Advertisement

Intensive Care Medicine

, Volume 29, Issue 9, pp 1555–1559 | Cite as

Problems in interhospital pediatric intensive care transport in The Netherlands: results from a survey of general pediatricians

  • G. D. Vos
  • F. H. M. Nieman
  • A. M. B. Meurs
  • D. A. Van Waardenburg
  • G. Ramsay
  • R. A. M. G. Donckerwolcke
Neonatal and Pediatric Intensive Care

Abstract

Objective

Interhospital pediatric intensive care transport accompanied by non-trained specialists usually occurs with inadequate equipment and has been associated with high incidence of complications. These facts have serious consequences for patients but also can be very disconcerting for specialists. This survey was undertaken to gain insight into the problems encountered in organizing pediatric intensive care transport in The Netherlands to measure the specialist's satisfaction or dissatisfaction with the current state of affairs in the organization of such transports, and additional workload and feelings of insecurity experienced during self-organized transports.

Design

Survey, retrospective.

Setting

A postal questionnaire sent to all pediatricians of community hospitals in The Netherlands.

Methods

Results of direct questioning are given as discrete frequencies. After factor and reliability analysis 5-point Likert scale items are summed up in scale constructions. Relationships between scales are examined in regression analysis.

Results

Pediatricians appear to be satisfied with current specialist retrieval teams if these teams are available in their region, and highly dissatisfied if not available. Many nontrained specialists consider these transports burdening tasks with a high workload, and they feel insecure during these transports, especially if they report lack of knowledge of the transport equipment.

Conclusions

The need for pediatric specialist retrieval teams in The Netherlands is seen not only in the insufficient level of care delivered by accompanying nontrained specialists and the reported high incidence of complications as shown in the literature but also in the dissatisfaction and high stress of these specialists.

Keywords

Pediatric interhospital transport facilities Accompanying specialist Satisfaction on interhospital transport 

References

  1. 1.
    Pearson G, Shann F, Barry P, Vyas J, Thomas D, Powell C, Field D (1997) Should paediatric intensive care be centralised? Trent versus Victoria. Lancet 349:1213–1217PubMedGoogle Scholar
  2. 2.
    Pollack, MM, et al (1991) Improved outcomes from tertiary center pediatric intensive care: a statewide comparison of tertiary and nontertiary care facilities. Crit Care Med 19:150–159PubMedGoogle Scholar
  3. 3.
    Gemke RJ, Bonsel GJ (1995) Comparative assessment of pediatric intensive care: a national multicenter study. Pediatric Intensive Care Assessment of Outcome (PICASSO) Study Group. Crit Care Med 23:238–245PubMedGoogle Scholar
  4. 4.
    Gemke RJ (1997) Centralisation of paediatric intensive care to improve outcome. Lancet 349:1187–1188PubMedGoogle Scholar
  5. 5.
    Barry PW, Ralston C (1994) Adverse events occurring during interhospital transfer of the critically ill. Arch Dis Child 71:8–11PubMedGoogle Scholar
  6. 6.
    Britto J, Nadel S, Maconochie I, Levin M, Habibi P (1995) Morbidity and severity of illness during interhospital transfer: impact of a specialised paediatric retrieval team. BMJ 311:836–839PubMedGoogle Scholar
  7. 7.
    Bellingan G, Olivier T, Batson S, Webb A (2000) Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients. Intensive Care Med 26:740–744CrossRefPubMedGoogle Scholar
  8. 8.
    Booy R, Habibi P, Nadel S, de Munter C, Britto J, Morrison A, Levin M (2001) Reduction in case fatality rate from meningococcal disease associated with improved healthcare delivery. Arch Dis Child 85:386–390PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • G. D. Vos
    • 1
  • F. H. M. Nieman
    • 2
  • A. M. B. Meurs
    • 3
  • D. A. Van Waardenburg
    • 1
  • G. Ramsay
    • 4
  • R. A. M. G. Donckerwolcke
    • 1
  1. 1.Department of PediatricsUniversity Hospital MaastrichtMaastrichtThe Netherlands
  2. 2.Clinical Epidemiology and Medical Technology AssessmentUniversity Hospital MaastrichtMaastrichtThe Netherlands
  3. 3.Department of PediatricsAtrium Medical CentreHeerlenThe Netherlands
  4. 4.Department of Intensive CareUniversity Hospital MaastrichtMaastrichtThe Netherlands

Personalised recommendations