Characteristics of paediatric patients with altered conscious state attended by road ambulances in a metropolitan area - An 8 year observational study.
Adolescent
Ambulances
/ organization & administration
Chi-Square Distribution
Child
Child, Preschool
Consciousness Disorders
/ classification
Electronic Health Records
/ statistics & numerical data
Female
Glasgow Coma Scale
Humans
Infant
Male
Pediatrics
/ statistics & numerical data
Retrospective Studies
Altered conscious state
Emergency Medical Service
Paramedic management
Prehospital emergency medicine
Journal
Australasian emergency care
ISSN: 2588-994X
Titre abrégé: Australas Emerg Care
Pays: Australia
ID NLM: 101727782
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
15
08
2019
revised:
25
02
2020
accepted:
25
02
2020
pubmed:
1
7
2020
medline:
19
5
2021
entrez:
30
6
2020
Statut:
ppublish
Résumé
Out-of-hospital paediatric emergencies represent are rare and little is known about characteristics of paediatric patients with severe illness. This study seeks to describe the paediatric population with altered conscious state. A retrospective electronic data review was conducted of paediatric patients (≤ 4 years) attended by road ambulances between January 2006 and December 2013. Patients with a Glasgow Coma Scale (GCS) score ≤9 were included. A total of 4533 children were included in the study, 55.9% of which were male. The majority of patients (48.7%) were between one and four years old. Pre-existing neurologic conditions were identified in 26.8% of patients. Seizures were the most common reason for emergency call (68.7%) and were more frequent in children 1-4 years (80.4%) than in <1 year (32.6%), 5-8 years (75.3%) or 9-14 years (53.9%, p < 0.001). Vital signs (heart rate, systolic blood pressure, oxygen saturation, GCS) improved or remained stable from time of first contact with Emergency Medical Service (EMS) to arrival at hospital. Seizure was the most common reason for ambulance attendances to children with altered conscious state, and most frequently occurred in preschool children. Pre-existing conditions were frequent. Vital signs and level of conscious stateof patients improved during paramedic management.
Sections du résumé
BACKGROUND
BACKGROUND
Out-of-hospital paediatric emergencies represent are rare and little is known about characteristics of paediatric patients with severe illness. This study seeks to describe the paediatric population with altered conscious state.
METHODS
METHODS
A retrospective electronic data review was conducted of paediatric patients (≤ 4 years) attended by road ambulances between January 2006 and December 2013. Patients with a Glasgow Coma Scale (GCS) score ≤9 were included.
RESULTS
RESULTS
A total of 4533 children were included in the study, 55.9% of which were male. The majority of patients (48.7%) were between one and four years old. Pre-existing neurologic conditions were identified in 26.8% of patients. Seizures were the most common reason for emergency call (68.7%) and were more frequent in children 1-4 years (80.4%) than in <1 year (32.6%), 5-8 years (75.3%) or 9-14 years (53.9%, p < 0.001). Vital signs (heart rate, systolic blood pressure, oxygen saturation, GCS) improved or remained stable from time of first contact with Emergency Medical Service (EMS) to arrival at hospital.
CONCLUSIONS
CONCLUSIONS
Seizure was the most common reason for ambulance attendances to children with altered conscious state, and most frequently occurred in preschool children. Pre-existing conditions were frequent. Vital signs and level of conscious stateof patients improved during paramedic management.
Identifiants
pubmed: 32595108
pii: S2588-994X(20)30022-1
doi: 10.1016/j.auec.2020.02.006
pii:
doi:
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
142-146Informations de copyright
Copyright © 2020 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.