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Published on: September 24, 2020
[Respiratory distress in pediatric admission and emergency services. Epidemiology and evaluation criteria]
Insights
Emergency departments saw more pediatric patients with acute dyspnea. This review highlights the need for standardized treatment and severity assessment algorithms to guide hospitalization decisions for children.
Area of Science:
- Pediatric Emergency Medicine
- Respiratory Medicine
Background:
- Emergency units experienced increased activity attributed to a rise in infants and children admitted for acute dyspnea.
- This review synthesizes published data and local experience from a French pediatric emergency unit.
Purpose of the Study:
- To present epidemiological data on pediatric acute dyspnea.
- To discuss available tools for practitioners to aid hospitalization decisions.
- To propose improvements in managing pediatric emergency cases.
Main Methods:
- Literature review of published reports.
- Analysis of clinical experience from a pediatric emergency unit in Rouen, France.
- Epidemiological data compilation.
Main Results:
- Increased admissions of infants and children for acute dyspnea were observed.
- Current practices and available resources for managing these cases were evaluated.
Conclusions:
- Standardized treatment algorithms are needed in pediatric emergency units.
- Severity evaluation tools should be developed and validated to optimize hospitalization decisions for children with acute dyspnea.
Abstract:
The medical part of the activity in the emergency units increased and has been ascribed to the raised number of infants or children admitted for acute dyspnea. This review is based on the published reports and the experience from the paediatric emergency unit from the Rouen area with 450,000 inhabitants, in France. We put forward the known epidemiological data and discussed the available means for the practitioner, which could help him in the decision to hospitalize. This review suggests that algorithms of treatment and severity evaluations must be set up in paediatric emergency units in order to validate them and specify the children who requires hospitalisation.
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