To estimate the use of a pediatric ED observation unit, including the number of anticipated admissions per 10,000 pediatric ED visits per year and the distribution of those admissions by age group, by month, and by time of day.
Hospital and ED computer records on all ED patients younger than 18 years who were seen during a 2-year period were ed for diagnostic, demographic, and time-flow data.
We retrospectively reviewed the charts of patients admitted to the hospital and discharged within 24 hours to determine whether discharge in less than 24 hours could have been anticipated and whether the patient could have been cared for in a pediatric ED observation unit.
To refine the estimate, we also reviewed the ICD-9 discharge diagnoses of patients who were not admitted to the hospital but spent more than 6 hours in the pediatric ED.
Of 29,667 pediatric ED visits in a 2-year period, 2,940 (10%) resulted in admission.
Of 626 patients discharged in less than 24 hours, only 410 met the anticipation and pediatric ED observation unit level of care criteria.
Patients younger than 4 years represented 43% of potential observation unit patients ; those aged 16 and 17 years represented 15%. Potential use of an observation unit varied throughout the year.
Admission occurred between 3 and 11 : 59 PM in 60% of the patients. (...)
Mots-clés Pascal : Urgence, Enfant, Homme, Admission hôpital, Estimation, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Emergency, Child, Human, Hospital admission, Estimation, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0339995
Code Inist : 002B30A01C. Création : 12/09/1997.