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Abstract PD-010: EVALUATION OF OUTCOME AND TRANSFER OF TIME CRITICAL NEUROSURGICAL TRANSFERS PERFORMED BY SPECIALIZED PAEDIATRIC RETRIEVAL SERVICE VERSUS LOCAL TEAMS

saxena, R.1; Ramnarayan, P.1

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 31
doi: 10.1097/01.pcc.0000537412.08473.a9
Poster Discussion Abstracts
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1Great Ormond Street Hospital for Children, Children Acute Transport Service, London, United Kingdom

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Aims & Objectives:

To evaluate time critical transfers for neurosurgical emergencies which were performed by the specialised retrieval service as compared to local team, and to evaluate if local team transport offers timely transfer to neurosurgical centre.

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Methods

Setting and Participants: We analysed details for patients referred to Children Acute Transport Service (CATS), based at Great Ormond Street Hospital, London in the interval 2012–2017, and transported either by CATS (group 1) or local team (group 2). Time critical transfers were defined as those who were transported for urgent neurosurgical intervention (that occurred within 24 hours of PICU admission).

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Results

In group 1, the median (range) time from referral to admission was 03:50 hours (01:12-09:51); in group 2, 03:33 hours (00:30-06:39 hrs) (p 0.607). There was minimal difference in terms of mean duration of ICU stay: group 1: 7 days 22 hours versus group 2: 6 days 11 hrs (p 0.298), with similar death rates (group 1: 10.71% vs group 2:11.9%). The median (IQR) distance between referring hospital and neurosurgical centre was 7.85 miles(3.5–16.27).

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Conclusions

As per current recommendations, transfer for neurosurgical emergencies should be preferably transported by local team, since it is thought to offer a timely transfer. But on analysis of our data, it does not seem to offer significant temporal advantage, and the need for local team retrieval over specialist team retrieval as a policy may need to be revisited.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies