Scholarlink

Background <p>Paediatric emergencies account for only 5% of emergency deployments, but conversely, they pose a&#xa0;challenge for most emergency doctors.</p> Methods <p>We retrospectively recorded 1055 deployments (2015–2024) of the Karlsruhe pediatric emergency ambulance and compared it with 1169 deployments (2003–2013) focusing on disease indications of the patients being treated.</p> Results <p>Small children formed the largest group (2003–2013: 45.3%; 2015–2024: 32.2%); deployments were&#xa0;seen more often in boys (2003–2013: 53.3%, 4.6% not identified; 2015–2024: 48.8%, 12.2% not identified). In all cases, 57.7% (2003–2013) and 69.4% (2015–2024) involved minor injuries/diseases. Most common were trauma (2003–2013: 25.9%; 2015–2024: 29.2%) and neurological diseases (2003–2013: 26.2%; 2015–2024: 20.7%). We observed a&#xa0;decrease of respiratory disorders (−7.2%), resuscitation (−2.2%), and sudden infant death syndrome (−0.8%); a&#xa0;rise in psychiatric presentations (+5.4%), ingestion/intoxication (+2.4%) and allergies/anaphylaxis (+2.4%). Females had an increased probability of psychiatric emergencies (OR 3.5; 95% CI 1.7–5.5).</p> <p>During the COVID-19-pandemic (2020/2021), the frequency of deployments dropped (−50%), psychiatric (+4.3%; OR&#xa0;2.5; 95% CI 1.2–5.4) and obstetrics diagnoses (+3.8%) rose while trauma decreased (−11.1%; OR&#xa0;0.6; 95% CI 0.4–0.8).</p> <p>A&#xa0;specific therapy was initiated in 82.2% (2003–2013) and 58.7% (2015–2024) of all the deployments.</p> Conclusion <p>Our results revealed changes in the range of deployments between the two time frames as well as during the Covid-19 pandemic. We believe that the provision of preclinical emergency care for children—with their particular needs and range of disease indications (compared to adults) warrants discussion considering the need for reforms and additional medical qualifications.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Verändertes Versorgungsprofil und Anforderungsstruktur in der pädiatrischen präklinischen Versorgung – eine retrospektive Analyse anhand des Karlsruher Kindernotarztwagens

  • 期刊论文

  • 发表日期：

    2026年7月8日

查看全文
  • D. Benz,
  • M. Kuch,
  • F. Lindmayer,
  • T. Piontek,
  • M. Poryo,
  • S. Meyer

摘要

Background

Paediatric emergencies account for only 5% of emergency deployments, but conversely, they pose a challenge for most emergency doctors.

Methods

We retrospectively recorded 1055 deployments (2015–2024) of the Karlsruhe pediatric emergency ambulance and compared it with 1169 deployments (2003–2013) focusing on disease indications of the patients being treated.

Results

Small children formed the largest group (2003–2013: 45.3%; 2015–2024: 32.2%); deployments were seen more often in boys (2003–2013: 53.3%, 4.6% not identified; 2015–2024: 48.8%, 12.2% not identified). In all cases, 57.7% (2003–2013) and 69.4% (2015–2024) involved minor injuries/diseases. Most common were trauma (2003–2013: 25.9%; 2015–2024: 29.2%) and neurological diseases (2003–2013: 26.2%; 2015–2024: 20.7%). We observed a decrease of respiratory disorders (−7.2%), resuscitation (−2.2%), and sudden infant death syndrome (−0.8%); a rise in psychiatric presentations (+5.4%), ingestion/intoxication (+2.4%) and allergies/anaphylaxis (+2.4%). Females had an increased probability of psychiatric emergencies (OR 3.5; 95% CI 1.7–5.5).

During the COVID-19-pandemic (2020/2021), the frequency of deployments dropped (−50%), psychiatric (+4.3%; OR 2.5; 95% CI 1.2–5.4) and obstetrics diagnoses (+3.8%) rose while trauma decreased (−11.1%; OR 0.6; 95% CI 0.4–0.8).

A specific therapy was initiated in 82.2% (2003–2013) and 58.7% (2015–2024) of all the deployments.

Conclusion

Our results revealed changes in the range of deployments between the two time frames as well as during the Covid-19 pandemic. We believe that the provision of preclinical emergency care for children—with their particular needs and range of disease indications (compared to adults) warrants discussion considering the need for reforms and additional medical qualifications.