Too old for a paediatric emergency department? It’s complex
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|Title:||Too old for a paediatric emergency department? It’s complex||Authors:||Bennett, Michael; Vecchia, Claudio Dalla; Blackburn, Carol; Walsh, Sean; Barrett, Michael||Permanent link:||http://hdl.handle.net/10197/12343||Date:||Nov-2020||Online since:||2021-07-23T15:30:20Z||Abstract:||Background: In Ireland, the paediatric emergency department (PED) is tasked with acute healthcare provision to children and adolescents under 16 years of age. The population > 15 years attending the PED remains undescribed. Aims: The objective of the study is to describe the presentations of patients > 15 years to the PED of a national tertiary academic paediatric hospital. Methods: A retrospective review of electronic records identifying all patients (> 15 years) who presented from January 2014 to December 2015. Patient demographics, presenting complaint, diagnosis, treatment and disposition were recorded. Results: A total of 71,082 patients attended during the study period; of whom, 426 (0.6%) patients were aged 16 to 61 years. Over half were identified as having clearly defined chronic complex conditions. Three hundred and forty-five (89%) patients were known to the hospital paediatric services and under the care of specialist with 131 (34%) patients admitted locally, all of whom had chronic complex conditions (CCC). There was a total of 44 (11%) patients who presented to the PED with de novo issues and had a variety of acute presenting complaints with minor injuries, syncope and chest pain being most common. Conclusion: This is the first Irish study demonstrating a significant population (> 15 years) with medical complexity that requires a suite of services in a paediatric hospital which is accessed in an unscheduled manner through an emergency department. We recommend further research to describe paediatric CCC attending Irish emergency and hospital services.||Type of material:||Journal Article||Publisher:||Springer||Journal:||Irish Journal of Medical Science||Volume:||189||Issue:||4||Start page:||1429||End page:||1433||Copyright (published version):||2020 Royal Academy of Medicine in Ireland||Keywords:||Chronic complex conditions; Emergency services; Paediatric emergency medicine||DOI:||10.1007/s11845-020-02213-7||Language:||en||Status of Item:||Peer reviewed||ISSN:||0021-1265||This item is made available under a Creative Commons License:||https://creativecommons.org/licenses/by-nc-nd/3.0/ie/|
|Appears in Collections:||Medicine Research Collection|
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