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Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study
BACKGROUND: Reports regarding transportation methods of severely critical patients admitted to an intensive care unit (ICU) or paediatric ICU (PICU) are limited. In an attempt to address this research gap, this study aimed to test the hypothesis that prognosis is worse in patients transported by fam...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450316/ https://www.ncbi.nlm.nih.gov/pubmed/36071383 http://dx.doi.org/10.1186/s12873-022-00710-9 |
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author | Ishihara, Tadashi Okamoto, Ken Tanaka, Hiroshi |
author_facet | Ishihara, Tadashi Okamoto, Ken Tanaka, Hiroshi |
author_sort | Ishihara, Tadashi |
collection | PubMed |
description | BACKGROUND: Reports regarding transportation methods of severely critical patients admitted to an intensive care unit (ICU) or paediatric ICU (PICU) are limited. In an attempt to address this research gap, this study aimed to test the hypothesis that prognosis is worse in patients transported by family members. METHODS: This multicentre study collected data from the Japanese Registry of Paediatric Acute Care database. Data concerning patients aged ≤16 years admitted to a participating hospital ICU or PICU and their transportation method to the hospital were extracted and divided into two groups: transported by family and transported by emergency medical services (EMS). RESULTS: Of the 2963 patients who met the criteria, 871 (29.4%) were transported by family and 2092 (70.6%) were transported by EMS. Significantly more patients with chronic conditions (551 patients, 63.3% vs. 845 patients, 40.4%; p < 0.01) or respiratory failure (414 patients, 47.5% vs. 455 patients, 21.7%; p < 0.01) were admitted to the ICU or PICU in the family transport group. There was no significant difference in survival rate between EMS and family transport group, matched by PIM2, chronic condition status and transport distance (OR:1.17, 95%CI:0.39–3.47, p = 0.78). CONCLUSION: The results of this study show that the transportation method does not affect the survival rate of paediatric patients. The proportion of patients with chronic conditions or those admitted because of respiratory failure was higher in the family transport group than in the EMS group. Therefore, as these patients are more likely to be admitted to the ICU or PICU, it is important to provide prompt respiratory care and medical interventions to achieve the best outcomes. |
format | Online Article Text |
id | pubmed-9450316 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-94503162022-09-08 Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study Ishihara, Tadashi Okamoto, Ken Tanaka, Hiroshi BMC Emerg Med Research Article BACKGROUND: Reports regarding transportation methods of severely critical patients admitted to an intensive care unit (ICU) or paediatric ICU (PICU) are limited. In an attempt to address this research gap, this study aimed to test the hypothesis that prognosis is worse in patients transported by family members. METHODS: This multicentre study collected data from the Japanese Registry of Paediatric Acute Care database. Data concerning patients aged ≤16 years admitted to a participating hospital ICU or PICU and their transportation method to the hospital were extracted and divided into two groups: transported by family and transported by emergency medical services (EMS). RESULTS: Of the 2963 patients who met the criteria, 871 (29.4%) were transported by family and 2092 (70.6%) were transported by EMS. Significantly more patients with chronic conditions (551 patients, 63.3% vs. 845 patients, 40.4%; p < 0.01) or respiratory failure (414 patients, 47.5% vs. 455 patients, 21.7%; p < 0.01) were admitted to the ICU or PICU in the family transport group. There was no significant difference in survival rate between EMS and family transport group, matched by PIM2, chronic condition status and transport distance (OR:1.17, 95%CI:0.39–3.47, p = 0.78). CONCLUSION: The results of this study show that the transportation method does not affect the survival rate of paediatric patients. The proportion of patients with chronic conditions or those admitted because of respiratory failure was higher in the family transport group than in the EMS group. Therefore, as these patients are more likely to be admitted to the ICU or PICU, it is important to provide prompt respiratory care and medical interventions to achieve the best outcomes. BioMed Central 2022-09-07 /pmc/articles/PMC9450316/ /pubmed/36071383 http://dx.doi.org/10.1186/s12873-022-00710-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Ishihara, Tadashi Okamoto, Ken Tanaka, Hiroshi Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title | Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title_full | Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title_fullStr | Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title_full_unstemmed | Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title_short | Association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
title_sort | association of intensive care unit or paediatric intensive care unit admissions with the method of transporting patients: a multicentre retrospective study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9450316/ https://www.ncbi.nlm.nih.gov/pubmed/36071383 http://dx.doi.org/10.1186/s12873-022-00710-9 |
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