Reconnecting patients with their primary care provider: an intervention for reducing nonurgent pediatric emergency department visits.

Abstract:

OBJECTIVE:Intervention to reduce nonurgent pediatric emergency department (PED) visits over a 12-month follow-up. METHODS:Prospective, randomized, controlled trial enrolled children seen in the PED for nonurgent concerns. Intervention subjects received a structured session/handout specific to their primary care provider (PCP), which outlined ways to obtain medical advice. Visitation to the PED and PCP were followed over 12 months. RESULTS:A total of 164 patients were assigned to the intervention and 168 patients to the control. At 12-month follow-up, the intervention group had a lower rate of nonurgent PED utilization compared with the control group (70 [43%] patients in the intervention compared with 91 [54%] in the control; P = .047). At 12 months, there was an increase in the rate of sick visits to PCP in the intervention group when compared with the control (P = .036). CONCLUSIONS:Intervention designed in cooperation with pediatricians was able to decrease nonurgent PED utilization and redirect patients to their PCP for future sick visits over a 12-month period.

journal_name

Clin Pediatr (Phila)

journal_title

Clinical pediatrics

authors

Sturm JJ,Hirsh D,Weselman B,Simon HK

doi

10.1177/0009922814540987

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

988-94

issue

10

eissn

0009-9228

issn

1938-2707

pii

0009922814540987

journal_volume

53

pub_type

杂志文章,随机对照试验
  • Childhood osteomyelitis. A five-year analysis of 118 cases in Nigerian children.

    abstract::During the years 1976 through 1980, 118 children with osteomyelitis were seen at our hospital, an incidence of almost 24 cases per year. Twenty-eight of these had sickle cell disease. Males were more commonly affected than females, with a ratio of 2.1 to 1, and bones of the lower extremities were more commonly involve...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288402301003

    authors: Okoroma EO,Agbo DC

    更新日期:1984-10-01 00:00:00

  • Methodological review of the quality of reach out and read: does it "work"?

    abstract::A considerable percentage of American children and adults fail to learn adequate literacy skills and read below a third grade level. Shared book reading is perhaps the single most important activity to prepare young children for success in reading. The primary objective of this manuscript was to critically review the ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,评审

    doi:10.1177/0009922813507995

    authors: Yeager Pelatti C,Pentimonti JM,Justice LM

    更新日期:2014-04-01 00:00:00

  • The long term benefits of a comprehensive teenage pregnancy program.

    abstract::A comprehensive program was founded in 1982 to provide adolescents with prenatal and family planning care. The program's impact through its first five years of operation on medical aspects of pregnancy course and fetal outcome will be the subject of a separate report. This study examines subsequent maternal and infant...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000508

    authors: Rabin JM,Seltzer V,Pollack S

    更新日期:1991-05-01 00:00:00

  • Pulmonary Manifestations in Adolescents With Inflammatory Bowel Disease.

    abstract::Objectives. The available literature on pulmonary disease in pediatric inflammatory bowel disease is limited. We evaluated the prevalence of pulmonary manifestations in pediatric inflammatory bowel disease and their association with disease severity. Methods. Patients completed the St. George's Respiratory Questionnai...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922820910821

    authors: Barfield E,Deshmukh F,Slighton E,Lentine J,Lu Y,Ma X,Christos PJ,Sockolow RE,Loughlin G,Pillai S

    更新日期:2020-06-01 00:00:00

  • Parental management of childhood diarrhea.

    abstract::The objective was to determine the prevalence of therapies used by parents to manage acute diarrhea in their children and determine extent of parental adherence to current management guidelines and utilization of functional foods. Parents (N=623) of children with diarrhea were surveyed in a tertiary care pediatric eme...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808327057

    authors: Li ST,Klein EJ,Tarr PI,Denno DM

    更新日期:2009-04-01 00:00:00

  • Statement of Redundant Publication.

    abstract::For 'Factors Associated With Specific Language Impairment and Later Language Development During Early Life: A Literature Review' by Benjamas Prathanee, MA, Bandit Thinkhamrop, PhD, Sumalee Dechongkit, PhD; Clinical Pediatrics; Volume 46 Number 1, January 2007; 22-29; © 2007; SAGE Publications; 10.1177/0009922806297153...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,已发布勘误

    doi:10.1177/0009922817720961

    authors:

    更新日期:2017-09-01 00:00:00

  • Exergaming for health: a community-based pediatric weight management program using active video gaming.

    abstract:OBJECTIVE:To evaluate the efficacy and feasibility of a multifaceted, community-based weight intervention program for children using exergaming technology (activity-promoting video gaming). DESIGN AND METHODS:This is a prospective observational pilot study. Forty-eight children, between the ages of 8 and 16 years, who...

    journal_title:Clinical pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1177/0009922811429480

    authors: Christison A,Khan HA

    更新日期:2012-04-01 00:00:00

  • Child sexual abuse: can anatomy explain the presentation?

    abstract::This article discusses a 4-year-old girl who displayed behavioral symptoms consistent with posttraumatic stress disorder. She was recently placed in foster care due to emotional and physical neglect. During her clinic visit, she disclosed being sexually abused by her father with a knife. Results of her general and ano...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922807304365

    authors: Nazer D,Palusci VJ

    更新日期:2008-01-01 00:00:00

  • Hospital readmission and morbidity following early newborn discharge.

    abstract::To examine causes of newborn hospital readmission and morbidity related to early nursery discharge, we reviewed the charts of 664 newborns readmitted from home under the age of 15 days, between 1993 and 1995. Early discharge (ED) was defined as nursery length of stay of < or = 2 days. Morbidity related to ED: onset of...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289803701003

    authors: Heimler R,Shekhawat P,Hoffman RG,Chetty VK,Sasidharan P

    更新日期:1998-10-01 00:00:00

  • Incidence of serious bacterial infections in febrile children with sickle cell disease.

    abstract:OBJECTIVE:To determine the incidence of serious bacterial infections in febrile children with sickle cell disease and to describe the outcomes of children discharged from the pediatric emergency department. METHODS:We conducted a retrospective chart review of 188 febrile patients with sickle cell disease presenting to...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813488645

    authors: Bansil NH,Kim TY,Tieu L,Barcega B

    更新日期:2013-07-01 00:00:00

  • Treatment of NIDDM in youth.

    abstract::This study presents the characteristics of 20 children (17 female) with NIDDM who required oral hypoglycemic agent (OHA) therapy. A family history of NIDDM was present in 55%. None had islet cell antibodies (ICA) or glutamic acid decarboxylase (GAD) antibodies. Tolbutamide was the drug of choice; glibenclamide was int...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289803700209

    authors: Owada M,Nitadori Y,Kitagawa T

    更新日期:1998-02-01 00:00:00

  • Predictors of attrition from a clinical pediatric obesity treatment program.

    abstract:OBJECTIVE:To assess the predictors of attrition from a clinical pediatric obesity treatment program. METHODS:We evaluated 2- through 20-year-old patients first seen at the Duke University Healthy Lifestyles Program between October 2006 and December 2008. We assessed the predictors of early dropout (not returning for a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922812458355

    authors: Dolinsky DH,Armstrong SC,Østbye T

    更新日期:2012-12-01 00:00:00

  • The capacity of primary care pediatricians to care for children with special health care needs.

    abstract:OBJECTIVE:To measure the willingness and ability of primary care pediatricians (PCPs) to accept children and youth with special health care needs (CYSHCN) into their practices. METHODS:Surveys were mailed to 1441 members of the Illinois Chapter of the American Academy of Pediatrics practicing primary care. RESULTS:In...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922813476572

    authors: Agrawal R,Shah P,Zebracki K,Sanabria K,Kohrman C,Kohrman AF

    更新日期:2013-04-01 00:00:00

  • Treatment of Salmonella gastroenteritis in infants. The significance of bacteremia.

    abstract::During 1981, we treated 20 infants, less than 24 months old, for nontyphoid Salmonella (NTSal) gastroenteritis (GE). Blood cultures were obtained in 17 cases, and Salmonella bacteremia was demonstrated in 8 (47%). Of the 13 children 3 to 24 months of age, 7 (54%) had positive blood cultures. One child (8 months old) a...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288302200901

    authors: Raucher HS,Eichenfield AH,Hodes HL

    更新日期:1983-09-01 00:00:00

  • French norms and validation of the Child Development Inventory (CDI): Inventaire du Developpement de l'Enfant (IDE).

    abstract::The aim of this study was to determine the French norms and examine the validity of a parent-report inventory: the Child Development Inventory (CDI), called "Inventaire du Développement de l'Enfant (IDE)" in French. This assesses the general level of a child's development in 8 developmental domains. The norms were det...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811398390

    authors: Duyme M,Zorman M,Tervo R,Capron C

    更新日期:2011-07-01 00:00:00

  • Lacunar infarction of the basal ganglia as a complication of hemolytic-uremic syndrome. MRI and clinical correlations.

    abstract::Central nervous system (CNS) complications of hemolytic-uremic syndrome (HUS) commonly consist of alterations in mental status, seizures, and rarely hemiparesis. The authors report the clinical evolution of left hemiparesis and later choreo-athetoid movements in a patient who sustained a right lacunar infarction as a ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288702601106

    authors: DiMario FJ Jr,Brönte-Stewart H,Sherbotie J,Turner ME

    更新日期:1987-11-01 00:00:00

  • Throat culture is necessary after negative rapid antigen detection tests.

    abstract::This study was conducted to determine if culture confirmation is needed for a negative rapid antigen detection test. Data on 18,509 tests done in patients younger than 18 years old were reviewed. Of the 14,167 (76.5%) that were negative, 968 (6.8%) were associated with positive cultures. No significant seasonal variat...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0009922806290219

    authors: Mirza A,Wludyka P,Chiu TT,Rathore MH

    更新日期:2007-04-01 00:00:00

  • Sleep apnea in patients receiving growth hormone.

    abstract::Among 145 patients treated with recombinant human growth hormone (GH), four developed sleep apnea (two obstructive, two mixed) associated with tonsillar and adenoidal hypertrophy in three. These four patients had no local risk factors predisposing to upper airway obstruction (i.e., frequent pharyngitis or sinusitis). ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289703600602

    authors: Gerard JM,Garibaldi L,Myers SE,Aceto T Jr,Kotagal S,Gibbons VP,Stith J,Weber C

    更新日期:1997-06-01 00:00:00

  • Identification of Child Maltreatment-Related Emergency Department Visits in Connecticut, 2011 to 2014.

    abstract::Child maltreatment identified by medical professionals is poorly represented in records of child protection. International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes may better represent the burden of maltreatment treated in clinical settings. Using emergency department (ED) disc...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922819845895

    authors: Hunter AA,Bernstein B

    更新日期:2019-08-01 00:00:00

  • Growth Charts for Prader-Willi Syndrome During Growth Hormone Treatment.

    abstract::The purpose of the current study was to develop syndrome-specific standardized growth curves for growth hormone-treated Prader-Willi syndrome (PWS) individuals aged 0 to 18 years. Anthropometric growth-related measures were obtained on 171 subjects with PWS who were treated with growth hormone for at least 40% of thei...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922815617973

    authors: Butler MG,Lee J,Cox DM,Manzardo AM,Gold JA,Miller JL,Roof E,Dykens E,Kimonis V,Driscoll DJ

    更新日期:2016-09-01 00:00:00

  • Electronic Heath Record Prompts May Increase Screening for Secondhand Smoke Exposure.

    abstract:INTRODUCTION:The American Academy of Pediatrics recommends that pediatricians promote smoking cessation among caregivers at every visit. Currently, there are inconsistencies between recommendations and clinical practice. This study aims to compare results generated from 3 intervention methods on the rate at which pedia...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0009922816688261

    authors: Thomas KEH,Kisely S,Urrego F

    更新日期:2018-01-01 00:00:00

  • Feedback on a multimedia violence prevention program.

    abstract::The objective of this study is to describe feedback on a multimedia violence prevention program. Professionals and laypersons provided feedback regarding a multimedia CD program by completing an anonymous form. Feedback was obtained from 66% of participants (314). In general, participants felt more comfortable managin...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992280304200904

    authors: Scholer SJ,Goad S

    更新日期:2003-11-01 00:00:00

  • Prevalence of sexually transmitted infections in at-risk adolescent females at a comprehensive, stand-alone adolescent health center in New York City.

    abstract:BACKGROUND:Sexually transmitted infections (STIs) are common among adolescents, and multiple STIs over one's lifetime can increase health risks. Few studies have assessed lifetime STI prevalence. This study evaluates minority, underserved adolescents' self-reported lifetime STI history and objective STI rates. METHODS...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922814533816

    authors: Yavorsky RL,Hollman D,Steever J,Soghomonian C,Diaz A,Strickler H,Schlecht N,Burk RD,Ochner CN

    更新日期:2014-08-01 00:00:00

  • Who should accept primary responsibility for the encopretic child? A successful pediatric program based on dietary control, bowel training, and family counseling.

    abstract::Such a program was used to treat 18 encopretic children; 17 improved and 14 became completely free of soiling. Most encopretic children can be managed by pediatricians and only those children with severe emotional disorders require psychiatric referral. ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992287801700110

    authors: Hein HA,Beerends JJ

    更新日期:1978-01-01 00:00:00

  • Physician beliefs and knowledge about vaccinations. Are Cincinnati doctors giving their best shot?

    abstract::The purpose of this study was to examine the immunization beliefs and practices of physicians in our community. A two-page descriptive survey of immunization practices and knowledge of vaccine contraindications was sent to all community physicians on the staff of Children's Hospital Medical Center in Cincinnati, Ohio....

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289603500205

    authors: Siegel RM,Schubert CJ

    更新日期:1996-02-01 00:00:00

  • Postinfectious gastroparesis: a case series of three adolescent females.

    abstract::Postinfectious gastroparesis (PIGP) is a subgroup of idiopathic gastroparesis rarely reported in adolescents. This study describes 3 adolescent females with severe PIGP, who each underwent extensive workup prior to referral to a pediatric gastroenterologist. PIGP may be an underrecognized disorder in pediatrics, parti...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922811417857

    authors: Yeh J,Wozniak LJ,Vargas JH,Ament ME

    更新日期:2012-02-01 00:00:00

  • Bacterial epididymo-orchitis in children and adolescents.

    abstract::Five cases of bacterial epididymo-orchitis are presented. These patients demonstrate three distinct mechanisms of bacterial infection of the intrascrotal structures: epididymo-orchitis as a presentation and a complication of urinary tract infection; epididymo-orchitis associated with sexually transmitted disease; and ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992288001901206

    authors: Hermansen MC,Chusid MJ,Sty JR

    更新日期:1980-12-01 00:00:00

  • Practice patterns of pediatric emergency medicine physicians caring for young febrile infants.

    abstract::The authors conducted a chart review of all febrile infants between 28 and 90 days of age who presented to the emergency department (ED) between December 1 and March 31 during 2004-2006. The objectives of the study were to describe the practice patterns of pediatric ED physicians caring for these infants and to determ...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922809339346

    authors: Ferguson CC,Roosevelt G,Bajaj L

    更新日期:2010-04-01 00:00:00

  • Evaluation of microcytic anemia.

    abstract::Anemia is defined as a reduction in red blood cell mass or hemoglobin concentration in blood. It is statistically differentiated from normal states as a hemoglobin concentration or hematocrit 2 SD below the mean for the healthy population adjusted for age and sex. Anemias may be classified based on the morphologic fun...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/0009922808323115

    authors: Jain S,Kamat D

    更新日期:2009-01-01 00:00:00

  • Gastroesophageal reflux in the older child: presentation, response to treatment and long-term follow-up.

    abstract::Much attention has been focused on the natural history of gastroesophageal reflux (GER) in neurologically normal infants which generally resolves by two years of age. In contrast, little is known of the outcome of GER diagnosed in normal older children. The charts of 32 children (21 males) without neurologic or esopha...

    journal_title:Clinical pediatrics

    pub_type: 杂志文章

    doi:10.1177/000992289103000705

    authors: Treem WR,Davis PM,Hyams JS

    更新日期:1991-07-01 00:00:00