Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province_West China Medical Journal

Authors：

 LIUZhong-qiang ¹ , GAOHu ² , HUYong-ke ² ,  LIXi-hong ¹ , MUDe-zhi ³

1. Pediatric Intensive Care Unit, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Emergency Department, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Neonatal Intensive Care Unit, West China Second University Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LIXi-hong, Email: hilixihong@163.com

Keywords：

Transport network; Emergency treatment; Children

DOI：

10.7507/1002-0179.20150297

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effect of pediatric medical transport network on transport and treatment for children in Sichuan province. Method A total of 4647 pediatric patients transported to West China Second University Hospital were recruited from January 2011 and December 2013 in our study, among whom 1 948 were admitted before the establishment of the transport network (January 2011 to August 2012) and 2 699 were admitted after the establishment of the transport network (September 2012 to December 2013). Transport modes, patient disposition and fatality were analyzed to evaluate the role of transport network in the transport and treatment for pediatric patients. Results The transported patients increased significantly after the establishment of transport network (an average of 97 cases increased to 169 cases per month). After transport network was established, valid communication and telephone contact also increased significantly (the proportion increased from 20.64% to 45.28%, P<0.001). There were significant differences in the composition of patients' destination after the establishment of the transport network (P<0.001). After the establishment of transport network, the patients' hospitalized rate and admission rate increased dramatically (from 17.86% to 37.53%, 12.11% to 41.13%, respectively). The fatality decreased from 6.83% to 3.04% (P<0.001). Conclusions Regional pediatric transport network will contribute to the treatment of pediatric patients within the region, and decrease fatality.

Citation： LIUZhong-qiang, GAOHu, HUYong-ke, LIXi-hong, MUDe-zhi. Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province. West China Medical Journal, 2015, 30(6): 1035-1038. doi: 10.7507/1002-0179.20150297 Copy

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5.	张雪峰, 李瑛, 肖桂华, 等. 区域内危重新生儿转运体系的应用研究[J]. 中国当代儿科杂志, 2012, 14(2):101-104.
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11.	Stroud MH, Prodhan P, Moss M, et al. Enhanced monitoring improves pediatric transport outcomes:a randomized controlled trial[J]. Pediatrics, 2011, 127(1):42-48.
12.	Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport:results from a national consensus conference[J]. Pediatrics, 2013, 132(2):359-366.
13.	Bigham MT, Schwartz HP, Ohio Neonatal/Pediatric Transport Quality Collaborative. Quality metrics in neonatal and pediatric critical care transport:a consensus statement[J]. Pediatr Crit Care Med, 2013, 14(5):518-524.
14.	Smith KA, Gothard MD, Schwartz HP, et al. Risk factors for failed tracheal intubation in pediatric and neonatal critical care specialty transport[J]. Prehospi Emerg Care, 2014, 19(1):17-22.
15.	Joyce CN, Libertin R, Bigham MT. Family-centered care in pediatric critical care transport[J]. Air Med J, 2015, 34(1):32-36.

1. Kissoon N, Burns J. Who should get pediatric intensive care when not all can? A call for international guidelines on allocation of pediatric intensive care resources[J]. Pediatr Crit Care Med, 2014, 15(1):82-83.
2. Collet JP, Skippen PW, Mosavianpour MK, et al. Engaging pediatric intensive care unit (PICU) clinical staff to lead practice improvement:the PICU participatory action research project (PICU-PAR)[J]. Implement Sci, 2014, 9(1):6.
3. Kajino K, Iwami T, Daya M, et al. Impact of transport to critical care medical centers on outcomes after out-of-hospital cardiac arrest[J]. Resuscitation, 2010, 81(5):549-554.
4. 祝益民. 危重患儿转运网络建设[J]. 临床儿科杂志, 2007, 25(11):881-884.
5. 张雪峰, 李瑛, 肖桂华, 等. 区域内危重新生儿转运体系的应用研究[J]. 中国当代儿科杂志, 2012, 14(2):101-104.
6. 孔祥永, 封志纯. 《中国新生儿转运指南》解读[J]. 中华实用儿科临床杂志, 2013, 28(2):158-160.
7. Gunz AC, Dhanani S, Whyte H, et al. Identifying significant and relevant events during pediatric transport:a modified delphi study[J]. Pediatr Crit Care Med, 2014, 15(7):653-659.
8. Mathison DJ, Berg E, Beaver M. Variations in interfacility transport:approach to call intake, team composition, and mode of transport[J]. Clin Pediatr Emerg Med, 2013, 14(3):193-205.
9. 孔祥永, 高昕, 尹晓娟, 等. 区域性综合主动型新生儿转运网络组织的应用研究[J]. 中华儿科杂志, 2010, 48(1):4-8.
10. Fendya DG, Genovesi A, Belli K, et al. Organized interfacility transfer processes:an opportunity to improve pediatric emergency care[J]. Pediatr Emerg Care, 2011, 27(10):900-906.
11. Stroud MH, Prodhan P, Moss M, et al. Enhanced monitoring improves pediatric transport outcomes:a randomized controlled trial[J]. Pediatrics, 2011, 127(1):42-48.
12. Stroud MH, Trautman MS, Meyer K, et al. Pediatric and neonatal interfacility transport:results from a national consensus conference[J]. Pediatrics, 2013, 132(2):359-366.
13. Bigham MT, Schwartz HP, Ohio Neonatal/Pediatric Transport Quality Collaborative. Quality metrics in neonatal and pediatric critical care transport:a consensus statement[J]. Pediatr Crit Care Med, 2013, 14(5):518-524.
14. Smith KA, Gothard MD, Schwartz HP, et al. Risk factors for failed tracheal intubation in pediatric and neonatal critical care specialty transport[J]. Prehospi Emerg Care, 2014, 19(1):17-22.
15. Joyce CN, Libertin R, Bigham MT. Family-centered care in pediatric critical care transport[J]. Air Med J, 2015, 34(1):32-36.

West China Medical Journal

Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province

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