In the pediatric population, few studies have examined outcomes for neurosurgical accidental trauma care based on hospital characteristics. The purpose of this study was to explore the relationship between hospital ownership type and children's hospital designation with primary outcomes.

This retrospective cohort study utilized data from the Healthcare Cost and Utilization Project 2006, 2009, and 2012 Kids’ Inpatient Database. Primary outcomes, including inpatient mortality, length of stay (LOS), and favorable discharge disposition, were assessed for all pediatric neurosurgery patients who underwent a neurosurgical procedure and were discharged with a primary diagnosis of accidental traumatic brain injury.

Private, not-for-profit hospitals (OR 2.08, p = 0.034) and freestanding children's hospitals (OR 2.88, p = 0.004) were predictors of favorable discharge disposition. Private, not-for-profit hospitals were also associated with reduced inpatient mortality (OR 0.34, p = 0.005). A children's unit in a general hospital was associated with a reduction in hospital LOS by almost 2 days (p = 0.004).

Management at freestanding children's hospitals correlated with more favorable discharge dispositions for pediatric patients with accidental trauma who underwent neurosurgical procedures. Management within a children's unit in a general hospital was also associated with reduced LOS. By hospital ownership type, private, not-for-profit hospitals were associated with decreased inpatient mortality and more favorable discharge dispositions.

在儿科人群中，很少有研究根据医院特征检查神经外科意外创伤护理的结果。本研究的目的是探讨医院所有权类型与儿童医院指定与主要结果之间的关系。

这项回顾性队列研究利用了来自 2006、2009 和 2012 年儿童住院患者数据库的医疗保健成本和利用项目的数据。主要结果，包括住院死亡率、住院时间 (LOS) 和良好的出院处置，对所有接受神经外科手术并出院时初步诊断为意外创伤性脑损伤的儿科神经外科患者进行了评估。

私立、非营利性医院 (OR 2.08, p = 0.034) 和独立儿童医院 (OR 2.88, p = 0.004) 是有利出院倾向的预测因素。私立非营利医院也与住院死亡率降低有关（OR 0.34，p = 0.005）。综合医院的儿童病房与医院 LOS 减少近 2 天相关（p = 0.004）。

独立儿童医院的管理与接受神经外科手术的意外创伤儿科患者更有利的出院处置相关。综合医院儿童病房的管理也与 LOS 降低有关。根据医院所有权类型，私立、非营利性医院与住院死亡率降低和出院处置更有利相关。