ĐẶC ĐIỂM CHUYỂN VIỆN VÀ ĐIỀU TRỊ BAN ĐẦU Ở TRẺ TỬ VONG TRONG 24 GIỜ ĐẦU TẠI KHOA CẤP CỨU, BỆNH VIỆN NHI ĐỒNG 1

Abstract

Objective: To evaluate the status of inter-hospital transfers and describe initial emergency interventions in pediatric patients who died within the first 24 hours of admission to the Emergency Department at Children's Hospital 1. Materials and methods: A retrospective descriptive case series study was conducted on 116 pediatric patients (<16 years) who died within the first 24 hours of admission to the Emergency Department at Children's Hospital 1, from January 1, 2021, to December 31, 2023. Results: Of the 116 pediatric deaths, 58 (50%) were transferred from other healthcare facilities. Among them, 100% received medical interventions before the transfer, 98.3% (57/58) were accompanied by medical staff, and 60.3% (35/58) had stable clinical conditions prior to transfer. The safe transfer rate was only 43.1%. The most common issues at the time of admission were respiratory failure (94.8%), shock (90.5%), and altered consciousness (87.1%). All 116 patients received respiratory support upon admission, with 87.9% requiring invasive ventilation via endotracheal intubation and 60.3% requiring cardiopulmonary resuscitation. Conclusion: The safe inter-hospital transfer rate remains low, indicating the need to focus on stabilizing clinical conditions before transfers and training medical staff in managing complications during transfers. Additionally, efforts should be made to improve the early recognition and management of emergency conditions such as respiratory failure, shock, and altered consciousness in the Emergency Department.