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Effect of paediatric retrieval service on clinical activity
EDITOR,--The correspondence1 generated by the report by Joseph Britto and colleagues on a specialised paediatric retrieval service2 prompts us to highlight the effect that such a service has had on our clinical activity. We have assessed the increased workload generated by our paediatric retrieval service by comparing the outside referrals to our unit over two consecutive two year periods, 1992-3 (before the start of the service) and 1994-5 (when the service was operating).
Comparison of data by calendar month (for example, January 1993 compared with January 1994) showed that the median number of patient episodes per month increased after the introduction of the service (20.0 v 35.5, P<0.0001), as did the median number of bed days per month (83.0 v 177.5, P<0.001, Mann-Whitney U test). Not only did the number of referrals for paediatric intensive care increase but a higher proportion of patients were retrieved (median retrieved each month in
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BMJ 1996 312: 119.[Extract] [Full Text]
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