In-hospital pediatric patient transfers to the pediatric emergency department

Purpose: The aim of this study was to determine whether the clinical features of the cases referred from in-hospital areas to the pediatric emergency department (ED) with “reverse transport” have emergency characteristics and the reasons for the transfer, and to contribute to intra-hospital transfer...

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Main Author: Okşan Derinöz-güleryüz
Format: Article
Language:English
Published: Cukurova University 2022-03-01
Series:Cukurova Medical Journal
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/1967060
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author Okşan Derinöz-güleryüz
author_facet Okşan Derinöz-güleryüz
author_sort Okşan Derinöz-güleryüz
collection DOAJ
description Purpose: The aim of this study was to determine whether the clinical features of the cases referred from in-hospital areas to the pediatric emergency department (ED) with “reverse transport” have emergency characteristics and the reasons for the transfer, and to contribute to intra-hospital transfer protocols to be prepared. Materials and Methods: This is a retrospective cohort study. The clinical properties of 120 patients who were sent to the ED from the hospital area were evaluated. Results: 57.5% (69) of the patients were male and the median age was 42 months (0-210 months). 45.8% (55) were referred to the ED because their clinical condition required emergency treatment. 54.8% of these patients were stable according to Pediatric Assessment Triangle (PAT) and 78.6% were category 3, 4, 5 according to Emergency Severity Index (ESI). Only 4 patients received ESI life-saving procedures. 70% (84) were treated in the ED. There was a statistically significant difference between the PAT and ESI and the group of patients whose clinical status needed urgent treatment. Conclusion: Most of the patients sent to PED from other wards within the hospital are stable patients. For the effective use of the PED, the patients who will be transferred to the PED should be carefully evaluated by the relevant physician, priority should be given to the transport of hemodynamically unstable patients to the emergency room, and they should be treated appropriately in short-term follow-up or treatment units. For stable patients, an area independent from the emergency department should be created in line with the facilities of each hospital.
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spelling doaj.art-4364782b00ac4167853d605050d7186e2023-02-15T16:16:35ZengCukurova UniversityCukurova Medical Journal2602-30402022-03-0147133234010.17826/cumj.99355948In-hospital pediatric patient transfers to the pediatric emergency departmentOkşan Derinöz-güleryüz0GAZI UNIVERSITY, FACULTY OF MEDICINEPurpose: The aim of this study was to determine whether the clinical features of the cases referred from in-hospital areas to the pediatric emergency department (ED) with “reverse transport” have emergency characteristics and the reasons for the transfer, and to contribute to intra-hospital transfer protocols to be prepared. Materials and Methods: This is a retrospective cohort study. The clinical properties of 120 patients who were sent to the ED from the hospital area were evaluated. Results: 57.5% (69) of the patients were male and the median age was 42 months (0-210 months). 45.8% (55) were referred to the ED because their clinical condition required emergency treatment. 54.8% of these patients were stable according to Pediatric Assessment Triangle (PAT) and 78.6% were category 3, 4, 5 according to Emergency Severity Index (ESI). Only 4 patients received ESI life-saving procedures. 70% (84) were treated in the ED. There was a statistically significant difference between the PAT and ESI and the group of patients whose clinical status needed urgent treatment. Conclusion: Most of the patients sent to PED from other wards within the hospital are stable patients. For the effective use of the PED, the patients who will be transferred to the PED should be carefully evaluated by the relevant physician, priority should be given to the transport of hemodynamically unstable patients to the emergency room, and they should be treated appropriately in short-term follow-up or treatment units. For stable patients, an area independent from the emergency department should be created in line with the facilities of each hospital.https://dergipark.org.tr/tr/download/article-file/1967060childrenemergencyintra-hospital transporttransportçocukacilhastane içi nakilnakil
spellingShingle Okşan Derinöz-güleryüz
In-hospital pediatric patient transfers to the pediatric emergency department
Cukurova Medical Journal
children
emergency
intra-hospital transport
transport
çocuk
acil
hastane içi nakil
nakil
title In-hospital pediatric patient transfers to the pediatric emergency department
title_full In-hospital pediatric patient transfers to the pediatric emergency department
title_fullStr In-hospital pediatric patient transfers to the pediatric emergency department
title_full_unstemmed In-hospital pediatric patient transfers to the pediatric emergency department
title_short In-hospital pediatric patient transfers to the pediatric emergency department
title_sort in hospital pediatric patient transfers to the pediatric emergency department
topic children
emergency
intra-hospital transport
transport
çocuk
acil
hastane içi nakil
nakil
url https://dergipark.org.tr/tr/download/article-file/1967060
work_keys_str_mv AT oksanderinozguleryuz inhospitalpediatricpatienttransferstothepediatricemergencydepartment