":"Journal of Orthopaedic Trauma"}],"container-title":["Journal of Pediatric Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524526002245?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0891524526002245?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:43:05Z","timestamp":1793328185000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0891524526002245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0891524526002245"],"URL":"https:\/\/doi.org\/10.1016\/j.pedhc.2026.07.002","relation":{},"ISSN":["0891-5245"],"issn-type":[{"value":"0891-5245","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Hospital Type and Clinical Outcomes for Pediatric Lower-Extremity Open Fracture: Implications for Child Health Services Organizations","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Health Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedhc.2026.07.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2026 by the National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}