Comparison of Tertiary and N0nteritiary Intensive Care

Pollack, Murray M.; Alexander, Steven R.; Clarke, Nancy G.; Bachulis, Antoinet C.; Tesselaar, Helen M.; Ruttimann, Urs E.

doi:10.1097/00003246-198804000-00036

Cited by 3 publications

(1 citation statement)

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“…While the risks and benefits of pediatric transport services remain inadequately studied, survival of critically ill and injured pediatric patients is increased when they are hospitalized in regional pediatric critical care centers rather than in local hospitals. 19 Further study is needed to document the benefits of pediatric transport, both ground and air, and to determine the optimal composition of the PEAT team.…”

Section: Resultsmentioning

confidence: 99%

High Risk Pediatric Emergency Air Transport

Goldstein

et al. 1991

Prehosp. Disaster med.

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Introduction:Pediatric Emergency Air Transports (PEATs) at Massachusetts General Hospital, Boston, Massachusetts, were reviewed between November 1986 and December 1987. Severity of illness, complications, and outcome of PEATs were compared with ground transports. Factors associated with PEAT survival were identified.Methods:Severity of illness was measured using a modified Denver Patient Status Category (DPSC) method and the Therapeutic Intervention Scoring System (TISS). There were 35 PEATs (30 helicopter, five fixed-wing) and 96 ground transports.Results:Mean severity of illness for patients was greater in PEAT than for the ground transport (PEAT DPSC score=4.23±1.06 versus ground DPSC=3.57±0.89 [SD], p=.0005). The PEAT mortality was associated with a greater mean severity of illness (TISS survivors=19.1±11.4 versus non-survivors=44.3±9.5, p=.0001), but not with: the presence of an in-flight physician; transport delay; transport duration; age; sex; history of chronic illness; or intra-transport medical complication.Conclusions:Compared to ground transports, PEATs were used for higher risk patients.

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Section: Resultsmentioning

confidence: 99%