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[Demand for paediatric emergency care in a community hospital]
José Luis Muñoz García1, José Manuel Fandiño Orgeira, José Antonio Díaz Peromingo
1Servicio de Urgencias. Hospital da Barbanza. Riveira. A Coruña. España.
Insights
Pediatric emergency room visits are common, with most children treated for infections or trauma and discharged home. Emergency doctors signing most discharges highlights the need for ongoing training in pediatric emergency care.
Area of Science:
- Pediatrics
- Emergency Medicine
- Healthcare Management
Background:
- Community hospitals manage significant pediatric emergency demand.
- Understanding patient demographics and care patterns is crucial for optimizing services.
Purpose of the Study:
- To characterize pediatric emergency demand and care delivery at a community hospital.
- To analyze patient demographics, pathologies, and discharge outcomes.
Main Methods:
- Retrospective review of 1330 pediatric emergency room cases from 2006.
- Data collected included age, sex, arrival time, pathology, discharge destination, and staff involved.
Main Results:
- Higher demand observed during afternoon shifts (45%).
- Infectious diseases and trauma were primary reasons for visits.
- Most children (94%) were discharged home, with emergency physicians signing 60.7% of discharges.
Conclusions:
- Pediatric emergency care is frequently utilized by young children, particularly boys.
- Afternoon visits may correlate with parental availability.
- The high rate of discharges signed by emergency physicians underscores the need for continuous professional development in pediatric emergency medicine.
Objective:
To study the characteristics of paediatric emergency demand and care delivery in the emergency room of a community hospital.
Design:
Analysis of the care demand and medical attention given to pediatric patients in an emergency room during 2006. Retrospective review of patients' medical reports.
Setting:
Emergency room, Hospital da Barbanza, Riveira, A Coruña, Spain.
Participants:
Random selection of 1330 patients from 3990 cases attended in 2006.
Main Measurements:
Age, sex, time of arrival at the emergency room, type of pathology, medical-surgical area, destination on discharge, which medical staff signed the discharge, and length of stay in the emergency room.
Results:
There were 731 men and 599 women. Demand was greater on the afternoon shift (45%). Discharge destination was mainly to home (94%), with the emergency medical staff signing it in 60.7% of cases and the pediatrician in 34.6%. Children aged 6 or more suffered mainly from trauma; and younger children, from infectious diseases. There were no statistically significant differences between age groups for length of stay in the emergency room, but patients attended by pediatricians stayed longer.
Conclusions:
There was a clear majority of little children, especially boys, in our study. Higher afternoon attendance probably occurs because of greater time availability of parents and children. Main causes of emergency pediatric care are infectious diseases and trauma. The child's home is the most frequent destination on discharge. The fact that most discharges are signed by the emergency doctor, together with the increase in emergency paediatric care in recent years, points to the need for constant updating of this medical area by emergency doctors.
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