{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:24:12Z","timestamp":1773800652833,"version":"3.50.1"},"reference-count":31,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,3,5]],"date-time":"2023-03-05T00:00:00Z","timestamp":1677974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Research Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: To investigate the management of children and adolescents with isolated and combined chest trauma in pediatric (PD) and non-pediatric departments (non-PD). Methods: Anonymized claims data were provided by two large German statutory health insurance funds, covering 6.3 million clients over a 10-year period (2010\u20132019). Data were extracted for patients who had an inpatient ICD diagnosis of section S20\u2013S29 (injuries to the thorax) and were \u226418 years of age. Demographic and clinical data were analyzed. Results: A total of 4064 children and adolescents with chest trauma were included (mean age 12.0 \u00b1 5.0 years; 55% male). In 1928 cases (47.4%), treatment was provided at PD. Patients admitted to PD underwent CT imaging less frequently (8.1%; non-PD: 23.1%; p &lt; 0.0001). Children with a chest drain treated at university\/maximum care hospitals (UM) showed more injuries involving multiple body regions compared with non-UM (25.8% vs. 4.5%; p = 0.0061) without a difference in the length of hospital stay. Conclusion: Children and adolescents with chest trauma are treated almost equally often in pediatric and adult departments. CT is significantly less frequently used in pediatric departments. Patients with a chest drain treated at a UM showed more concomitant injuries without a longer hospital stay. However, the clinical validity of this finding is questionable.<\/jats:p>","DOI":"10.3390\/children10030512","type":"journal-article","created":{"date-parts":[[2023,3,6]],"date-time":"2023-03-06T04:29:58Z","timestamp":1678076998000},"page":"512","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management of Children and Adolescents with Chest Trauma in Pediatric and Non-Pediatric Departments\u2014A Claims Data Analysis"],"prefix":"10.3390","volume":"10","author":[{"given":"Peter","family":"Zimmermann","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4867-8884","authenticated-orcid":false,"given":"Sebastian","family":"Kraemer","sequence":"additional","affiliation":[{"name":"Section of Thoracic Surgery, Department of Visceral-, Transplant-, Thoracic and Vascular Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3090-0651","authenticated-orcid":false,"given":"Nicolas","family":"Pardey","sequence":"additional","affiliation":[{"name":"Center for Health Economics Research Hannover (CHERH), 30159 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Bassler","sequence":"additional","affiliation":[{"name":"AOK PLUS-Die Gesundheitskasse fuer Sachsen und Thueringen, 01067 Dresden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jona T.","family":"Stahmeyer","sequence":"additional","affiliation":[{"name":"AOK-Die Gesundheitskasse fuer Niedersachsen, 30519 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4616-9464","authenticated-orcid":false,"given":"Martin","family":"Lacher","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University of Leipzig, 04103 Leipzig, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Zeidler","sequence":"additional","affiliation":[{"name":"Center for Health Economics Research Hannover (CHERH), 30159 Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,5]]},"reference":[{"key":"ref_1","unstructured":"GBD 2016 Causes of Death Collaborators (2017). 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