Characteristics of frequent paediatric users of emergency departments in England: an observational study using routine national data.

Emergency Medicine Journal : EMJ
Geva GreenfieldAlex Bottle

Abstract

Frequent attendances of the same users in emergency departments (ED) can intensify workload pressures and are common among children, yet little is known about the characteristics of paediatric frequent users in EDs. To describe the volume of frequent paediatric attendance in England and the demographics of frequent paediatric ED users in English hospitals. We analysed the Hospital Episode Statistics dataset for April 2014-March 2017. The study included 2 308 816 children under 16 years old who attended an ED at least once. Children who attended four times or more in 2015/2016 were classified as frequent users. The preceding and subsequent years were used to capture attendances bordering with the current year. We used a mixed effects logistic regression with a random intercept to predict the odds of being a frequent user in children from different sociodemographic groups. One in 11 children (9.1%) who attended an ED attended four times or more in a year. Infants had a greater likelihood of being a frequent attender (OR 3.24, 95% CI 3.19 to 3.30 vs 5 to 9 years old). Children from more deprived areas had a greater likelihood of being a frequent attender (OR 1.57, 95% CI 1.54 to 1.59 vs least deprived). Boys had a slightly greater...Continue Reading

References

Jun 20, 2006·Annals of Emergency Medicine·Kelly A HuntMichael L Callaham
Jun 20, 2006·Annals of Emergency Medicine·Kathleen Kerwin Fuda, Rachel Immekus
Oct 20, 2006·Annals of Emergency Medicine·Michael J SchullJohn-Paul Szalai
May 22, 2007·Emergency Medicine Journal : EMJ·Thomas E LockerJon Nicholl
Jan 25, 2012·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Caroline QuachLucie Tremblay
Jun 22, 2013·Journal of Paediatrics and Child Health·Donna Markham, Andis Graudins
Apr 16, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Elizabeth R AlpernUNKNOWN Pediatric Emergency Care Applied Research Network (PECARN)
Sep 17, 2014·Pediatrics·Mark I NeumanJay G Berry
Aug 8, 2015·Emergency Medicine Journal : EMJ·Astha SinghalPeter C Damiano
Sep 25, 2016·BMJ : British Medical Journal·Geva GreenfieldAzeem Majeed
Apr 7, 2017·CJEM·Jade SeguinMaryam Oskoui
Sep 28, 2017·Pediatric Emergency Care·Heather G ZookNathaniel R Payne
Jun 27, 2018·BMJ Paediatrics Open·Benedetta RivaMaurizio Bonati
Jan 10, 2019·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Pia HardelidRuth Gilbert
Apr 18, 2020·Emergency Medicine Journal : EMJ·Geva GreenfieldAlex Bottle

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
A Howe
The British Journal of General Practice : the Journal of the Royal College of General Practitioners
G Wheatley
The Practitioner
N CrossleyH Marcovitch
Emergency Medicine Journal : EMJ
Geva GreenfieldAlex Bottle
© 2021 Meta ULC. All rights reserved