Hue V, Walter-Nicolet E, Martinot A
Clinique de pédiatrie, CHU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France.
Arch Pediatr. 2004 Oct;11(10):1191-6. doi: 10.1016/j.arcped.2004.04.021.
Paediatrician involvement in paediatric emergency care is often considered insufficient.
To assess paediatrician involvement in paediatric emergency care, and how paediatric emergencies were dealt with in emergency department, paediatric emergency department, paediatric department and paediatrician offices.
Prospective multicentric study, January 29th, 2001, including all the emergency visits of children admitted to an emergency department, paediatric emergency department, paediatric department or in paediatrician offices.
Paediatricians examined an average number of 21 children, 58% were considered as "urgent" (mean: 53% +/- 25% by paediatrician). Thirty five percent of paediatricians were available on call that night. In the 18 hospitals, 705 children were admitted that day, 42% to an emergency department, 40% to a paediatric emergency department, 18% to a paediatric department. The mean age was 6 years +/- 5 years. Trauma represented 40% of all cases and was more frequent in emergency department than in paediatric emergency department or paediatric department (63% versus 33% and 2%, p < 10(-8)). Hospitalisation rate was lower in paediatric emergency department than in emergency department and paediatric department, especially for non-traumatic conditions.
Our findings prove paediatrician involvement in paediatric emergency care, in paediatrician offices and in hospital. This study points out the complementarity and insufficiencies of these different services.
儿科医生参与儿科急诊护理通常被认为是不足的。
评估儿科医生参与儿科急诊护理的情况，以及在急诊科、儿科急诊科、儿科病房和儿科医生办公室中儿科急诊是如何处理的。
前瞻性多中心研究，2001年1月29日，纳入所有在急诊科、儿科急诊科、儿科病房或儿科医生办公室就诊的儿童急诊病例。
儿科医生平均检查21名儿童，58%被认为是“紧急”情况（儿科医生评估的平均值为53%±25%）。当晚35%的儿科医生随叫随到。在18家医院中，当天有705名儿童入院，42%入住急诊科，40%入住儿科急诊科，18%入住儿科病房。平均年龄为6岁±5岁。创伤占所有病例的40%，在急诊科比在儿科急诊科或儿科病房更常见（63%对33%和2%，p<10-8）。儿科急诊科的住院率低于急诊科和儿科病房，尤其是非创伤性疾病。
我们的研究结果证明了儿科医生在儿科医生办公室和医院中参与儿科急诊护理的情况。本研究指出了这些不同服务的互补性和不足之处。
