Estimated use of a pediatric emergency department observation unit

Annals of Emergency Medicine
G R Bond, C B Wiegand

Abstract

To estimate the use of a pediatric ED observation unit, including the number of anticipated admissions per 10,000 pediatric ED visits per year and the distribution of those admissions by age group, by month, and by time of day. Hospital and ED computer records on all ED patients younger than 18 years who were seen during a 2-year period were abstracted for diagnostic, demographic, and time-flow data. We retrospectively reviewed the charts of patients admitted to the hospital and discharged within 24 hours to determine whether discharge in less than 24 hours could have been anticipated and whether the patient could have been cared for in a pediatric ED observation unit. To refine the estimate, we also reviewed the ICD-9 discharge diagnoses of patients who were not admitted to the hospital but spent more than 6 hours in the pediatric ED. Of 29,667 pediatric ED visits in a 2-year period, 2,940 (10%) resulted in admission. Of 626 patients discharged in less than 24 hours, only 410 met the anticipation and pediatric ED observation unit level of care criteria. Patients younger than 4 years represented 43% of potential observation unit patients; those aged 16 and 17 years represented 15%. Potential use of an observation unit varied th...Continue Reading

References

May 1, 1985·The Journal of Pediatrics·C WillertE Zieserl
Sep 1, 1993·Archives of Emergency Medicine·T F BeattieP A Moir
Sep 1, 1993·Archives of Emergency Medicine·T F Beattie, P A Moir

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Citations

Jun 1, 2000·Australian and New Zealand Journal of Medicine·P HiderR Kirk
Aug 27, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·K R Veenema
Mar 19, 2003·Emergency Medicine Journal : EMJ·M W CookeP Kidd
Feb 24, 2001·Emergency Medicine Clinics of North America·S E Mace
Nov 1, 2008·Emergency Medicine Australasia : EMA·Sandy M HopperLuke Sammartino
Jul 13, 2005·British Journal of Nursing : BJN·S BirchG Cogman
Apr 3, 2003·British Journal of Nursing : BJN·Penny AitkenMaureen Wiltshire
Jun 27, 2012·Pediatrics·Gregory P ConnersJoseph L Wright

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