Robertson M A, Molyneux E M
Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Arch Dis Child. 2001 Sep;85(3):214-7. doi: 10.1136/adc.85.3.214.
To evaluate the performance of guidelines for emergency triage and treatment (ETAT) of children presenting to hospitals in the developing world. Part of the study was concerned with the delivery of emergency treatment to the sickest group of patients, characterisation of their illness, and outcome.
A total of 236 children were admitted during the study period, 27 of whom died. The three main causes of death were malaria or malaria related illness (n = 7), pneumonia (n = 6), and malnutrition (n = 11). Forty seven children were categorised as needing emergency treatment. Thirty one had no treatment, and eight died; 16 received one or more recommended treatments, of whom five died. The main limitations to delivery of immediate care were the lack of staff in the department and lack of rapidly available blood.
评估发展中国家医院中儿童急诊分诊与治疗（ETAT）指南的实施情况。该研究的一部分关注对病情最严重的患者群体进行急诊治疗、对其疾病特征进行描述以及治疗结果。
在研究期间共收治了236名儿童，其中27名死亡。主要死因包括疟疾或与疟疾相关的疾病（n = 7）、肺炎（n = 6）和营养不良（n = 11）。47名儿童被归类为需要急诊治疗。31名未接受治疗，其中8名死亡；16名接受了一种或多种推荐治疗，其中5名死亡。提供即时护理的主要限制因素是科室人员短缺以及缺乏快速可得的血液。
