The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study

Abstract It is widely acknowledged that efficiency of pediatric critical care transport plays a vital role in treatment of critically-ill children. In developing countries, most critically-ill children were transported by ambulance, and a few by air, such as a helicopter or fixed airplane. High-spee...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Zhe Zhao, Yingyue Liu, Baowang Yang, Huiling Zhang, Xiaohong Liu, Yanjuan Zhu, Xiaoyang Hong, Zhichun Feng
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a2961b35cf4e41bc9f42c79cdb5c2aca
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a2961b35cf4e41bc9f42c79cdb5c2aca
record_format	dspace
spelling	oai:doaj.org-article:a2961b35cf4e41bc9f42c79cdb5c2aca2021-12-02T17:17:40ZThe safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study10.1038/s41598-021-98944-32045-2322https://doaj.org/article/a2961b35cf4e41bc9f42c79cdb5c2aca2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98944-3https://doaj.org/toc/2045-2322Abstract It is widely acknowledged that efficiency of pediatric critical care transport plays a vital role in treatment of critically-ill children. In developing countries, most critically-ill children were transported by ambulance, and a few by air, such as a helicopter or fixed airplane. High-speed train (HST) transport may be a potential choice for critically-ill children to a tertiary medical center for further therapy. This is a single-center, retrospective cohort study from June 01, 2016 to June 30, 2019. All the patients transported to the Pediatric Intensive Care Unit (PICU) of PLA general hospital were divided into two groups, HST group and ambulance group. The propensity score matching method was performed for the comparison between the two groups. Finally, a 2:1 patient matching was performed using the nearest-neighbor matching method without replacement. The primary outcome was hospital mortality. Secondary outcomes included duration of transport, transport cost, hospital stay, and hospitalization cost. A total of 509 critically-ill children were transported and admitted. Of them, 40 patients were transported by HST, and 469 by ambulance. The hospital mortality showed no difference between the two groups (p > 0.05). The transport distance in the HST group was longer than that in the ambulance group (1894.5 ± 907.09 vs. 902.66 ± 735.74, p < 0.001). However, compared to the HST group, the duration of transport time by ambulance was significantly longer (p < 0.001). No difference in vital signs, blood gas analysis, and critical illness score between groups at admission was noted (p > 0.05). There was no death during the transport. There was no difference between groups regarding the transport cost, hospital stays, and hospitalization cost (p > 0.05). High-quality tertiary medical centers are usually located in megacities. HST transport network for critically-ill children could be established to cover most regions of the country. Without increasing financial burden, HST medical transport can be a potentially promising option to improve the outcomes of critically-ill children in developing countries with developed HST network. Clinical Trial Registration: This study was registered at http://www.chictr.org.cn/index.aspx (chiCTR.gov; Identifier: ChiCTR2000032306).Zhe ZhaoYingyue LiuBaowang YangHuiling ZhangXiaohong LiuYanjuan ZhuXiaoyang HongZhichun FengNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Zhe Zhao Yingyue Liu Baowang Yang Huiling Zhang Xiaohong Liu Yanjuan Zhu Xiaoyang Hong Zhichun Feng The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
description	Abstract It is widely acknowledged that efficiency of pediatric critical care transport plays a vital role in treatment of critically-ill children. In developing countries, most critically-ill children were transported by ambulance, and a few by air, such as a helicopter or fixed airplane. High-speed train (HST) transport may be a potential choice for critically-ill children to a tertiary medical center for further therapy. This is a single-center, retrospective cohort study from June 01, 2016 to June 30, 2019. All the patients transported to the Pediatric Intensive Care Unit (PICU) of PLA general hospital were divided into two groups, HST group and ambulance group. The propensity score matching method was performed for the comparison between the two groups. Finally, a 2:1 patient matching was performed using the nearest-neighbor matching method without replacement. The primary outcome was hospital mortality. Secondary outcomes included duration of transport, transport cost, hospital stay, and hospitalization cost. A total of 509 critically-ill children were transported and admitted. Of them, 40 patients were transported by HST, and 469 by ambulance. The hospital mortality showed no difference between the two groups (p > 0.05). The transport distance in the HST group was longer than that in the ambulance group (1894.5 ± 907.09 vs. 902.66 ± 735.74, p < 0.001). However, compared to the HST group, the duration of transport time by ambulance was significantly longer (p < 0.001). No difference in vital signs, blood gas analysis, and critical illness score between groups at admission was noted (p > 0.05). There was no death during the transport. There was no difference between groups regarding the transport cost, hospital stays, and hospitalization cost (p > 0.05). High-quality tertiary medical centers are usually located in megacities. HST transport network for critically-ill children could be established to cover most regions of the country. Without increasing financial burden, HST medical transport can be a potentially promising option to improve the outcomes of critically-ill children in developing countries with developed HST network. Clinical Trial Registration: This study was registered at http://www.chictr.org.cn/index.aspx (chiCTR.gov; Identifier: ChiCTR2000032306).
format	article
author	Zhe Zhao Yingyue Liu Baowang Yang Huiling Zhang Xiaohong Liu Yanjuan Zhu Xiaoyang Hong Zhichun Feng
author_facet	Zhe Zhao Yingyue Liu Baowang Yang Huiling Zhang Xiaohong Liu Yanjuan Zhu Xiaoyang Hong Zhichun Feng
author_sort	Zhe Zhao
title	The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
title_short	The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
title_full	The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
title_fullStr	The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
title_full_unstemmed	The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
title_sort	safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/a2961b35cf4e41bc9f42c79cdb5c2aca
work_keys_str_mv	AT zhezhao thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT yingyueliu thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT baowangyang thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT huilingzhang thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT xiaohongliu thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT yanjuanzhu thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT xiaoyanghong thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT zhichunfeng thesafetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT zhezhao safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT yingyueliu safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT baowangyang safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT huilingzhang safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT xiaohongliu safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT yanjuanzhu safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT xiaoyanghong safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy AT zhichunfeng safetyandefficacyofhighspeedtraintransportforcriticalchildrenaretrospectivepropensityscorematchingcohortstudy
_version_	1718381161007284224

The safety and efficacy of high-speed train transport for critical children: a retrospective propensity score matching cohort study

Ejemplares similares