First Results of Assessing the Quality of Medical Care at Pre-Hospital and Hospital Stages for Children with Acute Allergic Pathology

Background. Differential diagnosis of exacerbations of allergic diseases in children at pre-hospital and hospital stages of rendering emergency medical care (EMC) remains a relevant issue. One of the reasons is that medical care does not always comply with current clinical guidelines.Objective. Our...

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Published in:	Pediatricheskai͡a︡ farmakologii͡a︡ : nauchno-prakticheskiĭ zhurnal Soi͡u︡za pediatrov Rossii Vol. 15; no. 1; pp. 32 - 42
Main Authors:	Namazova-Baranova, Leyla S., Vishneva, Elena A., Dokhshukaeva, Zharadat I., Alekseeva, Anna A., Efendieva, Kamilla E., Levina, Julia G., Dobrynina, Elena А., Dyakonova, Elena Yu, Romanova, Ekaterina A., Mezhidov, Kazbek S., Romanov, Aleksey Yu
Format:	Journal Article
Language:	English Russian
Published:	Union of pediatricians of Russia 26-02-2018
Subjects:	acute allergic pathology children clinical guidelines first aid inpatient care pre-hospital care
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Summary:	Background. Differential diagnosis of exacerbations of allergic diseases in children at pre-hospital and hospital stages of rendering emergency medical care (EMC) remains a relevant issue. One of the reasons is that medical care does not always comply with current clinical guidelines.Objective. Our aim was to analyze the quality of emergency medical care for children with acute allergic pathology.Methods. A retrospective study with a retrospective analysis and extraction of data from medical records (in 2 stages) was conducted.Results. The study analyzed the data of 595 children with acute allergic pathology who applied for emergency medical care (girls — 215; 36.13%). The average age of patients was 43.12 ± 41.09 months, 455 (76.47%) were under 5 years of age. 513 (86.22%) children applied for medical care for the first time, 24 (4.03%) children — for the second time; in 58 (9.75%) emergency team call records, this column was not filled. Based on the complaints and diagnoses indicated in the medical documentation, the children were divided into 3 groups: Croup, Cutaneous Manifestations of Allergy, and Bronchopulmonary Manifestations. We analyzed the reliability and validity of final diagnoses made at pre-hospital and hospital stages and assessed the adequacy of the carried out pharmacotherapy.Conclusion. According to our study, the quality of medical care at pre-hospital and hospital stages does not always correspond to current standards, algorithms, and available clinical guidelines.
ISSN:	1727-5776 2500-3089
DOI:	10.15690/pf.v15i1.1841