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Peer-Reviewed Publication
J Surg Res2026;326559-566.August 6, 2026Journal Article

The Relationship Between Hospital Volume and Mortality in Pediatric Patients With Severe Blunt Abdominal Trauma.

Zoe Flyer1, Andreina Giron2, Jeffry Nahmias3, John Schomberg2, Laura F Goodman4, Peter T Yu4, Yigit S Guner4, Zhuo Chen2
1Department of Pediatric Surgery, Children's Hospital Orange County, Orange, California. Electronic address: zoe.flyer@choc.org.
2Department of Pediatric Surgery, Children's Hospital Orange County, Orange, California.
3Department of Surgery, University of California Irvine, Irvine, California.
4Department of Pediatric Surgery, Children's Hospital Orange County, Orange, California; Department of Surgery, University of California Irvine, Irvine, California.

Abstract

INTRODUCTION: Blunt abdominal trauma (BAT) is a significant cause of mortality in pediatric patients. Hospital volume has been shown to be associated with outcomes in some studies, but its association with outcomes in severe pediatric BAT remains unclear. We hypothesized that treatment at lower-volume centers is associated with increased mortality in severe pediatric BAT. METHODS: We performed a…

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