Scolnik Dennis, Keogh Kelly, Tuffman Amanda, Palombo Alessandra, Sam Jonathan, Stephens Derek, Atenafu Eshetu
Division of Paediatric Emergency Medicine, University of Toronto, Toronto.
Paediatr Child Health. 2011 Jan;16(1):25-8. doi: 10.1093/pch/16.1.25.
To assess the influence of prehospital health care contact on triage acuity.
One hundred fifteen families were assigned Canadian Triage and Acuity Scale scores by a paediatric emergency department (ED) physician. Scores of children who had or had not seen a health care professional before attending the ED were compared.
Sixty-two of 72 (86.1%) children without previous health care professional contact, and 30 of 43 (69.8%) children with contact were triaged as 'urgent' (P=0.034). Parents with first aid knowledge (29 of 43 [67.4%]) were more likely to have had contact with a health care professional before visiting the ED compared with those with no such knowledge (27 of 72 [37.5%]; P=0.003).
Patients without previous health care professional contact were assigned more acute triage categories. Health care professionals may advise families to visit the ED more frequently than necessary, which could contribute to ED congestion. Incorporating a parental estimate of the degree of urgency of their child's complaint into triage procedures represents an intriguing and challenging possibility.
评估院前医疗接触对分诊 acuity 的影响。
115 个家庭由一名儿科急诊科（ED）医生给予加拿大分诊和 acuity 量表评分。比较了在前往 ED 之前看过或未看过医疗专业人员的儿童的评分。
72 名（86.1%）之前没有医疗专业人员接触的儿童中，有 62 名被分诊为“紧急”，43 名（69.8%）有接触的儿童中有 30 名被分诊为“紧急”（P = 0.034）。与没有急救知识的父母（72 名中的 27 名[37.5%]）相比，有急救知识的父母（43 名中的 29 名[67.4%]）在前往 ED 之前更有可能与医疗专业人员接触（P = 0.003）。
之前没有医疗专业人员接触的患者被分配到更紧急的分诊类别。医疗专业人员可能会建议家庭比必要的频率更频繁地前往 ED，这可能导致 ED 拥堵。将父母对其孩子病情紧急程度的估计纳入分诊程序是一种有趣且具有挑战性的可能性。
