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  1. Repeat pediatric visits to a general emergency department.

    Article, Communication - En anglais

    1995 Public Health Conference on Records and Statitics of the Centers for Disease Control and National Center for Health Statistics. Washington DC (USA), 1995/07.

    Study objective 

    To determine the rate of repeat visits among children cared for in a general emergency department and associated demographic and clinical variables.

    Methods 

    We carried out a chart review of patients seen in the ED of a general hospital serving both inner-city and suburban populations.

    Our subjects were all children younger than 18 years seen in the study ED between July 1,1992, and June 30,1993 (N=4,276).

    Results 

    We found 291 repeat visits (defined as a subsequent visit within 14 days) in 245 children.

    Among the 242 repeat visits for related complaints, 200 were unanticipated and most without a clear medical need.

    Mantel-Haenszel adjusted odds ratios (MHORs) showed a significantly increased risk of repeat visit with public insurance (controlled for age : MHOR, 2.57, and 95% confidence interval [CI], 1.93 to 3.43 ; controlled for race : MHOR, 2.70, and 95% CI, 1.99 to 3.66) and age younger than 2 years (controlled for insurance : MHOR, 1.67, and 95% CI, 1.27 to 2.19 ; controlled for race : MHOR, 1.89, and 95% CI, 1.47 to 2.47).

    Conclusion 

    Repeat visits were more likely for respiratory diagnoses and less likely for minor trauma.

    Both visits and repeat visits were more likely in patients from poorer census tracts than in those from equidistant, more affluent ones.

    Mots-clés Pascal : Service hospitalier, Urgence, Pédiatrie, Epidémiologie, Consultation hospitalière, Répétition, Enfant, Homme, Taux, Etude comparative, Etats Unis, Amérique du Nord, Amérique, Soin intensif

    Mots-clés Pascal anglais : Hospital ward, Emergency, Pediatrics, Epidemiology, Hospital consultation, Repetition, Child, Human, Rate, Comparative study, United States, North America, America, Intensive care

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0016382

    Code Inist : 002B30A04A. Création : 21/05/1997.