CHARACTERISTICS OF THE PEDIATRIC PATIENTS TREATED BY THE PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK'S AFFILIATED EMS AGENCIES
CHARACTERISTICS OF THE PEDIATRIC PATIENTS TREATED BY THE PEDIATRIC EMERGENCY CARE APPLIED RESEARCH NETWORK'S AFFILIATED EMS AGENCIES
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DOI：
10.3109/10903127.2013.836262
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发表时间：
2014-01-01
影响因子：
2.4
通讯作者：
Foltin, George
中科院分区：
文献类型：
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作者：
Lerner, E. Brooke;Dayan, Peter S.;Foltin, George
客观的。描述儿科紧急护理应用研究网络 (PECARN) 附属紧急医疗服务 (EMS) 机构转运的儿科患者以及提交和汇总来自不同机构的数据的过程。方法。我们对 PECARN 合作伙伴 EMS 机构的电子患者护理数据进行了回顾性分析。收集了 2004 年至 2006 年间接受治疗的 19 岁以下患者的所有 EMS 运行数据。我们仅对大多数参与机构提交的可用数据变量进行了分析。研究人员通过将研究地点之间的数据重新分类来汇总数据，然后使用描述性统计进行总结。结果。十六家 EMS 机构同意参加。 11 个州的 14 个机构 (88%) 能够提交患者数据。其中两个机构是直升机机构 (HEMS)。数据提交的平均时间为 378 天 (SD 175)。对于提交数据的 12 个地面 EMS 机构，共有 514,880 次转运，患者平均年龄为 9.6 岁（SD 6.4）； 53% 为男性，48% 接受高级生命支持 (ALS) 提供者的治疗。对二十二个变量进行了汇总和分析，但并非所有机构都能提交所有分析变量，并且大多数变量都缺少数据。根据现有数据，中位响应时间为 6 分钟（IQR：4-9），场景时间为 15 分钟（IQR：11-21），运输时间为 9 分钟（IQR：6-13）。最常见的主诉是创伤性损伤（28%）、一般疾病（10%）和呼吸窘迫（9%）。 14% 的患者获得了血管通路，3% 的患者接受了哮喘药物治疗，
Objective. To describe pediatric patients transported by the Pediatric Emergency Care Applied Research Network's (PECARN's) affiliated emergency medical service (EMS) agencies and the process of submitting and aggregating data from diverse agencies. Methods. We conducted a retrospective analysis of electronic patient care data from PECARN's partner EMS agencies. Data were collected on all EMS runs for patients less than 19 years old treated between 2004 and 2006. We conducted analyses only for variables with usable data submitted by a majority of participating agencies. The investigators aggregated data between study sites by recoding it into categories and then summarized it using descriptive statistics. Results. Sixteen EMS agencies agreed to participate. Fourteen agencies (88%) across 11 states were able to submit patient data. Two of these agencies were helicopter agencies (HEMS). Mean time to data submission was 378 days (SD 175). For the 12 ground EMS agencies that submitted data, there were 514,880 transports, with a mean patient age of 9.6 years (SD 6.4); 53% were male, and 48% were treated by advanced life support (ALS) providers. Twenty-two variables were aggregated and analyzed, but not all agencies were able to submit all analyzed variables and for most variables there were missing data. Based on the available data, median response time was 6 minutes (IQR: 4-9), scene time 15 minutes (IQR: 11-21), and transport time 9 minutes (IQR: 6-13). The most common chief complaints were traumatic injury (28%), general illness (10%), and respiratory distress (9%). Vascular access was obtained for 14% of patients, 3% received asthma medication,