Abstract

Objective To study the influence of the optimized pre-hospital emergency transfer system on the safety, success rate and prognosis of pediatric patients. Methods A clinical data analysis was made of 1 015 cases of critically ill children delivered with the not-optimized pre-hospital emergency transfer system as group Ⅰ(Jan.2007-Dec.2009) and those of 1 431 with the optimized pre-hospital emergency transfer system as group Ⅱ(Jun.2010-Dec.2012). The preparation time for dispatch, critical illness scores before and after transport, transfer success rates and outcomes were compared between the two groups. Results Before transfer, the critical illness score for group Ⅰ was 81.73±18.11, for group Ⅱ 78.45±20.96, with groupⅡ being more critical(t=4.154, P<0.001) and needing respirator supporting and more vasoactive agents(50.5%vs.30.2%; 60.8% vs.51.6%; P<0.01). The dispatch delay for group Ⅰ and group Ⅱ were(19.34±6.45)min and (16.19±5.89)min, respectively, actual time out for group Ⅱ was shorter than that for group Ⅰ(P<0.001). The critical illness scores on arrival of ward were 83.01±16.73 in group Ⅰ, 83.97±17.50 in group Ⅱ, the score for group Ⅱ being more improved than that for group Ⅰ(P<0.05). The transfer success rates, cure and improvement rates were higher in group Ⅱ compared with group Ⅰ(97.6% vs.94.8%; 94.5% vs.91.0%; P<0.01). Conclusion The application of the optimized pre-hospital emergency care system can improve the transfer efficiency and success rate, safety and treatment effect, reduce the mortality rate of pediatric patients. Key words: Critical illness; Children; Pre-hospital emergency; Transportation; Safety

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