Middleton Kimberly R, Burt Catharine W
Division of Health Care Statistics, US Department of Health And Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD 20782, USA.
Adv Data. 2006 Feb 28(367):1-16.
This report presents estimates on the availability of pediatric services, expertise, and supplies for treating pediatric emergencies in U.S. hospitals.
The Emergency Pediatric Services and Equipment Supplement (EPSES) was a self-administered questionnaire added to the 2002-03 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS samples non-Federal, short-stay and general hospitals in the United States. The EPSES content was based on the 2001 guidelines for pediatric services, medical expertise, small-sized supplies, and equipment for emergency departments (EDs) developed by the American Academy of Pediatrics (AAP) and the American College of Emergency Physicians (ACEP). Combined response rate for both years was 86 percent. Estimates were weighted to produce average annual estimates of pediatric services, expertise, and equipment availability in EDs.
One-half of hospitals (52.9 percent) admitted pediatric patients, but did not have a specialized inpatient pediatric ward. One-third (38.3 percent) admitted pediatric patients and had a separate pediatric ward; the remainder did not admit pediatric patients. Among those that did not admit pediatric cases, 30.4 percent were in counties that had a children's hospital. One-quarter of EDs had access 24 hours and 7 days a week to a board-certified pediatric emergency medicine attending physician. Only 5.5 percent had all recommended pediatric supplies, but one-half had greater than 85 percent of recommended supplies. Most hospitals without pediatric trauma service (90.7 percent) or pediatric intensive care units (97.5 percent) transferred critical pediatric patients to hospitals with these services. EDs in hospitals with specialized inpatient facilities for children were more likely to meet the AAP and ACEP guidelines for pediatric ED services, expertise, and supplies.
本报告提供了关于美国医院治疗儿科急症的儿科服务、专业知识和物资供应情况的估计数据。
《儿科急诊服务与设备补充问卷》（EPSES）是添加到2002 - 2003年全国医院门诊医疗调查（NHAMCS）中的一份自填式问卷。NHAMCS对美国的非联邦、短期住院和综合医院进行抽样。EPSES的内容基于美国儿科学会（AAP）和美国急诊医师学会（ACEP）制定的2001年儿科服务、医学专业知识、小型物资和急诊科设备指南。两年的综合回复率为86%。估计值经过加权处理，以得出急诊科儿科服务、专业知识和设备可用性的年度平均估计值。
一半的医院（52.9%）收治儿科患者，但没有专门的儿科住院病房。三分之一（38.3%）的医院收治儿科患者并设有独立的儿科病房；其余医院不收治儿科患者。在那些不收治儿科病例的医院中，30.4%位于设有儿童医院的县。四分之一的急诊科每周7天、每天24小时都有一名获得董事会认证的儿科急诊医学主治医师。只有5.5%的医院拥有所有推荐的儿科物资，但一半的医院拥有超过85%的推荐物资。大多数没有儿科创伤服务（90.7%）或儿科重症监护病房（97.5%）的医院将重症儿科患者转诊至具备这些服务的医院。设有儿童专科住院设施的医院的急诊科更有可能符合AAP和ACEP关于儿科急诊服务、专业知识和物资的指南。
