儿童准备和创伤中心为儿童提供儿童准备和创伤中心
Caroline Melhado1, Canaan Hancock2, Haoyu Wang3
1Department of Surgery, University of California, San Francisco.
JAMA pediatrics
|February 3, 2025
概括
儿童对儿科创伤中心的访问是有限的,即使是通过航空运输. 提高所有高级创伤中心的儿科准备能力,可以显著提高儿童获得重症监护的机会.
科学领域:
- 紧急医疗 紧急医疗
- 儿科创伤护理 儿童创伤护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童创伤中心接入的地理差异影响了生存率.
- 全国努力的重点是改善急救部门的儿科准备.
- 及时进入儿科准备的创伤中心对于儿童的生存至关重要.
研究的目的:
- 评估美国目前对儿科创伤中心的准备.
- 估计具有普遍儿科准备的潜在获取改善.
- 对儿科患者在60分钟内评估地理空间访问.
主要方法:
- 描述性横截面研究分析创伤中心数据.
- 通过地面/空中救护车为儿科患者 (≤18岁) 提供接入的地理空间分析.
- 利用了2021年国家儿科准备项目数据 (wPRS) 和2020年美国人口普查数据.
主要成果:
- 65%的儿童在60分钟内就能进入儿童创伤中心.
- 73%的儿童在60分钟内就能进入一个为儿童准备的创伤中心 (wPRS ≥93).
- 92%的人能在60分钟内进入任何高级创伤中心.
结论:
- 对于儿童来说,获得儿科准备的创伤护理仍然是有限的.
- 确保所有高级别成年创伤中心的儿科准备可以改善接入.
- 加强准备可以为儿科创伤患者提供及时,高质量的复苏护理.
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