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  1. Factors associated with prolongation of transport times of emergency pediatric patients requiring transfer to a tertiary care center.

    Article - En anglais

    Purpose 

    The purpose of this study was to determine factors associated with longer times to transport of emergency pediatric patients requiring tertiary care.

    Design 

    Retrospective case series.

    Setting 

    Emergency pediatric transport service.

    Participants 

    Infants and children transported by the transport service at the University of North Carolina Hospitals at Chapel Hill from January 1,1988, to December 31,1990.

    Main measurements 

    The time-to-request, the time from patient arrival at the referring hospital to the time when the request for transfer was received, and the ground time, defined as the time between the transport team's arrival at the referring hospital and their departure, were recorded for each transported patient.

    Results 

    Three hundred consecutive children 0 to 16 years (61% male) were transferred.

    Time-to-request was shorter for trauma patients (median 62 minutes, quartiles 29 and 153 minutes) than for medical patients (median 172 minutes, quartiles 83 and 508 minutes) (P=0.0001).

    Infants, children, and adolescents had similar times-to-request of 147 minutes, 129 minutes, and 128 minutes, respectively (P=0.91).

    Increased ground times were associated with diagnosis category (median of 40 minutes for medical patients vs 29 minutes for trauma patients) (P=0.0001), with younger age (median of 46 minutes for infants, 35 minutes for children, and 28 minutes for adolescents) (P=0. (...)

    Mots-clés Pascal : Temps, Transport sanitaire, Urgence, Organisation santé, Enfant, Homme

    Mots-clés Pascal anglais : Time, Medical transport, Emergency, Public health organization, Child, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0126796

    Code Inist : 002B27B14C. Création : 21/05/1997.