Clin Exp Emerg Med.  2017 Jun;4(2):102-108. 10.15441/ceem.14.024.

Epidemiology of prehospital emergency medical service use in Korean children

Affiliations
  • 1Department of Emergency Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea. yhkwak@snuh.org
  • 3Department of Emergency Medicine, Seoul Medical Center, Seoul, Korea.
  • 4Department of Emergency Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
  • 5Department of Emergency Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
  • 6Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
  • 7Department of Emergency Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Abstract


OBJECTIVE
The aim of this study was to elucidate the epidemiology of pediatric patients transported by the National 119 Rescue Services in Korea.
METHODS
We enrolled all pediatric patients (<16 years old) who used the National 119 Rescue Services in Korea between January 2006 and December 2008, and analyzed the 119 ambulance patient care record databases.
RESULTS
The total number of the cases was 238,644 for 3 years. The median age was 6 years old and 59.0% were male, and the 2- to 5-year-old group was the largest (31.0%). The peak transport times were in the afternoon (from 12:00 p.m. to 17:59 p.m., 36.3%), on Saturday and Sunday (15.9% and 15.7%), and in summer (June to August, 27.3%). The ratio of disease versus injury as the cause of the transports was 42.3% vs. 57.7%. Among the 16 metropolitan cities and provinces, Gyeonggi (25.7%), Seoul (17.6%), and Incheon (7.0%) account for almost half of the all transported children. Regarding the annual transport rates per 100,000 children standardized by age, and gender to the Korean child population, Jeju was the largest (1,650.2) followed by Gangwon (1,201.3), and Jeonnam (1,178.1).
CONCLUSION
This report presents comprehensive epidemiologic data of pediatric patients transported by 119 rescue services in Korea.

Keyword

Child; Emergency medical services; Epidemiology

MeSH Terms

Ambulances
Child*
Child, Preschool
Emergencies*
Emergency Medical Services*
Epidemiology*
Gangwon-do
Gyeonggi-do
Humans
Incheon
Jeollanam-do
Korea
Male
Patient Care
Seoul
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