Volume 3, Issue 4 (Summer 2018 -- 2018)                   Health in Emergencies and Disasters Quarterly 2018, 3(4): 215-220 | Back to browse issues page


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1- Department of Health Management and Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. , shabanikiahr@mums.ac.ir
2- Department of Health Management and Economics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Abstract:   (4193 Views)

Background: Early discharge of inpatients is one of the most well-known strategies for hospital surge capacity in disasters. This study aimed to determine the rate of inpatient surge capacity created by early discharge in disasters in pediatrics departments of hospitals affiliated with Mashhad University of Medical Sciences.
Materials and Methods: This was a cross-sectional study. The study population consisted of all children (1-14 years old) admitted to the pediatrics departments of hospitals affiliated to Mashhad University of Medical Sciences. No sampling was performed and all study population including 207 children were enrolled. A researcher-made questionnaire was used to collect data. The validity of the questionnaire was verified by the relevant experts. Data collection was done by direct referring to the hospitals. The obtained data were analyzed using descriptive and inferential statistics including Pearson, Chi-square, and Mann-Whitney tests.
Results: Pediatric inpatients surge capacity created by early discharge of the four studied hospitals, including Imam Reza (AS), Ghaem (aj), Shahid Hasheminejad, Dr. Sheikh, and the total were 16(59%), 24(57%), 10(55%), 14(48%) and 64(55%) beds, respectively. There was no statistically significant relationship between the demographic variables of the patient’s doctor and his/her decision about early discharge, or between patients demographic characteristics and decision about early discharge.
Conclusion: By using early discharge of inpatient pediatrics during disasters, a notable admission capacity can be created for pediatrics casualties of disasters.

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Type of Study: Case Report | Subject: Special
Received: 2017/12/25 | Accepted: 2018/04/5 | Published: 2018/07/1

References
1. Abolghasem Gorgi H, Jafari M, Shabanikiya H, Seyedin H, Rahimi A, Vafaee-Najar A. Hospital surge capacity in disasters in a developing country: Challenges and strategies. Trauma Monthly. 2017; 22(5):e59238. [DOI:10.5812/traumamon.59238] [DOI:10.5812/traumamon.59238]
2. Koenig K, Schultz CH. Surge capacity disaster medicine: Comprehensive principles and practices. Cambridge: Cambridge University Press; 2010.
3. Pollaris G, Sabbe M. Reverse triage: More than just another method. European Journal of Emergency Medicine. 2016; 23(4):240-7. [DOI:10.1097/MEJ.0000000000000339] [PMID] [DOI:10.1097/MEJ.0000000000000339]
4. Schull MJ, Stukel TA, Vermeulen MJ, Gattmann A, Zwarenstein M. Surge capacity associated with restrictions on nonurgent hospital utilization and expected admissions during an influenza pandemic: lessons from the Toronto severe acute respiratory syndrome outbreak. Academic Emergency Medicine. 2006; 13(11):1228-31. [DOI:10.1197/j.aem.2006.04.011] [PMID] [DOI:10.1197/j.aem.2006.04.011]
5. Kelen GD, Kraus CK, McCarthy MS, Bass PE, Hsu EB, Li PG, et al. Inpatient disposition classification for the creation of hospital surge capacity: A multiphase study. Lancet. 2006. 368(9551):1984-90. [DOI:10.1016/S0140-6736(06)69808-5] [DOI:10.1016/S0140-6736(06)69808-5]
6. Fuzak JK, Elkon BD, Hampers LC, Polage KJ, Milton JD, Powers LK, et al. Mass transfer of pediatric tertiary care hospital inpatients to a new location in under 12 hours: Lessons learned and implications for disaster preparedness. The Journal of Pediatrics. 2010; 157(1):138-43. [DOI:10.1016/j.jpeds.2010.01.047] [PMID] [DOI:10.1016/j.jpeds.2010.01.047]
7. Shabanikiya H, Gorgi HA, Seyedin H, Jafari M. Assessment of hospital management and surge capacity in disasters. Trauma Monthly. 2016; 21(2):e30277. [DOI:10.5812/traumamon.30277] [PMID] [PMCID] [DOI:10.5812/traumamon.30277]
8. Allen GM, Parrillo SJ, Will J, Mohr JA. Principles of disaster planning for the pediatric population. Prehospital and Disaster Medicine. 2007; 22(6):536-40. [DOI:10.1017/S1049023X00005392] [DOI:10.1017/S1049023X00005392]
9. Antommaria AHM, Powell T, Miller JE, Christian MD. Ethical issues in pediatric emergency mass critical care. Pediatric Critical Care Medicine. 2011; 12(6):S163-8. [DOI:10.1097/PCC.0b013e318234a88b] [PMID] [DOI:10.1097/PCC.0b013e318234a88b]
10. Baren J, Rothrock S, Brennan J, Brown L. Pediatric emergency medicine. Amesterdam: Elsevier Health Sciences; 2008.
11. Gorelick M, Alessandrini EA, Cronan K, Shults J. Revised Pediatric Emergency Assessment Tool (RePEAT): A severity index for pediatric emergency care. Academic Emergency Medicine. 2007; 14(4):316-23. [DOI:10.1197/j.aem.2006.11.015] [PMID] [DOI:10.1197/j.aem.2006.11.015]
12. Horeczko T, Enriquez B, McGrath EN, Gausche-Hill M, Lewis RJ. The pediatric assessment triangle: Accuracy of its application by nurses in the triage of children. Journal of Emergency Nursing. 2013; 39(2):182-9. [DOI:10.1016/j.jen.2011.12.020] [PMID] [PMCID] [DOI:10.1016/j.jen.2011.12.020]
13. Kanter RK. Strategies to improve pediatric disaster surge response: Potential mortality reduction and tradeoffs. Critical Care Medicine. 2007; 35(12):2837-42. [DOI:10.1097/00003246-200712000-00024] [PMID] [DOI:10.1097/00003246-200712000-00024]
14. Kelen GD, Sauer L, Clattenburg E, Lewis-Newby M. Pediatric disposition classification (reverse triage) system to create surge capacity. Disaster Medicine and Public Health Preparedness. 2015; 9(3):283-90. [DOI:10.1017/dmp.2015.27] [PMID] [DOI:10.1017/dmp.2015.27]
15. Satterthwaite PS, Atkinson CJ. Using 'reverse triage' to create hospital surge capacity: Royal Darwin hospital's response to the ashmore reef disaster. Emergency Medicine Journal. 2012; 29(2):160-2. [DOI:10.1136/emj.2010.098087] [PMID] [DOI:10.1136/emj.2010.098087]
16. Geravandi S, Saidemehr S, Mohammadi MJ. [Role of increased capacity of emergency department in injury admissions during disasters (Persian)]. The Journal of Qazvin University of Medical Sciences. 2016; 20(1):75-9.
17. Geravandi S, Soltani F, Mohammadi M, Salmanzadeh S, Shirali S, Shahriari A, et al . [The effects of increasing the capacity of admission in emergency ward in increasing the rate of patient acceptance at the time of crisis (Persian)]. Armaghan-e-Danesh. 2016; 20(12):1057-69.
18. Esmailian M, Salehnia MH, Hasan Sh. Assessment of emergency department response capacity in the face of crisis; A Brief Report. Iranian Journal of Emergency Medicine. 2016; 3(4):154-8.
19. Kelen G, Troncoso R, Trebach J, Levin S, Cole G, Delaney CM, et al. Effect of reverse triage on creation of surge capacity in a pediatric hospital. JAMA Pediatrics. 2017; 171(4):e164829. [DOI:10.1001/jamapediatrics.2016.4829] [DOI:10.1001/jamapediatrics.2016.4829]
20. Van Cleve WC, Hagan P, Lozano P, Mangione-Smith R. Investigating a pediatric hospital's response to an inpatient census surge during the 2009 H1N1influenza pandemic. The Joint Commission Journal on Quality and Patient Safety. 2011; 37(8):376-82. [DOI:10.1016/S1553-7250(11)37048-1] [DOI:10.1016/S1553-7250(11)37048-1]

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