کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5636235 1406665 2016 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Inter-facility transfer of pediatric burn patients from U.S. Emergency Departments
ترجمه فارسی عنوان
انتقال تسهیالت بین بیماران کودکان مبتلا به سوختگی از بخش اورژانس ایالات متحده
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی مراقبت های ویژه و مراقبتهای ویژه پزشکی
چکیده انگلیسی


- The epidemiology of U.S. pediatric burn-related ED visits in 2012 is presented.
- Over 50% met American Burn Association (ABA) referral guidelines.
- Factors associated with inter-facility transfer are described.
- Only 8.2% of children meeting criteria were transferred.

PurposeTo describe the epidemiology of pediatric burn patients seen in U.S. emergency departments (EDs) and to determine factors associated with inter-facility transfer.MethodsWe analyzed data from the 2012 Nationwide Emergency Department Sample. Current American Burn Association (ABA) Guidelines were used to identify children <18 who met criteria for referral to burn centers. Burn patient admission volume was used as a proxy for burn expertise. Logistic models were fitted to examine the odds of transfer from low volume hospitals.ResultsIn 2012, there were an estimated 126,742 (95% CI: 116,104-137,380) pediatric burn ED visits in the U.S. Of the 69,003 (54.4%) meeting referral criteria, 83.2% were in low volume hospitals. Only 8.2% of patients meeting criteria were transferred from low volume hospitals. Of the 52,604 (95% CI: 48,433-56,775) not transferred, 98.3% were treated and released and 1.7% were admitted without transfer; 54.7% of burns involved hands.ConclusionsOver 90% of pediatric burn ED patients meet ABA burn referral criteria but are not transferred from low volume hospitals. Perhaps a portion of the 92% of patients currently receiving definitive care in low volume hospitals are under-referred and would have improved clinical outcomes if transferred at the time of presentation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Burns - Volume 42, Issue 7, November 2016, Pages 1413-1422
نویسندگان
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