Pediatric Emergency Medicine Journal最新文献_第2页

The pattern of emergency department utilization in pediatric patients who underwent interfacility transfers from the emergency department: a nationwide population-based study in South Korea, 2016-2018 2016-2018年韩国全国范围内基于人群的研究：从急诊科进行设施间转运的儿科患者使用急诊科的模式

Pediatric Emergency Medicine Journal Pub Date : 2024-01-30 DOI: 10.22470/pemj.2023.00885

Min-Jee Kim, Youn-Jung Kim, Shin Ahn, W. Kim

{"title":"The pattern of emergency department utilization in pediatric patients who underwent interfacility transfers from the emergency department: a nationwide population-based study in South Korea, 2016-2018","authors":"Min-Jee Kim, Youn-Jung Kim, Shin Ahn, W. Kim","doi":"10.22470/pemj.2023.00885","DOIUrl":"https://doi.org/10.22470/pemj.2023.00885","url":null,"abstract":"Purpose: The shortage of pediatric emergency care has become a significant societal issue. This study investigated the usage pattern of emergency departments (EDs) by pediatric patients who underwent interfacility transfers (IFTs) in South Korea, focusing on cases involving single and double IFTs.Methods: This nationwide cross-sectional study included all pediatric patients (< 19 years) who underwent IFTs at regional and local emergency medical centers from 2016 through 2018, using data from the National Emergency Department Information System. After excluding unidentified cases, clinical features and ED use patterns were compared between patients with single IFT, i.e., an IFT after the initial ED visit, and those with double IFT, i.e., a sequential transfer from one medical facility to another.Results: Among 20,888 pediatric cases of IFTs in the ED, 21.0% of disease cases (3,070/14,624) and 11.4% of injury cases (691/6,038) experienced double IFTs. The double-transfer group showed a lower proportion of high acuity than the single-transfer group (22.6% vs. 15.0%; P < 0.001). However, median values of ED length of stay were longer in the double-transfer group, regardless of type of cases (disease: 163 minutes [single] vs. 218 minutes [double]; injury, 111 minutes vs. 172 minutes; all Ps < 0.001). Guardian’s request was a substantial reason for double IFT (disease, 29.9% [919/3,070]; injury, 56.4% [390/691]).Conclusion: Double IFT is common in pediatric patients and strains medical resources, regardless of severity. The high occurrence of double IFT driven by guardians’ requests rather than medical emergencies underscores the need for improved awareness of the emergency medical system among pediatric patients’ caregivers.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"8 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139591648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Change of utilization of emergency department in children after lifting mask mandates in a single center in Korea 韩国一家中心取消口罩使用规定后儿童急诊室使用率的变化

Pediatric Emergency Medicine Journal Pub Date : 2024-01-30 DOI: 10.22470/pemj.2023.00871

Chaeho Shin, Jong Seung Lee, Hyung-Rae Cho, Heejin Jang, Jun Sung Park, Dahyun Kim, Min Kyo Chun, Jeeho Han, J. Ryu

{"title":"Change of utilization of emergency department in children after lifting mask mandates in a single center in Korea","authors":"Chaeho Shin, Jong Seung Lee, Hyung-Rae Cho, Heejin Jang, Jun Sung Park, Dahyun Kim, Min Kyo Chun, Jeeho Han, J. Ryu","doi":"10.22470/pemj.2023.00871","DOIUrl":"https://doi.org/10.22470/pemj.2023.00871","url":null,"abstract":"Purpose: We aimed to investigate changes in visiting patterns after the lifting of mask mandates in a single pediatric emergency medical center in Seoul, Korea.Methods: This retrospective study was based on the data of patients’ (≤ 18 years) visits to the emergency department (ED) of the center from January 1, 2022 through June 30, 2023. Clinical characteristics, Korean Triage and Acuity Scale (KTAS) level, ED outcomes, and length of stay were compared between before (March 20-June 30, 2022) and after (March 20-June 30, 2023) the lifting of mask mandates. The comparisons were iterated in the patients with infectious disease.Results: During the study period, a total of 18,654 children visited the ED. After the lifting of mask mandates, ED visits increased from 7,146 to 11,508 (61.0%; 95% confidence interval, 59.5-62.6; P < 0.001). The increase was more prominent in the age of 2-5 years (82.9%), infectious diseases (175.3%), KTAS level 3 (127.7%), and length of stay shorter than 3 hours (78.8%-92.6%). The number of patients per hour increased by 151.2% for 5 patients or more and over 3,000% for 10 or more. Median length of stay decreased (2.3 hours [interquartile range, 1.2-4.1] to 1.9 hours [1.1-3.5]; P < 0.001). The patients with infectious disease (n = 7,139) showed similar patterns of increase in the age of 2-5 years, KTAS level 3, and length of stay shorter than 3 hours, with an additional increase in the age of 6-18 years.Conclusion: After the lifting of mask mandates, pediatric visits increased by 61%, with the highest increase in children with mild infectious diseases on weekends and at night, and the proportion of more than 10 visits per hour significantly increased. We need urgent and realistic support measures from health authorities.","PeriodicalId":151011,"journal":{"name":"Pediatric Emergency Medicine Journal","volume":"9 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139591291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric post-concussion bradypnea and hypopnea treated with hypertonic saline: a case report 用高渗盐水治疗小儿脑震荡后呼吸迟缓和呼吸减弱：病例报告

Pediatric Emergency Medicine Journal Pub Date : 2024-01-15 DOI: 10.22470/pemj.2023.00913

Utkarsh Fichadia, Spartak Mednikov

引用次数: 0

Cardiac tamponade with chylopericardium in a 6-year-old boy with central venous catheter: a case report 病例报告：一名 6 岁男童因中心静脉导管引发的心包填塞并伴有乳糜心包积液

Pediatric Emergency Medicine Journal Pub Date : 2024-01-09 DOI: 10.22470/pemj.2023.00906

In Kyung Lee, Ji Weon Lee, Kyeong Hun Lee, Jin Hee Kim, Bongjin Lee, June Dong Park

引用次数: 0

Cosmetic outcomes of simple facial laceration suturing in the pediatric emergency department 儿科急诊室面部简单裂伤缝合的美容效果

Pediatric Emergency Medicine Journal Pub Date : 2024-01-08 DOI: 10.22470/pemj.2023.00857

Eyal Reiss, Yoav Gronovich, Eyal Heiman, Elad Sela, Giora Weiser

引用次数: 0

Two cases of extracorporeal membrane oxygenation for ventilator-dependent infants with bronchopulmonary dysplasia and pulmonary hypertension 两例为患有支气管肺发育不良和肺动脉高压的呼吸机依赖婴儿提供体外膜氧合的病例

Pediatric Emergency Medicine Journal Pub Date : 2023-11-20 DOI: 10.22470/pemj.2023.00878

Yong Hyuk Jeon, W. Jang, H. Kwon, Sungkyu Cho, Jae Gun Kwak, In Kyung Lee, Kyeong Hun Lee, June Dong Park, Bongjin Lee

引用次数: 0

A pediatric case of portosystemic shunt presenting hypoxemia with brain abscess in an emergency department 急诊科一例门静脉系统分流患儿低氧血症伴脑脓肿

Pediatric Emergency Medicine Journal Pub Date : 2023-09-05 DOI: 10.22470/pemj.2023.00801

Seong Taek Hwang, Jun Sung Park

引用次数: 0

Unusual presentation of primary iliopsoas abscess in an infant: a case report 婴儿原发性髂腰肌脓肿的不寻常表现:1例报告

Pediatric Emergency Medicine Journal Pub Date : 2023-09-05 DOI: 10.22470/pemj.2023.00787

Saehan Choi, Joonhyuk Son, Jae Yoon Na

引用次数: 0

Analysis of 2011-2020 intentional drug poisoning in children and adolescents 2011-2020年儿童青少年故意药物中毒分析

Pediatric Emergency Medicine Journal Pub Date : 2023-09-04 DOI: 10.22470/pemj.2023.00829

Jin Seok Park, J. Cho, J. Woo, J. Jang, W. Choi, Y. Lim, J. Choi

引用次数: 0

Clinical aspects of patients visiting the emergency department with febrile seizure 急诊科热性惊厥患者的临床特点

Pediatric Emergency Medicine Journal Pub Date : 2023-09-04 DOI: 10.22470/pemj.2023.00752

Jong Min Kim, Hee Yu Hwang, Jung Hun Lee, Moon Kyu Kim, Soon Min Lee

引用次数: 0