Pediatric pre-hospital emergencies in Belgium: a 2-year national descriptive study.
Unlabelled: This study aims to describe the pediatric physician-staffed EMS missions at a national level and to compare the pediatric and the adult EMS missions. Using a national database, we analyzed 254,812 interventions including 15,294 (6 %) pediatric emergencies. Less children than adults recei...
| Publicado en: | European Journal of Pediatrics Vol. 175; no. 7; pp. 921 - 931 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116146414&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116146414 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03406199 CR1 jtl: European Journal of Pediatrics issn: 03406199 maglogo: N pubinfo: dt: Jul2016 vid: 175 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 116146414 116146414 NLM27075015 116146414 10.1007/s00431-016-2723-9 NLM27075015 116146414 ppf: 921 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Pediatric pre-hospital emergencies in Belgium: a 2-year national descriptive study. aug: au: Demaret, Pierre Lebrun, Frédéric Devos, Philippe Champagne, Caroline Lemaire, Roland Loeckx, Isabelle Messens, Marie Mulder, André Lebrun, Frédéric Mulder, André affil: Intensive care unit, CHC, Clinique Saint-Joseph, Rue de Hesbaye 75 4000 Liège Belgium sug: subj: Emergency Treatment Statistics and Numerical Data Emergency Medical Services Statistics and Numerical Data Aged Adolescence Demography Adult Emergencies Infant, Newborn Child Middle Age Male Retrospective Design Belgium Female Child, Preschool Young Adult Infusions, Intravenous Statistics and Numerical Data Chi Square Test Infant Human Aged: 65+ years Adolescent: 13-18 years Adult: 19-44 years Infant, Newborn: birth-1 month Child: 6-12 years Middle Aged: 45-64 years Child, Preschool: 2-5 years Infant: 1-23 months Male Female ab: Unlabelled: This study aims to describe the pediatric physician-staffed EMS missions at a national level and to compare the pediatric and the adult EMS missions. Using a national database, we analyzed 254,812 interventions including 15,294 (6 %) pediatric emergencies. Less children than adults received an intravenous infusion (52.7 versus 77.1 %, p < 0.001), but the intra-osseous access was used more frequently in children (1.3 versus 0.8 %, p < 0.001). More children than adults benefited from a therapeutic immobilization (16.3 versus 13.2 %, p < 0.001). Endotracheal intubation was rare in children (2.1 %) as well as cardiopulmonary resuscitation (1.2 %). Children were more likely than adults to suffer from a neurological problem (32.4 versus 21.3 %, p < 0.001) or from a trauma (27.1 versus 16.8 %, p < 0.001). The prevalence of the pediatric diagnoses showed an age dependency: the respiratory problems were more prevalent in infants (40.3 % of the 0-12-months old), 52.1 % of the 1-4-year-old children suffered from a neurological problem, and the prevalence of trauma raised from 14.8 % of the infants to 47.1 % of the 11-15 year olds.Conclusion: Pre-hospital pediatric EMS missions are not frequent and differ from the adult interventions. The pediatric characteristics highlighted in this study should help EMS teams to be better prepared to deal with sick children in the pre-hospital setting.What Is Known: • Pediatric and adult emergencies differ. • Pediatric life-threatening emergencies are not frequent. What is New: • This study is the first to describe a European national cohort of pediatric physician-staffed EMS missions and to compare the pediatric and the adult missions at a national level. • This large cohort study confirms scarce regional data indicating that pediatric pre-hospital emergencies are not frequent and mostly non-life-threatening. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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