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首页> 外文期刊>Prehospital emergency care >What are the characteristics and outcomes of nontransported pediatric patients?
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What are the characteristics and outcomes of nontransported pediatric patients?

机译：非转运儿科患者的特征和结局是什么？

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Background. The authors have demonstrated that 28% of children cared for by paramedics are not transported to hospital by ambulance. Objective. To determine the characteristics, reasons, and outcomes for this nontransported population. Methods. This was a prospective cohort study in a single city with a two-tiered emergency medical services system. Enrolled were all children aged < 16 years assessed by paramedics but not transported to hospital over a five-month period. Data were collected from ambulance call reports, phone interviews, and hospital charts. Descriptive statistics were used. Results. Over five months, there were 345 nontransported pediatric patients with a mean age of 6 years, and 58.3% were male. The dispatch priority was urgent in 68.1% of cases and prompt in 30.4% of cases. The primary problems were almost evenly split between trauma (50.7%) and medical (45.2%) causes. Paramedics listed the following reasons for nontransport: parent will take the child to a physician (27.8%), parent will monitor the child's condition (25.8%), and no reason documented (46.4%). Phone interview was conducted with 106 parents (30.7%): 76.4% believed there was a true emergency at the time of the 9-1-1 call, 75.5% stated that the paramedics did not recommend that the child be transported to hospital by ambulance, and 29.2% stated that the paramedics said ambulance transport was not necessary. Fifty-one children were seen in an emergency department (ED) within 48 hours of the 9-1-1 call. The majority (91.3%) were discharged home from the ED, while a small minority (8.7%) were admitted to hospital. No deaths were reported. Conclusions. Most nontransported children did not require immediate or urgent medical care. Both parents and paramedics gave input into the nontransport decision, and the short-term outcome of this population appeared to be good. Paramedic documentation for the reasons for nontransport should be improved.
机译：背景。作者已经证明，医护人员照料的儿童中有28％没有被救护车运送到医院。目的。确定此非流动人口的特征，原因和结果。方法。这是在一个具有两级紧急医疗服务系统的城市中进行的一项前瞻性队列研究。入选的是由医护人员评估但未在五个月内送往医院的所有小于16岁的儿童。数据是从救护车呼叫报告，电话采访和医院图表中收集的。使用描述性统计。结果。在五个月以上的时间里，有345名平均年龄6岁的非转运儿科患者，其中58.3％是男性。在68.1％的案件中，紧急派遣优先级高，在30.4％的案件中，调度迅速。主要问题几乎在创伤（50.7％）和医学（45.2％）原因之间平均分配。护理人员列出了以下原因导致无法转运：父母将带孩子去看医生（27.8％），父母将监视孩子的状况（25.8％），没有任何原因的记录在案（46.4％）。对106位父母进行了电话采访（30.7％）：76.4％的人认为9-1-1通话时确实有紧急情况，75.5％的人说护理人员不建议由救护车将孩子送到医院。 ，而29.2％的人表示，医护人员说没有必要运送救护车。在9-1-1通话的48小时内，有51名儿童在急诊室被发现。大部分（91.3％）从急诊科出院回家，而一小部分（8.7％）被送往医院。没有死亡的报道。结论。大多数非转运儿童不需要立即或紧急医疗服务。父母和医护人员都为非运输决策提供了投入，这一人群的短期结果似乎很好。出于非运输原因的医护人员文档应予以改进。

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