PO-0269 Characteristics Of Clinical Pathways And Emergency Care In Paediatric Surgical Pathology In Lombardy

Abstract

by an high complexity and a considerable emotional impact. Clinical experience shows that parents are often turned away from the emergency room because they were considered an obstacle. Objective Investigate the behaviour of some hospitals about the management of parents during cardiopulmonary resuscitation in paediatric subjects. Materials and Methods Deliver a questionnaire to the nurse coordinators of 19 Italian hospital. Results The questionnaire had a response rate equal to 89.4%, corresponding to 17 hospitals.23.5% of hospitals admit the presence of both parents during all phases of resuscitation without age limits, while 17,7% of the structures do not allow the parental presence because of the possible fear created by the anxiety of parents, for the inadequacy of the spaces within the operational units and the perception that parents can potentially be an obstacle for health professionals during the resuscitation procedures.The remaining 58.8% have a favourable opinion about the possibility of guaranteeing to the paediatric patient, without any age limit, the presence of parents during all phases of the cardiopulmonary resuscitation but difficulties arise to make such a guarantee for the inadequacy of the spaces, for difficulties in managing the behaviour of the relatives especially in regards of anxiety and for the absence of any psychological support figure. Conclusions It's necessary that all the hospitals in any way involved into the primary care process shall act in conformity with common management protocols concerning this theme. Background The clinical and emergency care daily activities show that only a fraction of children with urgent surgical pathology access to dedicated paediatric centres while most of the diagnostic, therapeutic and emergency care takes place at facilities not necessarily specialised in the treatment of paediatric acute illness; as it should be as per regional and national legislation. Objective Analyse the care pathways of children hospitalised for urgent surgical pathology (appendicitis, hypertrophic pyloric stenosis). Materials and methods Structured survey delivered to 93 hospitals in Lombardy. Results The response rate was equal to 79.7%, corresponding to 74 facilities: the appendectomy was performed in 90.5% (n = 67) and the surgical correction of HPS was performed in 17.6% (n = 13) of cases. PO-0269 CHARACTERISTICS OF CLINICAL PATHWAYS AND EMERGENCY CARE IN PAEDIATRIC SURGICAL PATHOLOGY IN LOMBARDYThe hospitalisation was in 14.9% of cases (n = 10) at the paediatric surgery department, 56.7% (n = 38) at paediatrics department, 4.5% (n = 3) at general surgery department having rooms dedicated to children and 23.9% (n = 16) at general surgery department without paediatrics dedicated rooms. Discussion The analysis shows that the regional and national legislation is disregarded: it is alarming the attitude of 19 hospitals that hospitalise children in unsuitable environments, with rooms shared with adults and aged patients and the correlated risk of adopting care pathways "...