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哪些低急诊分类发烧儿童适合快速通道? 一项欧洲观察性研究

Chantal D Tan¹, Clementien L Vermont², Joany M Zachariasse³

¹General Paediatrics, Erasmus MC Sophia Children's Hospital, Rotterdam, The Netherlands c.tan@erasmusmc.nl.

Emergency medicine journal : EMJ

|January 18, 2024

概括

发烧,急性和呼吸道症状较低的儿童最适合在急诊室 (ED) 接受快速护理. 这种方法可以优化患者流动,减少ED拥挤.

科学领域:

儿科急救医学儿科急救医学
医疗保健管理的管理
临床选系统临床选系统

背景情况:

越来越多的非紧急儿科病例导致急诊室 (ED) 拥挤,患者流量受损.
快速通道系统旨在提高低急性患者评估和出院的效率.
确定适合快速通道的候选人对于优化ED操作至关重要.

研究的目的:

根据症状和治疗方法,确定哪些发烧儿童适合快速治疗.
提供基于证据的标准,用于对欧洲EDS中低急性发烧儿童进行分类.

主要方法:

使用欧洲儿童发烧管理和结果研究 (MOFE) 的常规数据进行的观察性研究.
包括发烧儿童 (<18岁) 具有低紧迫性 (曼彻斯特选系统:"标准"或"非紧急").
基于最小的资源使用和家庭排放的快速轨道适应性的定义;表现症状和管理的多变量后勤回归分析.

主要成果:

包括14,139名儿童;平均年龄为2.7岁;60%有呼吸道症状,50%有病毒感染.
神经症状与增加的成像和入院相关.
呼吸系统症状与较少的实验室测试,较低的入院率,但更多的成像相关.
胃肠道症状与更多的实验室测试和更高的入院率相关.

结论:

发烧的儿童被分类为具有呼吸道症状的低紧急情况最适合快速通道.
这些发现支持针对特定儿科患者群体的快速通道的有针对性的使用.
实施这些标准可能会改善EDS的整体患者流动.

关键词:

紧急情况部门的急救部门.儿科儿科儿科儿科选分类是为了分类.

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