Pediatric Utilization of Emergency Medical Services from Outpatient Offices and Urgent Care Centers

IF 3 3区 医学 Q1 PEDIATRICS
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引用次数: 0

Abstract

Objective

National efforts have highlighted the need for pediatric emergency readiness across all settings where children receive care. Outpatient offices and urgent care centers are frequent starting points for acutely injured and ill children, emphasizing the need to maintain pediatric readiness in these settings. We aimed to characterize emergency medical services (EMS) utilization from outpatient offices and urgent care centers to better understand pediatric readiness needs.

Methods

We performed a retrospective cross-sectional analysis of EMS encounters using the National Emergency Medical Services Information System, a nationally representative EMS registry (2019–2022). We included four years of EMS encounters of children (<18 years old) that originated from an outpatient office or urgent care center. We described characteristics, including patient demographics, prehospital clinician impression, therapies, and procedures performed.

Results

Of 179,854,336 EMS encounters during the study period, 164,387 pediatric encounters originated at an outpatient setting. Most EMS encounters originated from outpatient offices. Evening and weekend EMS encounters more frequently originated from urgent care centers. The most common impressions were respiratory distress (n = 60,716), systemic illness (n = 23,583), and psychiatric/behavioral health (n = 13,273). Ninety-four percent of EMS encounters resulted in transportation to a hospital.

Conclusions

EMS encounters from outpatient settings most commonly originate from outpatient offices, relative to urgent care settings, where pediatric emergency readiness may be limited. It is important that outpatient settings and providers are ready for varied emergencies, including those occurring for a behavioral health concern, and that readiness guidelines are updated to address these needs.
儿科利用门诊部和急诊中心提供的急诊医疗服务。
目的:全国性的努力强调了在儿童接受护理的所有环境中做好儿科应急准备的必要性。门诊办公室和紧急护理中心是儿童急性伤病的频繁起始点,强调了在这种环境中保持儿科准备状态的必要性。我们旨在了解门诊办公室和紧急护理中心使用紧急医疗服务(EMS)的情况,以便更好地了解儿科准备需求:我们利用具有全国代表性的急救医疗服务登记系统(2019-2022 年)"全国急救医疗服务信息系统 "对急救医疗服务的使用情况进行了回顾性横断面分析。我们纳入了四年来儿童的急救服务遭遇(结果:在研究期间的 179,854,336 次急救服务中,164,387 次儿童急救服务源自门诊环境。大多数急救服务都来自门诊办公室。夜间和周末的急救服务更多来自紧急护理中心。最常见的症状是呼吸困难(60,716 人次)、全身性疾病(23,583 人次)和精神/行为健康(13,273 人次)。94%的紧急医疗服务接诊结果是被送往医院:来自门诊环境的急救服务最常见于门诊办公室,而不是紧急护理环境,因为在紧急护理环境中,儿科急救准备可能有限。重要的是,门诊机构和医疗服务提供者要做好应对各种紧急情况的准备,包括因行为健康问题而发生的紧急情况,并更新准备指南以满足这些需求。新内容:在这项对美国急救医疗服务机构数据的分析中,源自门诊办公室和紧急护理中心的儿科紧急情况很常见。我们对常见的急诊类型和干预措施进行了描述,以进一步改善门诊准备工作。
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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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