关键干预,诊断和死亡率在医生驾驶的移动紧急护理单位治疗的儿童
Alexandra Claire McKenzie1,2, Mads Belger Risom1,2, Jens-Jakob Kjer Møller3
1The Prehospital Research Unit, Region of Southern Denmark, Odense University Hospital, Odense, Denmark.
Scandinavian journal of trauma, resuscitation and emergency medicine
|February 20, 2025
概括
医生驾驶的移动紧急护理单位 (MECU) 很少在7岁以下的儿童中进行关键干预. 儿科紧急干预的频率很低,这可能会影响医院前护理人员的临床技能.
科学领域:
- 儿科急救医学 儿科急救医学
- 在医院前的护理.
- 移动的紧急护理单位.
背景情况:
- 医生驾驶的移动紧急护理单位 (MECU) 提供关键护理.
- 了解儿科紧急情况的干预措施对于患者的结果至关重要.
研究的目的:
- 分析MECU对7岁以下儿童进行的关键干预.
- 在儿科紧急情况中调查干预,发病率和死亡率之间的关系.
主要方法:
- 涉及7岁以下儿童的MECU任务的回顾性队列研究 (2007年10月 - 2020年12月).
- 来自MECU Odense,丹麦国家患者登记处和丹麦民事登记系统的数据.
- 分析关键干预,伤害/疾病严重程度,现场时间,诊断和死亡率 (7,30,90天).
主要成果:
- MECU为7岁以下的儿童执行了4,032次任务;2.2%接受了关键干预.
- 最常见的干预措施包括气道吸气 (1.0%),内管道输入 (0.9%) 和骨内接入 (0.5%).
- 总体而言,7日,30日和90日死亡率分别为0.74%,0.82%和1.02%.
结论:
- 对于7岁以下的儿童来说,很少需要临界的医院前干预.
- 这些手术的发病率低,可能会影响医院前护理提供者的能力.
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