Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province_West China Medical Journal

Authors：

 LIUZhong-qiang ¹ , GAOHu ² , HUYong-ke ² ,  LIXi-hong ¹ , MUDe-zhi ³

1. Pediatric Intensive Care Unit, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Emergency Department, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Neonatal Intensive Care Unit, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

LIXi-hong, Email: hilixihong@163.com

Keywords：

Transport network; Emergency treatment; Children

DOI：

10.7507/1002-0179.20150297

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effect of pediatric medical transport network on transport and treatment for children in Sichuan province. Method A total of 4647 pediatric patients transported to West China Second University Hospital were recruited from January 2011 and December 2013 in our study, among whom 1 948 were admitted before the establishment of the transport network (January 2011 to August 2012) and 2 699 were admitted after the establishment of the transport network (September 2012 to December 2013). Transport modes, patient disposition and fatality were analyzed to evaluate the role of transport network in the transport and treatment for pediatric patients. Results The transported patients increased significantly after the establishment of transport network (an average of 97 cases increased to 169 cases per month). After transport network was established, valid communication and telephone contact also increased significantly (the proportion increased from 20.64% to 45.28%, P<0.001). There were significant differences in the composition of patients' destination after the establishment of the transport network (P<0.001). After the establishment of transport network, the patients' hospitalized rate and admission rate increased dramatically (from 17.86% to 37.53%, 12.11% to 41.13%, respectively). The fatality decreased from 6.83% to 3.04% (P<0.001). Conclusions Regional pediatric transport network will contribute to the treatment of pediatric patients within the region, and decrease fatality.

Citation： LIUZhong-qiang, GAOHu, HUYong-ke, LIXi-hong, MUDe-zhi. Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province. West China Medical Journal, 2015, 30(6): 1035-1038. doi: 10.7507/1002-0179.20150297 Copy

1.	Kissoon N, Burns J. Who should get pediatric intensive care when not all can? A call for international guidelines on allocation of pediatric intensive care resources[J]. Pediatr Crit Care Med, 2014, 15(1):82-83.
2.	Collet JP, Skippen PW, Mosavianpour MK, et al. Engaging pediatric intensive care unit (PICU) clinical staff to lead practice improvement:the PICU participatory action research project (PICU-PAR)[J]. Implement Sci, 2014, 9(1):6.
3.	Kajino K, Iwami T, Daya M, et al. Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest[J]. Resuscitation, 2010, 81(5):549-554.
4.	祝益民. 危重患兒轉運網絡建設[J]. 臨床兒科雜志, 2007, 25(11):881-884.
5.	張雪峰, 李瑛, 肖桂華, 等. 區域內危重新生兒轉運體系的應用研究[J]. 中國當代兒科雜志, 2012, 14(2):101-104.
6.	孔祥永, 封志純. 《中國新生兒轉運指南》解讀[J]. 中華實用兒科臨床雜志, 2013, 28(2):158-160.
7.	Gunz AC, Dhanani S, Whyte H, et al. Identifying significant and relevant events during pediatric transport:a modified delphi study[J]. Pediatr Crit Care Med, 2014, 15(7):653-659.
8.	Mathison DJ, Berg E, Beaver M. Variations in interfacility transport:approach to call intake, team composition, and mode of transport[J]. Clin Pediatr Emerg Med, 2013, 14(3):193-205.
9.	孔祥永, 高昕, 尹曉娟, 等. 區域性綜合主動型新生兒轉運網絡組織的應用研究[J]. 中華兒科雜志, 2010, 48(1):4-8.
10.	Fendya DG, Genovesi A, Belli K, et al. Organized interfacility transfer processes:an opportunity to improve pediatric emergency care[J]. Pediatr Emerg Care, 2011, 27(10):900-906.
11.	Stroud MH, Prodhan P, Moss M, et al. Enhanced monitoring improves pediatric transport outcomes:a randomized controlled trial[J]. Pediatrics, 2011, 127(1):42-48.
12.	Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport:results from a national consensus conference[J]. Pediatrics, 2013, 132(2):359-366.
13.	Bigham MT, Schwartz HP, Ohio Neonatal/Pediatric Transport Quality Collaborative. Quality metrics in neonatal and pediatric critical care transport:a consensus statement[J]. Pediatr Crit Care Med, 2013, 14(5):518-524.
14.	Smith KA, Gothard MD, Schwartz HP, et al. Risk factors for failed tracheal intubation in pediatric and neonatal critical care specialty transport[J]. Prehospi Emerg Care, 2014, 19(1):17-22.
15.	Joyce CN, Libertin R, Bigham MT. Family-centered care in pediatric critical care transport[J]. Air Med J, 2015, 34(1):32-36.

1. Kissoon N, Burns J. Who should get pediatric intensive care when not all can? A call for international guidelines on allocation of pediatric intensive care resources[J]. Pediatr Crit Care Med, 2014, 15(1):82-83.
2. Collet JP, Skippen PW, Mosavianpour MK, et al. Engaging pediatric intensive care unit (PICU) clinical staff to lead practice improvement:the PICU participatory action research project (PICU-PAR)[J]. Implement Sci, 2014, 9(1):6.
3. Kajino K, Iwami T, Daya M, et al. Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest[J]. Resuscitation, 2010, 81(5):549-554.
4. 祝益民. 危重患兒轉運網絡建設[J]. 臨床兒科雜志, 2007, 25(11):881-884.
5. 張雪峰, 李瑛, 肖桂華, 等. 區域內危重新生兒轉運體系的應用研究[J]. 中國當代兒科雜志, 2012, 14(2):101-104.
6. 孔祥永, 封志純. 《中國新生兒轉運指南》解讀[J]. 中華實用兒科臨床雜志, 2013, 28(2):158-160.
7. Gunz AC, Dhanani S, Whyte H, et al. Identifying significant and relevant events during pediatric transport:a modified delphi study[J]. Pediatr Crit Care Med, 2014, 15(7):653-659.
8. Mathison DJ, Berg E, Beaver M. Variations in interfacility transport:approach to call intake, team composition, and mode of transport[J]. Clin Pediatr Emerg Med, 2013, 14(3):193-205.
9. 孔祥永, 高昕, 尹曉娟, 等. 區域性綜合主動型新生兒轉運網絡組織的應用研究[J]. 中華兒科雜志, 2010, 48(1):4-8.
10. Fendya DG, Genovesi A, Belli K, et al. Organized interfacility transfer processes:an opportunity to improve pediatric emergency care[J]. Pediatr Emerg Care, 2011, 27(10):900-906.
11. Stroud MH, Prodhan P, Moss M, et al. Enhanced monitoring improves pediatric transport outcomes:a randomized controlled trial[J]. Pediatrics, 2011, 127(1):42-48.
12. Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport:results from a national consensus conference[J]. Pediatrics, 2013, 132(2):359-366.
13. Bigham MT, Schwartz HP, Ohio Neonatal/Pediatric Transport Quality Collaborative. Quality metrics in neonatal and pediatric critical care transport:a consensus statement[J]. Pediatr Crit Care Med, 2013, 14(5):518-524.
14. Smith KA, Gothard MD, Schwartz HP, et al. Risk factors for failed tracheal intubation in pediatric and neonatal critical care specialty transport[J]. Prehospi Emerg Care, 2014, 19(1):17-22.
15. Joyce CN, Libertin R, Bigham MT. Family-centered care in pediatric critical care transport[J]. Air Med J, 2015, 34(1):32-36.

West China Medical Journal

Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content