Phattharapornjaroen Phatthranit, Sittichanbuncha Yuwares, Atiksawedparit Pongsakorn, Sawanyawisuth Kittisak
Mahidol University, Bangkok, Thailand.
Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand.
Glob Pediatr Health. 2021 Jan 24;8:2333794X21990340. doi: 10.1177/2333794X21990340. eCollection 2021.
Pediatric emergency patients are vulnerable population and require special care or interventions. Nevertheless, there is limited data on the prevalence and risk factors for life-saving interventions. This study is a retrospective analytical study. The inclusion criteria were children aged 15 years or under who were triaged as level 1 or 2 and treated at the resuscitation room. Factors associated with LSI were executed by logistic regression analysis. During the study period, there were 22 759 ER visits by 14 066 pediatric patients. Of those, 346 patients (2.46%) met the study criteria. Triage level 1 accounted for 16.18% (56 patients) with 29 patients (8.38%) with LSI. Trauma was an independent factor for LSI with adjusted odds ratio (95% CI) of 4.37 (1.49, 12.76). In conclusion, approximately 8.38% of these patients required LSI. Trauma cause was an independent predictor for LSI.
儿科急诊患者是弱势群体，需要特殊护理或干预措施。然而，关于挽救生命干预措施的患病率和风险因素的数据有限。本研究是一项回顾性分析研究。纳入标准为年龄在15岁及以下、被分诊为1级或2级并在复苏室接受治疗的儿童。通过逻辑回归分析确定与挽救生命干预措施相关的因素。在研究期间，14066名儿科患者进行了22759次急诊就诊。其中，346名患者（2.46%）符合研究标准。1级分诊占16.18%（56名患者），其中29名患者（8.38%）接受了挽救生命的干预措施。创伤是挽救生命干预措施的独立因素，调整后的优势比（95%置信区间）为4.37（1.49，12.76）。总之，这些患者中约8.38%需要挽救生命的干预措施。创伤原因是挽救生命干预措施的独立预测因素。
