Preschool children who are frequent attenders in emergency departments: an observational study of associated demographics and clinical characteristics
| العنوان: | Preschool children who are frequent attenders in emergency departments: an observational study of associated demographics and clinical characteristics |
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| المؤلفون: | S Hiles, Geva Greenfield, Alan J Poots, Mitch Blair, Beverley Kugler, Charlotte Boreham, Caroline Crehan, Valencia Lim |
| المصدر: | Archives of Disease in Childhood. 103:19-23 |
| بيانات النشر: | BMJ, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | ACCIDENT, Male, medicine.medical_specialty, Epidemiology, Population, Poison control, Accident & Emergency, ILLNESS, Hospitals, General, Pediatrics, 1117 Public Health and Health Services, 03 medical and health sciences, symbols.namesake, General Paediatrics, 0302 clinical medicine, 030225 pediatrics, Injury prevention, Health services research, Humans, Medicine, 030212 general & internal medicine, Poisson regression, education, Demography, education.field_of_study, Science & Technology, business.industry, Data Collection, Attendance, Infant, 1103 Clinical Sciences, Length of Stay, United Kingdom, Hospitalization, Child, Preschool, Family medicine, Pediatrics, Perinatology and Child Health, Emergency medicine, symbols, 1114 Paediatrics and Reproductive Medicine, Female, Observational study, Emergency Service, Hospital, business, Life Sciences & Biomedicine, USERS |
| الوصف: | BackgroundUnscheduled visits to emergency departments (ED) have increased in the UK in recent years. Children who are repeat attenders are relatively understudied.AimsTo describe the sociodemographic and clinical characteristics of preschoolers who attend ED a large District General Hospital.Method/study designObservational study analysing routinely collected ED operational data. Children attending four or more visits per year were considered as ‘frequent attenders’. Poisson regression was used with demographic details (age, sex, ethnicity, sociodemographic status) to predict number of attendances seen in the year. We further analysed detailed diagnostic characteristics of a random sample of 10% of attendees.Main findings10 169 patients visited in the 12-month period with 16 603 attendances. 655 individuals attended on 3335 occasions. 6.4% of this population accounted for 20.1% of total visits. In the 10% sample, there were 304 attendances, and 69 (23%) had an underlying chronic long-standing illness (CLSI). This group were 2.4 times more likely to be admitted as inpatients compared with those without such conditions, median length of stay of 6.2 hours versus 2.5 hours (p=NS).ConclusionsFrequent ED attenders fall broadly into two distinct clinical groups: those who habitually return with self-limiting conditions and those with or without exacerbation of underlying CLSI. Both groups may be amenable to both additional nursing and other forms of community support to enhance self-care and continuity of care. Further research is required to increase our understanding of specific individual family and health system factors that predict repeat attendance in this age group. |
| تدمد: | 1468-2044 0003-9888 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2a9a51bde74c5521488491ef11977ab5 https://doi.org/10.1136/archdischild-2016-311952 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....2a9a51bde74c5521488491ef11977ab5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14682044 00039888 |
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