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Characteristics of Pediatric Emergency and Risk Factors for Life-saving Interventions

Phatthranit Phattharapornjaroen1, Yuwares Sittichanbuncha1, Pongsakorn Atiksawedparit2

  • 1Mahidol University, Bangkok, Thailand.

Global Pediatric Health
|February 22, 2021
PubMed

Insights

Approximately 8.38% of pediatric emergency patients required life-saving interventions (LSI). Trauma was identified as a significant independent predictor for needing these critical interventions in the emergency room.

Area of Science:

  • Emergency Medicine
  • Pediatric Critical Care
  • Clinical Research

Background:

  • Pediatric emergency patients represent a vulnerable population requiring specialized care.
  • Limited data exists on the prevalence and risk factors associated with life-saving interventions (LSI) in this group.
  • Understanding these factors is crucial for optimizing emergency care protocols.

Purpose of the Study:

  • To determine the prevalence of life-saving interventions (LSI) among critically ill pediatric emergency patients.
  • To identify independent risk factors associated with the need for LSI in this cohort.
  • To provide data for improving triage and treatment strategies in pediatric emergency settings.

Main Methods:

  • Retrospective analytical study design.
  • Inclusion criteria: pediatric patients (≤15 years) triaged as level 1 or 2 and treated in the resuscitation room.
  • Logistic regression analysis was used to identify factors associated with LSI.

Main Results:

  • Out of 14,066 pediatric patients (22,759 ER visits), 346 (2.46%) met the study criteria.
  • Life-saving interventions (LSI) were required by 8.38% (29 patients) of the eligible pediatric emergency cases.
  • Trauma was identified as an independent factor for LSI, with an adjusted odds ratio of 4.37 (95% CI: 1.49, 12.76).

Conclusions:

  • A significant proportion of critically ill pediatric emergency patients require life-saving interventions (LSI).
  • Trauma is a key independent predictor for the need for LSI in pediatric emergency care.
  • Findings highlight the importance of prompt recognition and management of trauma in critically ill children presenting to the ER.

Keywords:
mortalityprevalenttrauma

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