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Transport disposition using the transport risk assessment in pediatrics (TRAP) score

机译：使用儿科运输风险评估（TRAP）得分进行运输处置

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Background. Determining appropriate disposition for referred pediatric patients is difficult, since it relies primarily on a telephone description of the patient. In this study, we evaluate the Transport Risk Assessment in Pediatrics (TRAP) score's ability to assist in appropriate placement of these patients. This novel tool is derived from physiologic variables. Objectives. To determine the feasibility of calculating a TRAP score and whether a higher score correlates with pediatric intensive care unit (PICU) admission. Methods. We performed an observational study of pediatric patients transported by a specialized team to a tertiary care center and the feasibility of implementing the TRAP tool. Patients were eligible if transported by the pediatric specialty transport team for direct admission to the children's hospital. The TRAP score was obtained either through chart review of the transport team's initial assessment or in real time by the transport team. Results. A total of 269 patients were identified, with 238 patients included in the study. Using logistic regression, higher TRAP scores were associated with PICU admission (odds ratio OR 1.40, p < 0.001). Patients with a higher score were also less likely to leave the PICU within 24 hours (OR 0.79, p < 0.001). Conclusion. The TRAP score is a novel objective pediatric transport assessment tool where an elevated score is associated with PICU admission for more than 24 hours. This score may assist with the triage decisions for transported pediatric patients.
机译：背景。为转诊的儿科患者确定适当的处置安排很困难，因为它主要取决于患者的电话说明。在这项研究中，我们评估了儿科运输风险评估（TRAP）评分来协助适当安置这些患者的能力。这种新颖的工具源自生理变量。目标。为了确定计算TRAP评分的可行性以及更高的评分是否与小儿重症监护病房（PICU）入院相关。方法。我们对由专业团队运送到三级护理中心的儿科患者进行了观察性研究，并研究了实施TRAP工具的可行性。如果由儿科专科运输小组运输，患者有资格直接进入儿童医院。 TRAP得分是通过对运输小组的初步评估进行图表审查或由运输小组实时获得的。结果。总共鉴定出269位患者，其中238位患者被纳入研究。使用逻辑回归，较高的TRAP评分与PICU入院相关（优势比或1.40，p <0.001）。得分较高的患者在24小时内离开PICU的可能性也较小（OR 0.79，p <0.001）。结论。 TRAP评分是一种新颖的客观的儿科运输评估工具，评分升高与PICU入院超过24小时相关。该分数可能有助于对运输的儿科患者进行分类诊断。

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