Improving Pediatric Brain Injury Outcomes Through Equitable Care Implementation

项目摘要 儿童创伤性脑损伤(TBI)是美国和世界范围内的公共健康危机。 遵守脑创伤基金会关于照顾患有脑损伤的婴儿和儿童的指南 急性脑外伤可改善儿科脑损伤的预后，但不能解决额外的预后问题 通过考虑急性创伤性脑损伤护理的公平性可以实现的改善。寻址 急性颅脑损伤护理方面的差异是一个重要的未得到满足的需求。我们利用可用性 儿科指南遵守和结果(Pegasus)计划和正在进行的 随机对照试验，并提出一个为期一年的项目，以实现公平的急性儿科 但我在乎。首要目标是纳入反种族主义的镜头，以加强公平 实施飞马计划，供美国一级和二级创伤中心使用。 这两个具体目标是：1)描述急性儿科脑外伤的种族/民族差异 护理和2)确定实现公平急性儿科治疗的障碍、促进者和战略 创伤性脑损伤护理条款。拟议研究的预期结果是飞马股权。 I级和II级创伤中心可以使用的评估工具包，以提高公平 飞马计划在美国的实施。

Project Abstract Pediatric traumatic brain injury (TBI) is a public health crisis in the U.S. and worldwide. Adherence to the Brain Trauma Foundation Guidelines for the care of infants and children with acute TBI improves pediatric TBI outcomes but does not address additional outcome improvements that could be achieved by considering equity in acute TBI care. Addressing disparities in acute TBI care represents an important unmet need. We leverage the availability of the Pediatric Guideline Adherence and Outcomes (PEGASUS) program and ongoing randomized controlled trial and propose a one-year project to achieve equitable acute pediatric TBI care. The overarching aim is to incorporate an anti-racism lens to strengthen equitable implementation of the PEGASUS program for use by Level I and Level II U.S. trauma centers. The two Specific Aims are: 1) To characterize racial/ethnic disparities in acute pediatric TBI care and 2) To identify barriers, facilitators, and strategies to achieving equitable acute pediatric TBI care provision. An expected outcome of the proposed research is a PEGASUS equity assessment toolkit that Level I and II trauma centers can use to improve equitable implementation of the PEGASUS program in the United States.