Differences in Prehospital Patient Assessments for Pediatric Versus Adult Patients

The Journal of Pediatrics
Sriram RamgopalChristian Martin-Gill

Abstract

To evaluate whether completion of vital signs assessments in pediatric transports by emergency medical services (EMS) differs by patient age. We reviewed records by 20 agencies in a regional EMS system in Southwestern Pennsylvania between April 1, 2013 and December 31, 2016. We abstracted demographics, vital signs (systolic blood pressure, heart rate, respiratory rate), clinical, and transport characteristics. We categorized age as neonates (≤30 days), infants (1 month to <1 year), toddler (1 to <2 years), early childhood (2 to <6 years), middle childhood (6 to <12 years), adolescent (12 to <18 years), and adult (≥18 years). We used unadjusted and adjusted logistic regression to test if age group was associated with vital signs documentation, reporting of Glasgow Coma Scale and pain scale after trauma, and recording of oxygen saturation and breath sounds in respiratory complaints, using adults as the reference group. In total, 371 746 cases (21 883 pediatric, 5.9%) were included. In adjusted analysis, most pediatric categories had reduced odds of complete vitals documentation (percent, OR, 95% CI): neonates (49.6%, 0.02, 0.02-0.03), infants (68.2%, 0.04, 0.03-0.04), toddlers (78.1%, 0.07, 0.06-0.07), early childhood (87.4%, 0.1...Continue Reading

Citations

Oct 30, 2018·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Sriram RamgopalChristian Martin-Gill
May 7, 2020·International Journal of Emergency Medicine·Andrit LourensPeter Hodkinson
Oct 8, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Tiffany M AbramsonAngelica Loza-Gomez
Oct 11, 2020·Journal of Advanced Nursing·Noa KallioinenMarcus O Watson
Dec 16, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Remle P CroweJ Brent Myers
Jan 9, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Jelena OulasvirtaHeli Salmi
Jul 6, 2021·Journal of the American College of Emergency Physicians Open·Scott S BournJ Brent Myers
Jan 11, 2022·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Maria MandtJ Joelle Donofrio-Odmann

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