Accès ouvert déclaré
2023
article
Emergency medical services utilisation among febrile children attending emergency departments across Europe: an observational multicentre study
Chantal Tan, Clementien L. Vermont, Joany M. Zachariasse, Ulrich von Both, Irini Eleftheriou, Marieke Emonts, Michiel van der Flier, Jethro Herberg, Benno Kohlmaier, Michael Levin, Emma Lim, Ian Maconochie, Federico Martinón‐Torres, Ruud Nijman, Marko Pokorn, Irene Rivero‐Calle, Μαρία Τσολιά, Werner Zenz, Dace Zavadska, Henriëtte A. Moll, Enitan D. Carrol, Aubrey J. Cunnington, Tisham De, Myrsini Kaforou, Victoria Wright, Lucas Baumard, Evangelos Bellos, Giselle D’Souza, Rachel Galassini, Dominic Habgood-Coote, Shea Hamilton, Clive Hoggart, Sara Hourmat, Heather Jackson, Stephanie Menikou, Naomi Lin, Samuel Nichols, Ivonne Pena Paz, Priyen Shah, Ching‐Fen Shen, Ortensia Vito, Clare Wilson, Amina Abdulla, Ladan Ali, Sarah Darnell, Rikke Jørgensen, Sobia Mustafa, Salina Persand, Molly M. Stevens, Eunjung Kim, Benjamin C. Pierce, Katy Fidler, Julia Dudley, Vivien Richmond, Emma Tavliavini, Hsiao‐Sheng Liu, Shih‐Min Wang, Antonio Salas, Fernando Álvez González, Cristina Balo Farto, Ruth Barral‐Arca, María Barreiro Castro, Xabier Bello, Mirian Ben García, Sandra Carnota, Miriam Cebey‐López, María José Currás-Tuala, Carlos Durán Suárez, Luisa García Vicente, Alberto Gómez‐Carballa, José Gómez Rial, Pilar Leboráns Iglesias, José María Martinón Sánchez, Belén Mosquera Pérez, Jacobo Pardo‐Seco, Lidia Piñeiro Rodríguez, Sara Pischedda, Sara Rey Vázquez, Carmen Rodrı́guez-Tenreiro, Lorenzo Redondo-Collazo, Miguel Sadiki Ora, Sonia Serén Fernández, Cristina Serén Trasorras, Marisol Vilas Iglesias, Anda Balode, Arta Bārzdiņa, Dãrta Deksne, Dace Gardovska, Dagne Grãvele, Ilze Grope, Anija Meiere, Ieva Nokalna, Jana Pavāre, Zanda Pučuka, Katrīna Selecka, Aleksandra Sidorova, Dace Svile, Urzula Nora Urbāne, Effua Usuf, Kalifa Bojang, Syed M. A. Zaman, Fatou Secka, Suzanne P. Anderson, Anna RocaIsatou Sarr, Momodou Saidykhan, Saffiatou Darboe, Samba Ceesay, Umberto D’Alessandro, Dorine Borensztajn, Nienke N. Hagedoorn, Willem A. Dik, Philipp Agyeman, Luregn J. Schlapbach, Christoph Aebi, Verena Wyss, Mariama Usman, Éric Giannoni, Martin Stocker, Klara M. Posfay‐Barbe, Ulrich Heininger, Sara Bernhard‐Stirnemann, Anita Niederer-Loher, Christian R. Kahlert, Giancarlo Natalucci, Christa Relly, Thomas Riedel, Christoph Berger, Stéphane Paulus, Elizabeth Cocklin, Rebecca B. Jennings, Joanne Johnston, Simon Leigh, Karen Newall, Sam Romaine, Maria Tambouratzi, Marietta Xagorari, Kelly Syggelou, Colin G. Fink, Marie Voice, Leo Calvo‐Bado, Nina A. Schweintzger, Manfred G. Sagmeister, Daniela S. Kohlfürst, Christoph Zurl, Alexander Binder, Susanne Hösele, Manuel Leitner, Lena Pölz, Glorija Rajic, Sebastian Bauchinger, Hinrich Baumgart, Martin Benesch, Astrid Ceolotto, Ernst Eber, Siegfried Gallistl, Gunther Gores, Harald Haidl, Almuthe Hauer, Christa Hude, Markus Keldorfer, Larissa Krenn, Heidemarie Pilch, Andreas Pfleger, Klaus Pfurtscheller, Gudrun Nordberg, Tobias Niedrist, Siegfried Rödl, Andrea Skrabl‐Baumgartner, Matthias Sperl, Laura Stampfer, Volker Strenger, Holger Till, Andreas Trobisch, Sabine Löffler, Shunmay Yeung, Juan Emmanuel Dewez, Martin L. Hibberd, David Bath, Alec Miners, Catherine J. Wedderburn, Anne Meierford, Baptiste Leurent, Ronald de Groot, Marien I. de Jonge, Koen van Aerde, Wynand Alkema, Bryan van den Broek, Jolein Gloerich, Alain J. van Gool, Stefanie Henriet, Martijn Huijnen, Ria Philipsen, Esther Willems, G.P.J.M. Gerrits, M. van Leur, J. Heidema, L. de Haan, C.J. Miedema, C. Neeleman, C.C. Obihara, Gerdien A. Tramper‐Stranders, Andrew J. Pollard, Rama Kandasamy, Michael J. Carter, Daniel O’Connor, Sagida Bibi, Dominic F. Kelly, Meeru Gurung, Stephen Thorson, Imran Ansari, David R. Murdoch, Shrijana Shrestha, Zoe Oliver, Lucille Valentine, Karen N. Allen, Kathryn Bell, Adora Chan, Stephen Crulley, Kirsty Devine, Daniel Fabián, Sharon King, Paul McAlinden, Sam McDonald, Anne McDonnell, Ailsa Pickering, E. Thomson, Amanda Wood, Diane Wallia, Phil Woodsford, Frances Baxter, Ashley Bell, Mathew Rhodes, Rachel Agbeko, Christine Mackerness, Bryan Baas, Lieke Kloosterhuis, Wilma Oosthoek, Tasnim Arif, Joshua Bennet, Kalvin Collings, Ilona van der Giessen, Alex Martin, Aqeela Rashid, Emily Rowlands, Gabriella de Vries, Fabian van der Velden, Mike Martin, Ravi Mistry, Laura Kolberg, Manuela Zwerenz, Judith Buschbeck, Christoph Bidlingmaier, Vera Binder, Katharina Danhauser, Nikolaus Haas, Matthias Griese, Tobias Feuchtinger, Julia Keil, Matthias Kappler, Eberhard Lurz, Georg Muench, Karl Reiter, Carola Schoen, François Mallet, Karen Brengel‐Pesce, Alexandre Pachot, Marine Mommert, Mojca Kolnik, Katarina Vincek, Tina Plankar Srovin, Natalija Bahovec, Petra Prunk, Veronika Osterman, Tanja Avramoska, Taco Kuijpers, Ilse Jongerius, J.M. van den Berg, D. Schonenberg, Anouk M. Barendregt, D. Pajkrt, Martijn van der Kuip, A. Marceline van Furth, Evelien G. G. Sprenkeler, Judith Zandstra, Gerard van Mierlo, Judy Geissler
7Citations signalées — pas une note de qualité
20Institutions déclarées
6Pays d’affiliation déclarés
Résumé fourni par la source
Children constitute 6-10% of all patients attending the emergency department (ED) by emergency medical services (EMS). However, discordant EMS use in children occurs in 37-61% with fever as an important risk factor. We aimed to describe EMS utilisation among febrile children attending European EDs. This study is part of an observational multicentre study assessing management and outcome in febrile children up to 18 years (MOFICHE) attending twelve EDs in eight European countries. Discordant EMS use was defined as the absence of markers of urgency including intermediate/high triage urgency, advanced diagnostics, treatment, and admission in children transferred by EMS. Multivariable logistic regression analyses were performed for the association between (1) EMS use and markers of urgency, and (2) patient characteristics and discordant EMS use after adjusting all analyses for the covariates age, gender, visiting hours, presenting symptoms, and ED setting. A total of 5464 (15%, range 0.1-42%) children attended the ED by EMS. Markers of urgency were more frequently present in the EMS group compared with the non-EMS group. Discordant EMS use occurred in 1601 children (29%, range 1-59%). Age and gender were not associated with discordant EMS use, whereas neurological symptoms were associated with less discordant EMS use (aOR 0.2, 95%CI 0.1-0.2), and attendance out of office hours was associated with more discordant EMS use (aOR 1.6, 95%CI 1.4-1.9). Settings with higher percentage of self-referrals to the ED had more discordant EMS use (p < 0.05). Conclusion: There is large practice variation in EMS use in febrile children attending European EDs. Markers of urgency were more frequently present in children in the EMS group. However, discordant EMS use occurred in 29%. Further research is needed on non-medical factors influencing discordant EMS use in febrile children across Europe, so that pre-emptive strategies can be implemented. What is Known: •Children constitute around 6-10% of all patients attending the emergency department by emergency medical services. •Discordant EMS use occurs in 37-61% of all children, with fever as most common presenting symptom for discordant EMS use in children. What is New: •There is large practice variation in EMS use among febrile children across Europe with discordance EMS use occurring in 29% (range 1-59%), which was associated with attendance during out of office hours and with settings with higher percentage of self-referrals to the ED. •Future research is needed focusing on non-medical factors (socioeconomic status, parental preferences and past experience, healthcare systems, referral pathways, out of hours services provision) that influence discordant EMS use in febrile children across Europe.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Emergency medical services utilisation among febrile children attending emergency departments across Europe: an observational multicentre study
- Date Crossref
- 24/06/2023
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Emergency and Acute Care StudiesTrauma and Emergency Care StudiesPneumonia and Respiratory Infections