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.
journal_name
Ir J Med Scijournal_title
Irish journal of medical scienceauthors
Bennett M,Vecchia CD,Blackburn C,Walsh S,Barrett MJdoi
10.1007/s11845-020-02213-7subject
Has Abstractpub_date
2020-11-01 00:00:00pages
1429-1433issue
4eissn
0021-1265issn
1863-4362pii
10.1007/s11845-020-02213-7journal_volume
189pub_type
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journal_title：Irish journal of medical science
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journal_title：Irish journal of medical science
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journal_title：Irish journal of medical science
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journal_title：Irish journal of medical science
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更新日期：2012-09-01 00:00:00
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更新日期：2018-11-01 00:00:00
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journal_title：Irish journal of medical science
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更新日期：1989-05-01 00:00:00
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更新日期：2009-09-01 00:00:00
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journal_title：Irish journal of medical science
pub_type： 杂志文章
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更新日期：1995-01-01 00:00:00
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journal_title：Irish journal of medical science
pub_type： 传,历史文章,杂志文章
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更新日期：2015-03-01 00:00:00
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journal_title：Irish journal of medical science
pub_type： 杂志文章
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更新日期：2011-06-01 00:00:00
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更新日期：2006-01-01 00:00:00
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更新日期：1999-10-01 00:00:00
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更新日期：2012-09-01 00:00:00
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更新日期：1998-01-01 00:00:00
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更新日期：2011-03-01 00:00:00
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pub_type： 杂志文章
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更新日期：2020-02-01 00:00:00
