Understanding the Process of Procedural Sedation for Orthopedic Injuries in the Pediatric Emergency Department

OBJECTIVE: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. METHODS: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. In...

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Detalles Bibliográficos
Autores principales: Vukovic, Adam A, Keiner, Elizabeth, Hanson, Holly R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Patient Experience Research Briefs
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7410132/
https://www.ncbi.nlm.nih.gov/pubmed/32821789
http://dx.doi.org/10.1177/2374373519846659
Descripción
Sumario:OBJECTIVE: To establish a procedural sedation (PS) time line for patients in the pediatric emergency department (PED) with orthopedic injuries. METHODS: Retrospective review of patients requiring PS for orthopedic injuries. Process times were collected. Ten percent of encounters were co-reviewed. Interrater reliability and descriptive statistics were calculated. RESULTS: A total of 189 patients were included. Co-abstracted data demonstrated excellent agreement. The median time to PS and length of stay (LOS) were 214 (interquartile range [IQR]: 160-282) and 320 (IQR: 257-402) minutes, respectively. CONCLUSION: Patients with orthopedic injuries requiring PS experience prolonged PED visits. Interventions should target safely reducing the time to PS and LOS.

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