Ability of hospitals to care for pediatric emergency patients

Citation
J. Athey et al., Ability of hospitals to care for pediatric emergency patients, PEDIAT EMER, 17(3), 2001, pp. 170-174
Citations number
20
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Pediatrics
Journal title
PEDIATRIC EMERGENCY CARE
ISSN journal
0749-5161 → ACNP
Volume
17
Issue
3
Year of publication
2001
Pages
170 - 174
Database
ISI
SICI code
0749-5161(200106)17:3<170:AOHTCF>2.0.ZU;2-A
Abstract
Context: The needs of children in emergency situations differ from those of adults and require special attention, yet there has been no study of the a bility of U,S, hospitals to care for emergently or critically ill children. Objective: To estimate the distribution of pediatric services available at U,S, hospitals with emergency departments (EDs), Design: Self-report survey of 101 hospital EDs, Participants: Stratified probability sample of all U,S, hospitals operating EDs, Results:The majority of hospitals that usually admit pediatric patients do not have separate pediatric facilities. Hospitals without a pediatric depar tment, ward, or trauma service usually transfer critically injured pediatri c trauma patients; however, nearly 10 % of hospitals without pediatric inte nsive care facilities admit critically injured children to their own facili ties. Likewise, 7% of hospitals routinely admit pediatric patients known to require intensive care to their adult intensive care units rather than tra nsferring the patient to a facility with pediatric intensive care facilitie s. Few hospitals have protocols for obtaining pediatric consultation on ped iatric emergencies. Appropriately sized equipment for successful care of in fants and children in an emergency situation was more likely to be missing than adult-sized equipment, and significant numbers of hospitals did not ha ve adequate equipment to care for newborn emergencies, Conclusion: Emergent and critical care of infants and children mag not be w ell integrated and regionalized within our health fare system, suggesting t hat there is room for improvement in the quality of care for children encou ntering emergent illness and trauma.