High-speed railway transport of critically ill children: a single-center retrospective analysis
10.3760/cma.j.issn.1673-4912.2025.09.002
- VernacularTitle:高铁转运危重患儿单中心回顾性分析
- Author:
Zhe WANG
1
;
Zhe ZHAO
1
;
Mai LI
1
;
Yingyue LIU
1
;
Hao XU
1
;
Xiaoyang HONG
1
Author Information
1. 中国人民解放军总医院儿科医学部，北京 100700
- Publication Type:Journal Article
- Keywords:
High-speed railway;
Critical illness;
Children;
Transportation of patients
- From:
Chinese Pediatric Emergency Medicine
2025;32(9):645-648
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and safety of high-speed railway (HSR) transport for critically ill pediatric patients.Methods:A single-center retrospective analysis was conducted.A total of 39 children transported via HSR (HSR group) and 420 children transported via ambulance (ambulance group) from May 2019 to December 2024 at the Seventh Medical Center of the PLA General Hospital were included.Demographic data,disease types,transport distances,and outcomes were compared between the two groups,and the vital signs,blood gas analysis,mechanical ventilation parameters,and vasoactive drug usage before and after HSR transport were also compared.Results:Over the five-year period,39 HSR transports and 420 ambulance transports were completed.No significant differences were observed in gender,age,or weight between HSR group and ambulance group( P>0.05).The proportion of circulatory system diseases was significantly higher in the HSR group (74.4% vs.55.1%, P = 0.020).HSR transports covered longer distances [855(855,1 075)km vs.84(23,273) km, P<0.001] and achieved faster speeds [150(150,216) vs.80(79,80)km/h, P<0.001].No significant differences were found in heart rate,body temperature,or diastolic pressure before and after HSR transport ( P>0.05).However,systolic blood pressure and partial pressure of oxygen increased slightly post-HSR transport [(82.97±15.44) vs.(85.15 ± 14.82)mmHg, P=0.003；(84.22±25.45)mmHg vs.(88.95±28.70)mmHg, P=0.029].Mechanical ventilation parameters remained stable during HSR transport ( P>0.05). Conclusion:HSR transport is feasible and safe for critically ill children and represents a promising option for long-distance interhospital transfers of pediatric patients.
