Undertriage of Pediatric Major Trauma at a Spanish Pediatric Trauma Center: A 10-Year Retrospective Cohort Study

Background

Accurate field triage is a cornerstone of an inclusive trauma system, but pediatric undertriage remains poorly characterized outside North America. We aimed to estimate the rate of major trauma undertriage in a Spanish pediatric trauma center, to identify patient factors associated with it, and to explore its relationship with early clinical outcomes.