Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/27356
Full metadata record
DC FieldValueLanguage
dc.contributor.authorMillar, Robert-
dc.contributor.authorPalmer, Bethany-
dc.contributor.authorChiappazzo, Amelia-
dc.date2020-03-16-
dc.date.accessioned2021-08-23T06:02:33Z-
dc.date.available2021-08-23T06:02:33Z-
dc.date.issued2020-06-
dc.identifier.citationEmergency Medicine Australasia : EMA 2020; 32(3): 494-498-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/27356-
dc.description.abstractTo determine whether the characteristics and outcomes of parent-referred children differ substantially from general practitioner (GP)-referred children attending a metropolitan ED. Prospective cross-sectional observational study of consecutive patients aged less than 16 years of age attending a mixed adult and paediatric metropolitan teaching hospital ED in Melbourne. Data collected included patient characteristics (age, sex, arrival mode and triage category) and outcomes (admission, specialty consultation, treatment time >1 h, intravenous or nasogastric therapy, procedural sedation, procedures, imaging studies and pathology collection). The outcome data of 4580 patients was analysed. Patients brought by parents directly to the ED did not differ from patients referred by their GP in age, sex, or triage category, but were more likely to arrive by ambulance (13% vs 2%, P < 0.01). Low-urgency GP-referred children were more likely to require a procedure (22% vs 15%, risk difference [RD] 0.07, 95% confidence interval [CI] 0.02-0.13) and pathology tests (13% vs 8%, RD 0.05, 95% CI 0.01-0.1) than parent-referred children, but were similar for other outcomes. The proportion of low-urgency children who had no ED-specific care interventions was not significantly different between the groups (27% vs 32%, RD -0.06, 95% CI -0.11 to 0). Children brought to ED directly by their parents or carers did not differ substantially from GP-referred children in their characteristics or outcomes. The use of referral source and triage categories to determine patient suitability for diversion to general practice may need to be reconsidered.-
dc.language.isoeng-
dc.subjectchild-
dc.subjectemergency-
dc.subjecthospital-
dc.subjectparent-
dc.subjecttriage-
dc.titleInforming diversion strategy: A comparison of parent and general practitioner-referred paediatric patients presenting to a metropolitan hospital.-
dc.typeJournal Article-
dc.typeObservational Study-
dc.identifier.journaltitleEmergency Medicine Australasia : EMA-
dc.identifier.affiliationThe University of Melbourne, Melbourne, Victoria, Australiaen
dc.identifier.affiliationEmergencyen
dc.identifier.doi10.1111/1742-6723.13499-
dc.identifier.orcid0000-0002-1854-9478-
dc.identifier.pubmedid32180341-
local.name.researcherMillar, Robert
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
item.openairetypeObservational Study-
crisitem.author.deptEmergency-
Appears in Collections:Journal articles
Show simple item record

Page view(s)

24
checked on Mar 28, 2024

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.