Adhérence parentale à un service d’urgences après orientation téléphonique

Details

Ressource 1 Under indefinite embargo.
UNIL restricted access
State: Public
Version: After imprimatur
License: Not specified
Serval ID
serval:BIB_E07D39BC3988
Type
A Master's thesis.
Publication sub-type
Master (thesis) (master)
Collection
Publications
Institution
Title
Adhérence parentale à un service d’urgences après orientation téléphonique
Author(s)
FREIERMUTH M.
Director(s)
GEHRI M.
Codirector(s)
VILLOSLADA J.
Institution details
Université de Lausanne, Faculté de biologie et médecine
Publication state
Accepted
Issued date
2020
Language
french
Number of pages
8
Abstract
Background: The Centrale Téléphonique des Médecins de Garde (CTMG) is a 24-hour service call centre which specializes in evaluating, sorting and orientating children and adults with urgent and nonurgent medical problems. Parents’ calls are regulated by nurses. Little is known about parental adherence to referral following triage recommendations.
Objectives: To determine parents’ adherence with referral to the emergency department of the Hôpital de l’Enfance de Lausanne (HEL) after being referred by the nurses of the CTMG.
Design / Methods: This was a prospective and observational study. From November 4 to December 4 2019, pediatric calls (<15 years old) with urgent orientation (<2 hours) were selected. Non-urgent and life-threatening emergencies were excluded. Children orientation was then verified in the HEL emergency department, as well as their triage score (Australasian Triage Scale, ATS) and their final outcome (discharged home or hospitalised).
Results: Parental adherence to the orientation is 76% (343/451). 302/343 (88%) arrived in the emergency department within 2 hours. 169/343 (49%) were given an ATS score of 2, 3 or 4 upon arrival. 35/343 (10%) were hospitalised or needed further investigations. The 3 major call complaints were respiratory (107/451, 24%), gastrointestinal (89/451, 20%) and trauma (78/451, 17%). Median age was 2 years old. 298/451 (66%) children who were referred by CTMG were up to 3 years old or under.
Conclusion: Parental adherence to the emergency department is satisfying. This result matches with literature data (63- 83%). Also, the time period of arrival in the emergency department was respected. No cases were under-evaluated by the call centre.
Create date
09/09/2021 7:56
Last modification date
05/10/2022 5:41
Usage data