Utilization analysis of an observation unit for children with asthma.
Short-stay observation unit (OU) care for children with asthma has the potential to reduce hospitalization rates for this common pediatric condition.
In the effort to increase the efficiency of such a unit, knowledge of predictive factors for successful discharge is important.
1) To define clinical predictive factors determined at the time of initial presentation in the emergency department (ED) that would identify which children with asthma are most likely to be successfully discharged from an OU. 2) To compare the management provided in the initial 3 hours upon arrival at the ED between the children who are eventually successfully discharged from an OU to those who require an inpatient admission. 3) To compare the length of stay in the OU between the patients who eventually go home to those who require an inpatient admission.
Case control study.
Urban, tertiary-care pediatric ED.
From a collected database of all patients with asthma 1 to 18 years of age, presenting to the ED from July 1,1993 to June 30,1994 (n=2248), a random sample of 350 patients was identified.
All children meeting the definition of « case » or « control » from this sample were included.
Cases were defined as children with asthma who were successfully discharged after a stay in the OU.
Controls were defined as children with asthma who were not successfully discharged ; that is, children who required subsequent inpatient admission. (...)
Mots-clés Pascal : Asthme, Hospitalisation, Courte durée, Facteur prédictif, Sortie hôpital, Organisation santé, Enfant, Homme, Appareil respiratoire pathologie, Bronchopneumopathie obstructive
Mots-clés Pascal anglais : Asthma, Hospitalization, Short lasting, Predictive factor, Hospital discharge, Public health organization, Child, Human, Respiratory disease, Obstructive pulmonary disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0241146
Code Inist : 002B11B. Création : 16/11/1999.