The first national data of Turkish pre-hospital emergency care for children: Epidemiology, clinical characteristics, and outcomes

Autor: Caner Turan, Murat Duman, Halise Akça, Hayri Levent Yilmaz, Sinem Sarı Gökay, Nilden Tuygun, Deniz Tekin, Sinan Oğuz, Ozlem Teksam, Gulser Esen Besli, Gamze Gökalp, Ali Yurtseven, Murat Anil, Tanju Çelik, Ayse Gultekingil Keser, Alkan Bal, Eylem Ulaş Saz, Tuğçe Çelik
Přispěvatelé: Ege Üniversitesi
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Popis: Background and Objectives: The emergency medical service system is designed to ensure rapid identification and transport of patients from the field to emergency departments. This study aims to examine pediatric patients’ clinical characteristics and reasons for ambulance use in Turkey. Life-saving interventions and non-life-saving interventions performed during transport and patients’ outcomes following transport were also investigated. Methods: This is a prospective-multicentric study conducted at four metropolitan cities and nine tertiary pediatric emergency departments. This survey-based study evaluated all children brought by ambulance to emergency departments. Patient demographics, clinical features, triage levels, procedures performed in the ambulance or emergency department, and final outcomes were sought. Results: A total of 2094 patients were transported during the study period. Only a minority of ambulances were physician staffed (16.5%), and 72% of the patients were delivered to pediatric emergency departments without notification calls. Although notification calls were more likely given for particularly critically ill children, for non-urgent conditions transfer calls were less common (60.8% vs 23.5%, respectively; p Conclusion: This study presents comprehensive epidemiological and outcome data for pediatric patients transported by the national emergency medical service system in Turkey. Non-urgent calls were more likely made by parents, physicians avoided making NCs, and paramedics also avoided performing any intervention when they were transporting children.
Databáze: OpenAIRE