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Published on: April 7, 2023
[Pediatric medical emergencies: clinical classification on basis of severity of illness, distribution between work
J N Di Marco1, J F Laude, L Castanier
1Service de Pédiatrie, Centre Hospitalier du Pays d'Aix-en-Provence.
Insights
Pediatric emergency units see more minor issues on non-work days, with most hospitalizations for less urgent needs. Improving patient education and doctor-hospital collaboration can help manage emergency unit flow.
Area of Science:
- Pediatric Emergency Medicine
- Healthcare Management
- Public Health
Context:
- Analysis of one year of activity in a non-university hospital's pediatric emergency unit.
- Focus on patient severity and workload distribution across work and non-work days.
Purpose:
- To assess the nature and severity of pediatric admissions.
- To analyze the distribution of non-programmed medical and surgical activities.
- To understand patterns of emergency unit utilization.
Summary:
- A significant increase in consultations for minor pediatric issues was observed on non-work days.
- The majority of hospitalizations were for conditions of relative, rather than critical, emergency.
- Prospective classification identified 5 degrees of emergency for admitted children.
Impact:
- Suggests a 'day-hospital' model could reduce unnecessary hospitalizations.
- Highlights the challenge of managing emergency unit patient flow.
- Emphasizes the need for better population education and enhanced physician-hospital collaboration to optimize pediatric emergency care.
Objectives:
Assess one year of activity in a pediatric medical emergency unit of a non-university hospital to detail the degree of gravity of patients admitted to pediatric wards and the distribution of non-programmed activity between and work days and non-work days.
Methods:
Prospective classification into 5 degrees of emergency of all admitted children and count of non-programmed medical and surgical activity.
Results:
A significantly growing number of consultations for minor problems was observed during non-work days. Most hospitalizations were for problems of a rather relative emergency nature.
Conclusion:
The creation of a "day-hospital" would allow evaluation and/or treatment of a large number of pediatric patients without requiring hospitalization. The problem of controlling the flow of consultations to the hospital remains a difficult problem. The many reasons leading to hospital consultation are poorly assessed. It appears indispensable to promote population "education" and development of closer physician's office-hospital collaboration.
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