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首页> 外文期刊>Canadian Journal of Emergency Medicine >Return visits to the pediatric emergency department: A multicentre retrospective cohort study
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Return visits to the pediatric emergency department: A multicentre retrospective cohort study

机译：回访儿科急诊科：多中心回顾性队列研究

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ObjectiveReturn visits to the emergency department (RTED) for the same clinical complaint occur in 2.7% to 8.1% of children presenting to pediatric emergency departments (PEDs). Most studies examining RTEDs have focused solely on PEDs and do not capture children returning to other local emergency departments (EDs). Our objective was to measure the frequency and characterize the directional pattern of RTED to any of 18 EDs serving a large geographic area for children initially evaluated at a PED.MethodsWe conducted a retrospective cohort study of all visits to a referral centre PED between August 2012 and August 2013. We compared demographic variables between children with and without an RTED, measures of flow and disposition outcomes between the initial (index) visit and RTED, and between RTED to the original PED versus to other EDs in the community.ResultsAmong all PED visits, 7.6% had an RTED within 7 days, of which 13% were to a facility other than the original PED. Children with an RTED had higher acuity and longer length of stay on their index visit. They were also more likely to be admitted on a subsequent visit than the overall PED population. RTED to the original PED had a longer waiting time (WT), length of stay, and more frequently resulted in hospitalization than RTED to a general ED.ConclusionsA significant proportion of RTED occur at a site other than where the original ED visit occurred. Examining RTED to and from only PEDs underestimates its burden on emergency health services.
机译：客观上，向儿科急诊科（PED）求诊的儿童中，有2.7％到8.1％的孩子因同样的临床症状而回诊急诊科（RTED）。大多数检查RTED的研究仅关注PED，而没有捕获返回其他地方急诊部门（ED）的儿童。我们的目标是测量RTED的频率并确定其在大范围为儿童提供服务的18个急诊室中的任一个急诊室的方向模式，这些急诊室最初在PED中进行了评估。 2013年8月。我们比较了有和没有RTED的儿童之间的人口统计学变量，初次（指数）访视和RTED之间，RTED与原始PED以及社区中其他ED之间的流量和处置结果的测量结果。 ，有7.6％在7天内进行了RTED，其中13％用于原始PED以外的设施。患有RTED的儿童在他们的索引访问中具有更高的敏锐度和更长的住院时间。与整个PED人群相比，他们在以后的访问中也更有可能被接纳。与普通ED相比，RTED的等待时间（WT）长，住院时间长，住院的频率更高。结论RTED发生的比例很大，而不是原始ED访问的地点。仅在PED上来回检查RTED会低估其对紧急医疗服务的负担。

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