Effect of Mode of Transport on Outcome of Sick Children Requiring Emergency Care – A Cohort Study
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2017, Vol 2, Issue 2
Abstract
Objective To determine whether mode of transport has any effect on outcome of children requiring emergency care. Methods This observational study was conducted in ICH&HC from April 2014 to June 2014. All consecutive children who were treated in Emergency department were enrolled. Mode of transport, approximate distance of the hospital from their residence and whether pre-hospital therapy was given were noted down from the person accompanying the patient. The physiological status of patient on arrival was assessed by rapid cardio pulmonary cerebral assessment. All patients were followed up and their outcome was noted. Chi square test was performed to determine the relation between mode of transport and outcome. Results Out of 150 patients enrolled, 47 (31%) reached the hospital in ambulance and the rest 103 (69%) used public or private transport. The mortality rate of both patients transported by ambulance as well as other modes of transport was 21% and 22% respectively. Chi square analysis did not establish any significant relation between mode of transport and outcome, even after adjusting for potential confounders such as distance between residence and hospital, pre-hospital therapy received and physiological status on arrival. Conclusion There is not enough evidence that using ambulance as mode of transport improves the survival in children requiring emergency care.
Authors and Affiliations
Sridevi A Naaraayan
Keywords
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