Epidemiology of pediatric transports and non-transports in an urban emergency medical services system
Epidemiology of pediatric transports and non-transports in an urban emergency medical services system
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DOI：
10.1080/10903120701536677
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发表时间：
2007-01-01
影响因子：
2.4
通讯作者：
Knazik, Stephen R.
中科院分区：
文献类型：
--
作者：
Kannikeswaran, Nirupama;Mahajan, Prashant V.;Knazik, Stephen R.
Objective.这项研究是为了描述一个城市，紧急医疗服务（EMS）系统的经验与儿科病人和非运输的速度和特点，在这种情况下。方法.对2002年1月1日至2002年8月30日期间底特律消防局EMS分部的所有儿科患者进行了回顾性分析。结果有5，976例儿科EMS病例。10岁或以上的儿童占转运的49.4%，所有患者中有53.8%患有内科疾病，38.8%的患者属于非紧急类别。大部分患者（27.2%）未被转运，最常见的是继发于父母/护理人员/患者拒绝。拒绝的中位现场分钟数长于转运（分别为23.5 vs. 17.3）[差异= 6.2分钟（95% CI：5.6-6.9）]。拒绝的优势比（OR）最高的是袭击（2.09; 95%CI：1.66-2.63），呼吸困难（1.38; 95%CI：1.14-1.68）和机动车事故（1.19; 95%CI：1.04-1.37）。结论.在这个系统中，大多数儿科患者病情不严重，大量患者没有转运。非运输更有可能是年轻的青少年，参与了攻击，并有更长的现场时间。
Objective. This study was done to describe an urban, Emergency Medical Service (EMS) system's experiences with pediatric patients and the rate and characteristics of non-transports in this setting. Methods. A retrospective analysis of all pediatric patients responded to by the Detroit Fire Department Division of EMS between January 1, 2002 and August 30, 2002 was done. Results. There were 5,976 pediatric EMS cases. Children 10 years of age or older accounted for 49.4% of transports, 53.8% of all patients had medical illness, and 38.8% of the patients belonged to the non-urgent category. A large percentage of patients were not transported (27.2%), most commonly secondary to parent/caregiver/patient refusals. The median number of minutes on-scene for refusals was longer than for transports (23.5 vs. 17.3, respectively) [difference = 6.2 minutes (95% CI: 5.6-6.9)]. The odds ratios (OR) for refusal was highest for assaults (2.09; 95% CI: 1.66-2.63), difficulty in breathing (1.38; 95% CI: 1.14-1.68), and motor vehicle accidents (1.19; 95% CI: 1.04-1.37). Conclusions. In this system, the majority of pediatric patients are not severely ill, and a large number are not transported. Non-transports are more likely to be young adolescents, have been involved in assaults, and have a longer on-scene time.