Pathways and factors that influence time to definitive trauma care for injured children in New South Wales, Australia
| Autor: | Kate Curtis, Belinda Kennedy, Rebecca Mitchell, Brian Burns, Michael M Dinh, Andrew J. A. Holland, Mary K. Lam, Deborah Black |
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| Rok vydání: | 2022 |
| Předmět: |
Emergency Medical Services
medicine.medical_specialty Referral 03 medical and health sciences Injury Severity Score 0302 clinical medicine Trauma Centers Humans Initial treatment Medicine Child Retrospective Studies General Environmental Science 1103 Clinical Sciences 1110 Nursing 1117 Public Health and Health Services 030222 orthopedics business.industry Significant difference Head injury Australia Infant Newborn 030208 emergency & critical care medicine medicine.disease Trauma care Icu admission Orthopedics Mechanism of injury Emergency medicine Wounds and Injuries General Earth and Planetary Sciences New South Wales business |
| Zdroj: | Injury. 53:61-68 |
| ISSN: | 0020-1383 |
| DOI: | 10.1016/j.injury.2021.02.036 |
| Popis: | BACKGROUND: Timely definitive paediatric trauma care influences patient and parental physical and emotional outcomes. New South Wales (NSW) covers a large geographical area with all three NSW paediatric trauma centres (PTC) located in two approximated major cities, meaning it is inevitable that some injured children receive initial treatment locally and then require transfer. Little is known about the factors that then impact timely arrival of injured children to definitive care. METHODS: This included children admitted between July 2015 and September 2016, 2) between transferred and directly transported cohorts. There were significant differences in mechanism of injury between the two groups (χ2(9) = 45.9, p < 0.001). The median (IQR) time to book a transfer from arrival at the referring facility, was 146.5 (86-238) minutes. Time from injury to arrival at the PTC more than doubled for children transferred, with significant and unwarranted variability between transporting agencies resulting in unwarranted delays to surgical intervention. For example, time spent at the referring facility by Aeromedical Retrieval Service was less than half that of the Newborn & paediatric Emergency Transport Service [53 (IQR:47-61) vs 115 (84-155) minutes (p |
| Databáze: | OpenAIRE |
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