Calidad asistencial en la atención inicial al trauma pediátrico

Pradas, V. Ibáñez; Montejano, Rut Pérez

doi:10.1016/j.anpedi.2017.02.007

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Similar challenges regarding low incidence and exposure to paediatric trauma are also seen in other countries [32, 33]. Introduction of targeted courses and training programmes provide greater confidence and better systematic approach to resuscitation, but the long-term effect on the outcome is still debated [32, 33]. A multiprofessional team-based approach to resuscitation of critically ill and injured children was initiated in Norway, but its effect on the outcome, system development and implementation has not yet been described [34].…”

Section: Discussionmentioning

confidence: 54%

“…Therefore, in order to compensate for this reduced in vivo experience of potentially severely injured children, systematic training seems warranted [31]. Similar challenges regarding low incidence and exposure to paediatric trauma are also seen in other countries [32, 33]. Introduction of targeted courses and training programmes provide greater confidence and better systematic approach to resuscitation, but the long-term effect on the outcome is still debated [32, 33].…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study

et al. 2019

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Background Trauma is a major cause of mortality and morbidity in children globally. The burden of injury shows substantial geographical differences, with a significant mortality reduction in children in Norway during the last four decades. The aim was to describe the current epidemiology, resource use and outcome for all potential severely injured paediatric patients admitted to a Norwegian trauma centre. Methods This was a single-centre retrospective observational study. All patients aged 0–17 years received by a trauma team between 01 January 2004 and 31 December 2016 (13 years) at St. Olav’s University Hospital were included. Severe injury was defined as Injury Severity Score > 15. Results A total of 873 patients were included, of which 536 (61%) were male. The median age was 13 years (IQR 7–16). Six per cent ( n = 52) of the patients were transferred from other hospitals. Blunt trauma constituted 98%, with traffic ( n = 532/61%) and falls ( n = 233/27%) as the most common mechanisms. Eight patients (1%) died within 30 days of hospital admission. Fifteen per cent ( n = 128) were severely injured. Among the patients transferred from another hospital, 46% ( n = 24) had severe injuries. Helicopter Emergency Medical Services (HEMS) were more used in younger age groups and in patients more severely injured. Conclusions In a developed healthcare system, the number of potentially severely injured children is small and with very few deaths following trauma. Transport and falls represent the most common causes of injury throughout all age groups, though with a tendency towards more transport-related injuries with increasing age. In-hospital trauma care is characterized by a low threshold for a multidisciplinary reception, low use of intensive care and need for emergency surgical procedures, though with increased need in the older children. Electronic supplementary material The online version of this article (10.1186/s12245-019-0236-9) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 99%

Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study

et al. 2019

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“…An increasing number of patients are being treated in non-specialized centers, and the severity of patient injuries is lower. In addition, although highly significant improvements were observed after the AITP training program implementation, there was no clear improvement in quality indicators, with the author of the paper proposing that the training courses should be accompanied by other measures, such as checklists, to ensure the proper application of the AITP procedure (8) . Checklists (CL), which are widely used in industry and medicine, are particularly useful when rapid and systematic decision making is required in critical, complex, and stressful situations (9) .…”

Section: Introductionmentioning

confidence: 99%

Spanish primary care in pediatric trauma (AITP) consensus: an AITP checklist

Gómez Veiras,

Lluna González,

Prieto Campo

et al. 2024

Cir Pediatr

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Introduction. The course in Primary Care in Pediatric Trauma (ATIP in Spanish) has been taught in Spain since 1997, and there are currently 9 accredited training centers. Care of polytraumatized pediatric patients often takes place in an environment conducive to errors resulting from forgetfulness, which is why checklists -mnemonic tools widely used in industry and medicine -are particularly useful to avoid such errors. Although several checklists exist for pediatric trauma care, none have been developed within the setting of our course.Materials and methods. The criteria for being selected as an expert in Primary Care in Pediatric Trauma were agreed upon with the scientific polytrauma committee of the Spanish Pediatric Surgery Society. The items that make up the checklist were obtained from a review of the literature and consultation with selected experts, using the Delphi Technique.Results. 10 experts representing the 9 groups or training centers in Primary Care in Pediatric Trauma were selected, and a 28-item checklist was drawn up in accordance with their design recommendations.Conclusions. With the consensus of all the groups, a checklist for the treatment of polytraumatized pediatric patients was drawn up using the Delphi Technique, an essential requirement for the dissemination of this checklist, which should be adapted and validated for use in each healthcare center.

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“…Se ha estudiado la calidad de la asistencia inicial prestada a pacientes pediátricos politraumatizados, después de haberse implantado un programa formativo en AITP, observándose que cada vez se tratan más pacientes en centros no especializados, que la gravedad de los pacientes es menor, y que aunque se observaron mejoras muy concretas tras la implantación del programa formativo AITP no se observó una clara mejoría de los indicadores de calidad, proponiendo su autor que los cursos de formación deberían complementarse con otras medidas, como por ejemplo las listas de verificación, que lograsen la aplicación debida de la sistemática AITP (8) .…”

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Consenso AITP español: una lista de verificación AITP

Gómez Veiras,

Lluna González,

Prieto Campo

et al. 2024

Cir Pediatr

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ResumenIntroducción. El curso de Asistencia Inicial al Trauma Pediátrico se imparte en España desde 1997, existiendo en la actualidad 9 centros formadores acreditados. La asistencia al paciente pediátrico politraumatizado se produce muchas veces en un ambiente proclive al error por olvido, por lo que las listas de verificación, como herramientas mnemotécnicas de amplia difusión en la industria y en medicina, serían especialmente útiles para evitarlos. Aunque existen varias listas de verificación para la asistencia al traumatismo pediátrico, ninguna se ha desarrollado en el entorno de nuestro curso.Material y métodos. Se acordaron los criterios para ser seleccionado como experto en Asistencia Inicial al Trauma Pediátrico con la

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Calidad asistencial en la atención inicial al trauma pediátrico

Cited by 6 publications

References 12 publications

Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study

Epidemiology of paediatric trauma in Norway: a single-trauma centre observational study

Spanish primary care in pediatric trauma (AITP) consensus: an AITP checklist

Consenso AITP español: una lista de verificación AITP

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