Sedation for Forearm Fracture Reduction in the Pediatric Emergency Department: Impact on Hospitalization and Length of Stay

被引:0
作者
Abu-Omer, Maali [1 ]
Chayen, Gilad [2 ]
Jacob, Ron [2 ,3 ]
机构
[1] Emek Med Ctr, Dept Pediat B, Afula, Israel
[2] Emek Med Ctr, Pediat Emergency Dept, IL-1834111 Afula, Israel
[3] Technion Israel Inst Technol, Rappaport Fac Med, Haifa, Israel
来源
ISRAEL MEDICAL ASSOCIATION JOURNAL | 2023年 / 25卷 / 04期
关键词
closed reduction; emergency medicine; fracture; pediatric; se-dation; HEMATOMA BLOCK; POPULATION;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Children with forearm fractures who present to the emergency department (ED) often need a dosed reduction. In our institution, until 2017, pediatric trauma patients presented to the general trauma ED (GTED) where no sedation services for pediatric patients were available. From 2017, patients present-ed to the pediatric emergency department (PED) where closed reductions were performed under sedation when appropriate. Objectives: To compare GTED and PED with regard to length of stay (LOS) and hospitalization rates of pediatric patients with forearm fractures who needed a closed reduction. Methods: Our retrospective observational study was conduct-ed at a regional hospital. The study population consisted of all patients younger than 18 years of age who presented to the ED with a forearm fracture that needed a closed reduction. The primary outcome measure was the hospitalization rate. The secondary outcome measure was LOS in the ED. Results: The study comprised 165 patients with forearm frac-tures who needed a closed reduction; 79 presented to the GTED and 96 presented to the PED. Hospitalization rates were lower for patients undergoing closed reduction under sedation in the PED compared to the GTED (6.3% and 21.5%, respec-tively; P = 0.003). Median ED LOS was longer among patients undergoing sedation in the PED compared to the GTED (237 vs. 168 minutes respectively, P< 0.0001). Conclusions: Sedation for forearm fracture reduction in a hospital's PED was associated with a decrease of more than three times in hospitalization rate. Despite the need for more resources, PED LOS was only mildly increased. IMAJ 2023; 25: 265-267
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收藏
页码:265 / 267
页数:3
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