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Introduction <p>While the care of critically ill adults has gained increased attention in recent years, comparatively little research has been conducted on the organization and structure of care for non-trauma critically ill children and adolescents. This survey examines the current state of pediatric emergency care by comparing pediatric emergency departments (PedED) and emergency departments (ED).</p> Materials and methods <p>This nationwide cross-sectional study was developed as an online survey by the “Pediatric Emergency Department” and “Resuscitation Room” working groups of the German Society for Emergency Medicine (DGINA). The survey targeted the heads of ED and PedED in German hospitals and included questions on structural provisions, organizational aspects, staffing, as well as diagnostic and therapeutic resources.</p> Results <p>Out of 338 responses, 231 were analyzed according to defined criteria (ED: <i>n</i> = 141 (61%) vs. PedED: <i>n</i> = 90 (39%)). The responses indicate that non-trauma emergencies are treated in the ED resuscitation room in both ED and PedED responses. In PedED, the proportion of staff per (early) shift with pediatric resuscitation training exceeding 50% was established in more than 80% of responses (<i>p</i> &lt; 0.0001, 95% confidence interval (CI) 71.1–90.4%), whereas in EDs, this proportion was below half of the staff. Conversely, emergency specialist nursing was consistently available in two-thirds of ED shifts for the care of critically ill patients in the resuscitation room, compared to less than 14% in PedED (<i>p</i> &lt; 0,0001, 95% CI 7.2–24.9%).</p> Conclusion <p>The results of this survey highlight the need for standardized protocols for the care of critically ill children in German emergency departments. The development of specific guidelines and training programs for interdisciplinary teams could help to optimize this heterogeneous care landscape, avoid duplicate structures, and streamline care pathways.</p>

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Versorgungsrealität kritisch kranker Kinder und Jugendlicher in deutschen Notaufnahmen: Ergebnisse einer bundesweiten Umfrage

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年8月19日

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  • Domagoj Schunk,
  • Carsten Bölke,
  • Akvile Juskeviciute,
  • Milda Aleknonyte Resch,
  • Bernhard Kumle,
  • Alina Balandin,
  • Patrick Langguth,
  • Juliane Tautz,
  • Martin Pin,
  • Michael Bernhard,
  • Mark Michael

摘要

Introduction

While the care of critically ill adults has gained increased attention in recent years, comparatively little research has been conducted on the organization and structure of care for non-trauma critically ill children and adolescents. This survey examines the current state of pediatric emergency care by comparing pediatric emergency departments (PedED) and emergency departments (ED).

Materials and methods

This nationwide cross-sectional study was developed as an online survey by the “Pediatric Emergency Department” and “Resuscitation Room” working groups of the German Society for Emergency Medicine (DGINA). The survey targeted the heads of ED and PedED in German hospitals and included questions on structural provisions, organizational aspects, staffing, as well as diagnostic and therapeutic resources.

Results

Out of 338 responses, 231 were analyzed according to defined criteria (ED: n = 141 (61%) vs. PedED: n = 90 (39%)). The responses indicate that non-trauma emergencies are treated in the ED resuscitation room in both ED and PedED responses. In PedED, the proportion of staff per (early) shift with pediatric resuscitation training exceeding 50% was established in more than 80% of responses (p < 0.0001, 95% confidence interval (CI) 71.1–90.4%), whereas in EDs, this proportion was below half of the staff. Conversely, emergency specialist nursing was consistently available in two-thirds of ED shifts for the care of critically ill patients in the resuscitation room, compared to less than 14% in PedED (p < 0,0001, 95% CI 7.2–24.9%).

Conclusion

The results of this survey highlight the need for standardized protocols for the care of critically ill children in German emergency departments. The development of specific guidelines and training programs for interdisciplinary teams could help to optimize this heterogeneous care landscape, avoid duplicate structures, and streamline care pathways.