Emergency medical services utilisation among febrile children attending emergency departments across Europe: an observational multicentre study

被引：0

作者：

Chantal D. Tan

Clementien L. Vermont

Joany M. Zachariasse

Ulrich von Both

Irini Eleftheriou

Marieke Emonts

Michiel van der Flier

Jethro Herberg

Benno Kohlmaier

Michael Levin

Emma Lim

Ian K. Maconochie

Federico Martinon-Torres

Ruud G. Nijman

Marko Pokorn

Irene Rivero-Calle

Maria Tsolia

Werner Zenz

Dace Zavadska

Henriëtte A. Moll

Enitan D. Carrol

机构：

[1] Erasmus MC-Sophia Children’s Hospital,Department of General Paediatrics

[2] Imperial College,Section of Paediatric Infectious Diseases

[3] Children Clinical University Hospital,Department of Paediatrics

[4] Rīgas Stradiņa Universitāte,Division of Paediatric Infectious Diseases

[5] Dr. Von Hauner Children’s Hospital,Institute of Infection, Veterinary and Ecological Sciences

[6] University Hospital,Second Department of Paediatrics

[7] Ludwig-Maximilians University,Paediatric Immunology, Infectious Diseases & Allergy

[8] German Centre for Infection Research,Translational and Clinical Research Institute

[9] DZIF,Section of Paediatric Infectious Diseases, Laboratory of Medical Immunology, Radboud Center for Infectious Diseases

[10] Partner Site,Paediatric Infectious Diseases and Immunology

[11] University of Liverpool,Paediatric Infectious Diseases and Immunology

[12] Alder Hey Children’s NHS Foundation Trust,Department of General Paediatrics

[13] P. and A. Kyriakou Children’s Hospital,Paediatric Emergency Medicine

[14] National and Kapodistrian University of Athens,Genetics, Vaccines, Infections and Paediatrics Research Group (GENVIP)

[15] Great North Children’s Hospital,Department of Infectious Diseases and Faculty of Medicine

[16] Newcastle Upon Tyne Hospitals NHS Foundation Trust,Department of Paediatric Infectious Diseases and Immunology

[17] Newcastle University,Department of Medicine

[18] Radboud Institute for Molecular Life Sciences,undefined

[19] Amalia Children’s Hospital,undefined

[20] Wilhelmina Children’s Hospital,undefined

[21] University Medical Centre Utrecht,undefined

[22] Medical University of Graz,undefined

[23] Imperial College Healthcare Trust NHS,undefined

[24] Hospital Clínico Universitario de Santiago de Compostela,undefined

[25] University Medical Centre Ljubljana,undefined

[26] University of Ljubljana,undefined

[27] Erasmus MC-Sophia Children’s Hospital,undefined

[28] NIHR Newcastle Biomedical Research Centre,undefined

[29] Newcastle Upon Tyne Hospitals NHS Trust,undefined

[30] Population Health Sciences Institute,undefined

[31] Newcastle University,undefined

来源：

European Journal of Pediatrics | 2023年 / 182卷

关键词：

Emergency medical services; Emergency care; Children; Fever; Paediatrics;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Children constitute 6–10% of all patients attending the emergency department (ED) by emergency medical services (EMS). However, discordant EMS use in children occurs in 37–61% with fever as an important risk factor. We aimed to describe EMS utilisation among febrile children attending European EDs. This study is part of an observational multicentre study assessing management and outcome in febrile children up to 18 years (MOFICHE) attending twelve EDs in eight European countries. Discordant EMS use was defined as the absence of markers of urgency including intermediate/high triage urgency, advanced diagnostics, treatment, and admission in children transferred by EMS. Multivariable logistic regression analyses were performed for the association between (1) EMS use and markers of urgency, and (2) patient characteristics and discordant EMS use after adjusting all analyses for the covariates age, gender, visiting hours, presenting symptoms, and ED setting. A total of 5464 (15%, range 0.1–42%) children attended the ED by EMS. Markers of urgency were more frequently present in the EMS group compared with the non-EMS group. Discordant EMS use occurred in 1601 children (29%, range 1–59%). Age and gender were not associated with discordant EMS use, whereas neurological symptoms were associated with less discordant EMS use (aOR 0.2, 95%CI 0.1–0.2), and attendance out of office hours was associated with more discordant EMS use (aOR 1.6, 95%CI 1.4–1.9). Settings with higher percentage of self-referrals to the ED had more discordant EMS use (p < 0.05).

引用

页码：3939 / 3947

页数：8

共 77 条

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