Transfer of patients from a regional centre to a tertiary paediatric hospital for acute otolaryngology management: When is it necessary?
| Autor: | Olivia R Ruskin, Robert G. Berkowitz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Rigid bronchoscopy
Male medicine.medical_specialty Adolescent Tertiary Care Centers 03 medical and health sciences Otolaryngology 0302 clinical medicine 030225 pediatrics medicine Retrospective analysis Humans 030212 general & internal medicine Child Retrospective Studies business.industry General surgery Paediatric otolaryngology Common procedures Hospitals Pediatric Regional hospital Bilateral choanal atresia Otorhinolaryngology Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of paediatrics and child healthReferences. 56(10) |
| ISSN: | 1440-1754 |
| Popis: | Aim Transfer of patients from a regional to a tertiary paediatric facility is sometimes required for management of otolaryngological conditions when the expertise available locally is insufficient to deal with the complexity of the case. Methods A retrospective analysis was carried out over a 3-year period of all patients under 18 years of age who were transferred to the Royal Children's Hospital Melbourne, primarily for otolaryngology management, from a regional hospital with an inpatient paediatric service and located 100 km or far from the Royal Children's Hospital. Results Thirty-nine patients (30 male, 9 female) were identified. The majority of patients (29, 74%) required surgical management, with the most common procedures being rigid bronchoscopy with or without foreign body removal (7 patients, 24%), drainage of deep neck space infection (7 patients, 24%) and bilateral choanal atresia repair (4 patients, 13%). Conclusion Notwithstanding the cost and inconvenience, transfer was necessary in essentially all cases in this study for either specialist surgical management or medical management of conditions that could have otherwise escalated in acuity. By inference, it would appear that most routine acute paediatric otolaryngology conditions are managed successfully in a regional setting. |
| Databáze: | OpenAIRE |
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