Emergency care for children in pediatric and general emergency departments.

Emergency care for children in pediatric and general emergency departments. Research Abstract Details 

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Emergency care for children in pediatric and general emergency departments. Abstract Text:

Florence T Bourgeois,Michael W Shannon,

OBJECTIVE: We examine the pediatric emergency department (ED) population and their clinical course in pediatric versus general EDs and identify potential factors contributing to differences in performance metrics between the 2 ED settings. METHODS: This was a retrospective analysis of pediatric visits to nationally representative EDs participating in the National Hospital Ambulatory Medical Care Survey from 1995 to 2002. Differences between pediatric and general EDs were examined in terms of patient characteristics and clinical course. RESULTS: Pediatric EDs treated more children with medical problems than general EDs, which treated more children with injuries. Visits by children to pediatric EDs were associated with longer wait times to see a physician (median, 40 vs. 25 minutes; P < 0.001) and longer stays in the ED (median, 130 vs. 98 minutes; P = 0.006). In multivariate analysis, the type of ED treating a pediatric patient was a significant determinant of wait time (percent change for pediatric EDs, 23.1; 95% confidence interval [CI], 3.4-46.6), length of stay (percent change for pediatric EDs, 23.0; 95% CI, 5.1-43.9), and rate of discharge (odds ratio for pediatric EDs, 0.75; 95% CI 0.61-0.92). Children in pediatric EDs seemed to be sicker than those in general EDs. CONCLUSIONS: These data provide the first glimpse of health care delivery to children seen in EDs nationally. Our findings indicate that significant differences exist between pediatric visits to pediatric and general EDs. These findings may be useful in establishing performance metrics for the care of ill and injured children in both pediatric and general EDs.

Emergency care for children in pediatric and general emergency departments. Publishing Authors By Initials

FT Bourgeois,MW Shannon,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Emergency care for children in pediatric and general emergency departments. Journal Published:

PUBLICATION TYPE: Research Support, N.I.H., Extr

Journal: Pediatric emergency care

VOLUME: 23

Page Numbers: 94-102

Journal Abbreviation:

ISSN: 1535-1815

DAY: 3

MONTH: Feb

YEAR: 2007

Emergency care for children in pediatric and general emergency departments. Information

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LANGUAGE: eng

NlmUniqueID: 8507560

Emergency care for children in pediatric and general emergency departments. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: trends

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Grant and Affiliation Information for Emergency care for children in pediatric and general emergency departments.

AFFILIATION: Division of Emergency Medicine, Children's Hospital Boston, Boston, MA 02115, USA. florence.bourgeois@childrens.harvard.edu

Country: United States

AGENCY: United States NICHD

GRANT: 5 T32 HD40128-04

ACRONYM: HD

MEDLINETA: Pediatr Emerg Care

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