[Childhood emergencies-worsening healthcare bottlenecks for children in a systematic long-term analysis of the EMS system in a German metropolis]. / Der Notfall beim Kind zunehmende Versorgungsengpässe für Kinder in einer systematischen Langzeitanalyse des Rettungssystems einer deutschen Metropole.
Med Klin Intensivmed Notfmed
; 117(5): 358-366, 2022 Jun.
Article
in De
| MEDLINE
| ID: mdl-34156483
ABSTRACT
BACKGROUND:
Children have the right to the best possible medical care. The lack of treatment capacity is rising steadily and increasingly leads to forced centralized allocation of patients by the emergency medical services (EMS) to pediatric emergency departments that are, officially, temporarily "closed".AIM:
The aim of this study is to present trends in allocation of pediatric emergency patients in greater Munich. MATERIALS ANDMETHODS:
Retrospective analysis of hospital admissions of children <â¯18 years of age collected from 01 January 2015 to 31 December 2019 by means of the web-based IT system IVENA eHealth (manis IT, Frankfurt) used by the emergency medical services. The focus of the evaluation is on patients in category II, who are likely to require inpatient admission.RESULTS:
During the 5year observation period, a total of 44,549 pediatric patients <â¯18 years of age (90.6% of total admissions) were admitted to a children's hospital by the ambulance service as category II (SKII) in the Munich metropolitan area. These patients showed an increase in the relative frequency of forced allocations from 1.7% (2015) to 9.4% (2019). Parallel to this, there is an increasing frequency of time intervals over the years in which all children's hospitals were temporarily closed due to lack of treatment availability, especially in the winter half-year.CONCLUSION:
In the examined period from 2015 to 2019, there has been a relevant increase in the number of forced allocations to children's hospitals by the emergency medical services in the Munich area. This observed trend is likely to persist over the coming years, in view of current staff shortages and diminishing hospital capacities.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Emergencies
/
Emergency Medical Services
Type of study:
Observational_studies
Limits:
Child
/
Humans
Language:
De
Journal:
Med Klin Intensivmed Notfmed
Year:
2022
Document type:
Article