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首页> 外文期刊>Journal of Surgical Research: Clinical and Laboratory Investigation >Delayed family reunification ?f pediatric disaster survivors increases mortality and inpatient hospital costs: a simulation study
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Delayed family reunification ?f pediatric disaster survivors increases mortality and inpatient hospital costs: a simulation study

机译：延迟家庭统一？F儿科灾害幸存者提高了死亡率和住院医院费用：模拟研究

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Background: Disasters occur randomly and can severely tax the health care delivery system of affected and surrounding regions. A significant proportion of disaster survivors are children, who have unique medical, psychosocial, and logistical needs after a mass casualty event. Children are often transported to specialty centers after disasters for a higher level of pediatric care, but this can also lead to separation of these survivors from their families. In a recent theoretical article, we showed that the availability of a pediatric trauma center after a mass casualty event would decrease the time needed to definitively treat the pediatric survivor cohort and decrease pediatric mortality. However, we also found that if the pediatric center was too slow in admitting and discharging patients, these benefits were at risk of being lost as children became "trapped" in the slow center. We hypothesized that this effect could result in further increased mortality and greater costs. Methods: Here, we expand on these ideas to test this hypothesis via mathematical simulation. We examine how a delay in discharge of part of the pediatric cohort is predicted to affect mortality and the cost of inpatient care in the setting of our model.
机译：背景：灾害随机发生，可以严重征收受影响和周边地区的医疗保健系统。大量灾害幸存者是具有独特的医疗，心理社会和后勤需求之后的儿童。儿童经常在灾害中运送到专业中心，以获得更高水平的儿科护理，但这也可能导致这些幸存者与家人分离。在最近的理论文章中，我们表明，在大规模伤亡事件后，儿科创伤中心的可用性会降低明确地治疗儿科幸存者队列和降低儿科死亡率所需的时间。然而，我们还发现，如果儿科中心在承认和卸下患者方面过于慢，那么这些益处可能导致儿童在慢中心中“被困”。我们假设这种效果可能导致进一步提高死亡率和更高的成本。方法：在这里，我们通过数学模拟来扩展这些想法以测试该假设。我们研究了如何延迟分泌部分儿科队列的延迟，以影响死亡率和在我们模型的设置中的住院护理成本。

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