International Journal of Pediatric Otorhinolaryngology2026年7月23日

透過標準化分診減少兒童阻塞性睡眠呼吸中止症轉診至門診延遲:一項區域性品質改進計畫

// Reducing referral-to-consultation delays in pediatric obstructive sleep apnea through standardized triage: A regional quality improvement initiative

本研究針對魁北克非都市醫院兒童阻塞性睡眠呼吸中止症手術延遲問題|回顧82例發現,非標準化轉診分流是主要瓶頸,集中在轉診至初診等待時間|重度扁桃腺腫大及氧氣飽和度下降指數與手術等待時間縮短相關|建議採用標準化轉診篩選流程以提升就醫效率,符合全國標準。

// This study aimed to address delays in pediatric obstructive sleep apnea surgery in a non-urban Quebec hospital, focusing on referral-to-consultation wait times. A retrospective analysis of 82 cases identified non-standardized referral triage as the main cause of delays, particularly in the referral-to-consultation phase. Higher tonsil grade and oxygen desaturation index predicted shorter surgery wait times, highlighting the benefit of using severity markers. Implementing a standardized referral template and triage algorithm based on clinical severity is proposed to improve access and meet national benchmarks.

#Referral and Consultation#Triage#Quality Improvement#Sleep Apnea, Obstructive#Tonsillectomy#Adenoidectomy

Published 2026年7月21日

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