Tang Mingxing, Sheng Yao, Jin Danqun
Department of Intensive Care Medicine, Anhui Children's Hospital, Hefei, China.
Transl Pediatr. 2024 Jun 30;13(6):931-937. doi: 10.21037/tp-24-164. Epub 2024 Jun 25.
China's medical system has not yet issued quality control indicators related to the transfer of critically ill children, and when transport teams receive a transfer request for these children, due to various reasons, the time to arrive at the bedside varies. The aim of this study was to investigate the effect of the time taken by the pediatric intensive care transport team to reach the bedside of children after receiving a transport request on the prognosis of these children.
Clinical data of 298 critically ill children admitted to Anhui Children's Hospital through long-distance transport from March 2020 to February 2022 were retrospectively analyzed. Pediatric patients were divided into three groups according to the time taken by the transport team to reach the bedside after receipt of a transport request: the ≤60, >60 to ≤180, and >180 min groups. The 30-day mortality of children after admission (0= no, 1= yes) was used as the dependent variable for multivariate logistic regression analysis, with the odds ratio (OR) and 95% confidence interval (CI) indicating the relation between the time taken by the transport team to reach the bedside and the 30-day mortality rate after admission. P<0.05 indicated a statistically significant difference.
During the study period, there were 298 children for whom transports were requested, 50 (16.8%) of whom died within 30 days after admission. The limited evidence revealed that the time taken by the transport team to reach the bedside of children was not significantly related to the 30-day mortality rate after admission in Anhui Children's Hospital (P>0.05).
The time taken by the transport team to reach the bedside of children is not associated with the 30-day mortality rate after admission into the pediatric intensive care unit (PICU).
中国医疗系统尚未发布与危重症儿童转运相关的质量控制指标，当转运团队接到这些儿童的转运请求时，由于各种原因，到达床边的时间各不相同。本研究的目的是调查儿科重症监护转运团队在接到转运请求后到达儿童床边所花费的时间对这些儿童预后的影响。
回顾性分析2020年3月至2022年2月通过长途转运入住安徽儿童医院的298例危重症儿童的临床资料。根据转运团队接到转运请求后到达床边所花费的时间，将儿科患者分为三组：≤60分钟组、>60至≤180分钟组和>180分钟组。将入院后儿童的30天死亡率（0=否，1=是）作为多因素logistic回归分析的因变量，优势比（OR）和95%置信区间（CI）表示转运团队到达床边所花费的时间与入院后30天死亡率之间的关系。P<0.05表示差异有统计学意义。
在研究期间，有298名儿童被请求转运，其中50名（16.8%）在入院后30天内死亡。有限的证据显示，转运团队到达儿童床边所花费的时间与安徽儿童医院入院后30天死亡率无显著相关性（P>0.05）。
转运团队到达儿童床边所花费的时间与入住儿科重症监护病房（PICU）后30天死亡率无关。
