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Related Experiment Videos

Repeat ambulance use by pediatric patients.

K Broxterman1, R Sapien, L Fullerton

  • 1Department of Pediatrics, University of New Mexico, Albuquerque, USA.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|July 14, 2000
PubMed
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Repeat pediatric ambulance transports disproportionately involve older adolescents and females with non-traumatic complaints like seizures or respiratory issues. These patients are also more likely to have public insurance, suggesting a need for targeted interventions.

Area of Science:

  • Emergency medical services research
  • Pediatric transport analysis
  • Public health interventions

Background:

  • Understanding patterns in pediatric ambulance use is crucial for resource allocation and targeted interventions.
  • Previous studies have not extensively compared characteristics of single versus repeat pediatric transports.

Purpose of the Study:

  • To compare the characteristics of pediatric patients requiring single ambulance transports versus those requiring repeat transports.
  • To identify demographic, clinical, and financial factors associated with repeat pediatric ambulance use.

Main Methods:

  • Analysis of pediatric patient (< 21 years) ambulance transports from 1992-1995 in a metropolitan area.
  • Comparison of repeat transports with single transports based on age, gender, chief complaint, and payment source.

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Main Results:

  • Repeat transports were more common in older adolescents (17-20.9 years) and females compared to single transports.
  • Traumatic complaints were less frequent in repeat transports (33.0%) versus single transports (51.1%).
  • Repeat transports were significantly associated with chief complaints of seizure, assault, abdominal pain, or respiratory problems, and funded by Medicaid (39.0% vs 19.8%).

Conclusions:

  • Repeat pediatric ambulance transports are more likely to involve older adolescents, females, and patients with specific non-traumatic complaints, often funded by public insurance.
  • Findings suggest repeat pediatric transports warrant further investigation for targeted intervention strategies.
  • This data can inform the design of programs aimed at reducing emergency situations and subsequent ambulance utilization in pediatric populations.