Annual meeting of the Ambulatory Pediatric Association. New Orleans, LA, USA, 1998/05/03.
To determine the epidemiological features of pediatric usage of prehospital emergency medical services (EMS) in a defined urban population.
Residents of Kansas City, Mo, younger than 15 years who used EMS during the calendar years 1993-1995 were included.
In this geographic area there is a single provider of prehospital care ; all numerator data were taken from this single source.
Denominator data were provided by 1995 intercensal estimates based on the 1990 US Census.
Rates were calculated as an annual average and reported as the number of children transported per 1000 persons per year.
There were a total of 7296 pediatric EMS transports during the study period, for an annual rate of 21.9. Infants younger than 1 year had the highest rate (47.4), followed by those aged I to 4 years (26.2), 10 to 14 years (17.5), and 5 to 9 years (17.3).
Medicaid was the insurer for half and 27% were uninsured.
One quarter of the patients used EMS more than once.
Children living in ZIP codes in the lowest median income tertile were 5.8 times more likely to use EMS than those in the upper income tertile (95% confidence interval, 5.4-6.3).
One third of all transports occurred between the hours of 4 and 8 PM.
Children using the Kansas City EMS were more likely to be infants, insured by Medicaid or uninsured, and live in low-income ZIP codes. (...)
Mots-clés Pascal : Soin intensif, Secours première urgence, Période préhospitalière, Service santé, Transport sanitaire, Utilisation, Enfant, Homme, Système santé, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Intensive care, First emergency care, Prehospital period, Health service, Medical transport, Use, Child, Human, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0196650
Code Inist : 002B27B14C. Création : 16/11/1999.