Efficiency of Using Pediatrics Emergency Services and Triage Evaluation.
Pediatr Emerg Care
; 34(6): 417-421, 2018 Jun.
Article
em En
| MEDLINE
| ID: mdl-29851918
ABSTRACT
OBJECTIVE:
The aim of the study was to evaluate the pediatric emergency department (PED) in a main teaching hospital.METHODS:
Retrospective review of all children presented to PED at King Abdulaziz University Hospital from September to November 2014 was performed. We classified priority into the following 5 stages 1, need resuscitation; 2, emergent; 3, urgent; 4, less urgent; and 5, nonurgent.RESULTS:
A total of 2567 children (58.9% boys) attended PED for 3 months. Toddler age group was the highest. Respiratory complaints were the commonest (36%), followed by gastrointestinal complaints (20%). The majority were classified as priority 3 (52.3%) and priority 4 (30.7%). The admission rate was 12.3% and the mean (range) length of stay (LOS) was 5.85 (0.2-25) hours. Saudi nationals were less likely to wait for 5 hours or longer, less likely to be admitted, but more likely to leave PED without being evaluated. There was a negative correlation between higher priorities and time from triage to PED. There was a positive correlation between the higher priorities and LOS.CONCLUSIONS:
Most children who were seen in PED were priority 3 and therefore needed to be seen. However, a considerable percentage of priority 4 and 5 could have been seen in ambulatory clinics. Most lower priorities were Saudi nationals who were most likely to leave without being seen. Prolonged LOS, overcrowding, and high percentage of admission are the main challenges.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Triagem
/
Serviço Hospitalar de Emergência
/
Hospitais Pediátricos
Tipo de estudo:
Evaluation_studies
/
Observational_studies
Limite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
País/Região como assunto:
Asia
Idioma:
En
Revista:
Pediatr Emerg Care
Assunto da revista:
MEDICINA DE EMERGENCIA
/
PEDIATRIA
Ano de publicação:
2018
Tipo de documento:
Article