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首页> 外文期刊>Paediatrics & Child Health >Parents may know best! A pilot study suggests that children of parents who do not have contact with health care professionals before attending the emergency department are triaged as more urgent
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Parents may know best! A pilot study suggests that children of parents who do not have contact with health care professionals before attending the emergency department are triaged as more urgent

机译：父母可能最了解！一项初步研究表明，在急诊室就诊之前未与医疗保健专业人士联系过的父母的孩子应进行紧急分类。

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OBJECTIVE To assess the influence of prehospital health care contact on triage acuity. METHODS One hundred fifteen families were assigned Canadian Triage and Acuity Scale scores by a paediatric emergency department (ED) physician. Scores of children who had or had not seen a health care professional before attending the ED were compared. RESULTS Sixty-two of 72 (86.1%) children without previous health care professional contact, and 30 of 43 (69.8%) children with contact were triaged as ‘urgent’ (P=0.034). Parents with first aid knowledge (29 of 43 [67.4%]) were more likely to have had contact with a health care professional before visiting the ED compared with those with no such knowledge (27 of 72 [37.5%]; P=0.003). CONCLUSION Patients without previous health care professional contact were assigned more acute triage categories. Health care professionals may advise families to visit the ED more frequently than necessary, which could contribute to ED congestion. Incorporating a parental estimate of the degree of urgency of their child’s complaint into triage procedures represents an intriguing and challenging possibility.
机译：目的评估院前卫生保健接触对分诊视力的影响。方法由儿科急诊科（ED）医师为115个家庭分配了加拿大分类和敏锐度评分。比较了在参加急诊科之前曾见过或未见过保健专业人员的儿童的得分。结果72名儿童中有62名（86.1％）未曾与专业医护人员接触过，而43名儿童中有30名（69.8％）被判定为“紧急”（P = 0.034）。与不具备急救知识的父母（43人中有29人[67.4％]）相比，不具备急救知识的父母（72人中有27人[37.5％]; P = 0.003）更有可能在访问急诊室之前就医。 。结论未与卫生保健专业人士接触过的患者被分配了更多的急性分类类型。医护人员可能建议家庭多于必要的时间去急诊室，这可能会导致急诊室充血。将父母对孩子投诉的紧急程度的估计值纳入分流程序中，代表了一种有趣而具有挑战性的可能性。

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