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The Evaluation of Transported Children to Pediatric Intensive Care Unit: Indications, Problems, and Outcomes

Edin Botan1, Emrah Gün1, Dilara Beşli Çelik2

  • 1Division of Pediatric Intensive Care, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.

Air Medical Journal
|June 26, 2021
PubMed

Insights

Critically ill children requiring transport to a pediatric intensive care unit (PICU) experienced complications in 25% of cases. Air transport interventions were more frequent, highlighting the need for improved transport teams and further research.

Area of Science:

  • Pediatric critical care medicine
  • Transport medicine

Background:

  • Critically ill children often need transfer to specialized tertiary centers for advanced care.
  • Pediatric intensive care units (PICUs) provide a higher level of care for these vulnerable patients.

Purpose of the Study:

  • To analyze the reasons for patient transport to a tertiary PICU.
  • To identify complications during inter-facility transport.
  • To evaluate clinical outcomes of transferred pediatric patients.

Main Methods:

  • Retrospective study conducted in a tertiary pediatric hospital.
  • Analysis of 108 patients transferred to the PICU over the study period.
  • Data collected on transport methods (land vs. air) and patient demographics.

Main Results:

  • 108 patients were transferred, with a mean age of 75 months; 59% were female.
  • Most transports (82.4%) were by land, while 17.6% were by air ambulance.
  • Complications occurred in 25% of patients; 14 were referred for liver transplant, 7 for ECMO/heart transplant.

Conclusions:

  • Air transport was associated with more frequent vital sign assessments and interventions like IV fluids and respiratory support, potentially due to physician presence.
  • There is a need for quality improvement initiatives for transport teams.
  • Multicenter and nationwide studies on PICU transport are recommended.
Abstract

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