331 The role of ambulance in health system

The aim of our research was to investigate the diseases of 0-18 year old patients admitted to the ‘Muratsan’ University hospital complex(UHC) Intensive care unit (ICU) and toxicology for the last 7 years, including cases delivered to the hospital by the ambulance service and analysis of their final...

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Bibliographic Details
Published in:Archives of disease in childhood 2021-10, Vol.106 (Suppl 2), p.A139-A139
Main Authors: Shahumyan, Lilit, Harutyunyan, E, Aghajanyan, A, Asatryan, A, Shahumyan, H, Khachatryan, S, Atoyan, I, Sahakyan, A, Manukyan, G, Esoyan, K, Mirabyan, S, Grigoryan, M, Baveyan, B, Asoyan, V, Apresyan, H
Format: Article
Language:English
Subjects:
Abstracts
Allergies
Ambulance services
Carbon monoxide
Diabetes mellitus
Epilepsy
Hematological diseases
Hospitalization
Hospitals
Intoxication
Patients
Pediatrics
Potassium permanganate
Toxicology
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Summary:The aim of our research was to investigate the diseases of 0-18 year old patients admitted to the ‘Muratsan’ University hospital complex(UHC) Intensive care unit (ICU) and toxicology for the last 7 years, including cases delivered to the hospital by the ambulance service and analysis of their final diagnoses.A retrospective study was performed using medical charts up to 7 years (2012-2018) from ‘Muratsan’ University hospital complex(UHC) ICU and toxicology. The overall number of patients was 5152, among them 3074 were male and 2078 were female. In this study we have included the most typical diseases (pathologies) for each particular season. This study included cases delivered to the hospital by the ambulance service and analysis of their final diagnoses.According to the results of our study, 1695(32,8%) patients were hospitalized with an ambulance: 164(9,7%) of them had Acute respiratory infections(ARI), 780(46%) had Acute Intoxications(AI), which is seasonal and includes mostly carbon monoxide(CO) intoxication, KMnO4, flavor essence and alcohol poisoning. 375(22,1%) patients had Acute Drug Intoxications(ADI), 81(4,8%) had complaints of allergy. 295(17,4%) of patients had other disorders*. Patients were divided into 4 age groups (0 -1; 1-7; 7-14; 14-18), the first group-189, the second-922, the third-334 and the fourth-250. 669 (39.5%) of cases were moderate, 968 (57.1%)-heavy and 22 (1.3%)-extremely heavy (two of which ended in death), 36 (2.1%) cases have not been reported.*Diabetes mellitus, epilepsy, cancer, hematological disorders, etc.We found out that the two most common diagnoses of patients who were admitted to the hospital by ambulance are ADI and AI independent of the season. The prevalence of moderate cases is also high, which may be related to the level of care provided by parents to their children. Low mortality level of extremely heavy patients who were arrived at the hospital by ambulance lets us consider about the quality of ambulance function.
ISSN:0003-9888
1468-2044
DOI:10.1136/archdischild-2021-europaediatrics.331