The effect of Medicaid criteria on pediatric emergency department visits.

Abstract:

:The use of the emergency department by children on Medicaid was documented, and the effect of new adult Medicaid criteria on a pediatric emergency department was investigated. Eight percent of daytime visits by all patients were nonemergencies, compared to 15% by Medicaid patients. More Medicaid patients required admission than other children (16% v 10%) seen in the emergency department. Emergency department use by Medicaid patients was not decreased by the new criteria. Documentation of inappropriate denials of emergency care when criteria designed for adults were applied to pediatric patients was presented to state health officials and resulted in a change in the state Medicaid criteria for emergency care of children.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Feild C,Black C,Kincannon J,Arnold WC

doi

10.1097/00006565-198709000-00003

subject

Has Abstract

pub_date

1987-09-01 00:00:00

pages

150-2

issue

3

eissn

0749-5161

issn

1535-1815

journal_volume

3

pub_type

杂志文章
  • What Do We Know About Pediatric Palliative Care Patients Consulting to the Pediatric Emergency Department?

    abstract:OBJECTIVES:The objective of this study was to describe the characteristics of pediatric palliative care (PPC) patients presenting to a pediatric emergency department (ED) and these patients' ED visits. METHODS:This retrospective chart review was conducted from April 1, 2007, to March 31, 2012, in a tertiary care pedia...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001620

    authors: Gaucher N,Humbert N,Gauvin F

    更新日期:2018-09-25 00:00:00

  • Application of Pediatric Appendicitis Score on the emergency department of a secondary level hospital.

    abstract:BACKGROUND:Acute appendicitis is the most common surgical emergency during childhood. Accurate early diagnosis is important to avoid complications and unnecessary interventions. In 2002, Samuel developed the Pediatric Appendicitis Score (PAS) based on a series of data obtained from anamnesis, physical examination, and ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182586d34

    authors: Zúñiga RV,Arribas JL,Montes SP,Fernandez MN,Abad CG,Martin LG,González-Sagrado M

    更新日期:2012-06-01 00:00:00

  • An approach to the diagnosis and treatment of membranous laryngotracheobronchitis in infants and children.

    abstract::The purpose of this study is to report 18 cases of membranous laryngotracheobronchitis (MLTB) and to review 143 published cases in order to accurately characterize the epidemiology, presentation, clinical course, treatment, and outcome of patients with this disorder. The male:female ratio was 2:1; mean age was four ye...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199112000-00004

    authors: Gallagher PG,Myer CM 3rd

    更新日期:1991-12-01 00:00:00

  • Smoke inhalation and carbon monoxide poisoning in children.

    abstract::This article reviews the mechanisms of pulmonary injury associated with smoke inhalation and the pathophysiology of carbon monoxide poisoning. In addition, the temporal stages of pulmonary injury and evaluation and treatment of the pediatric patient are discussed. Maintaining a high index of suspicion when treating th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198603000-00010

    authors: Parish RA

    更新日期:1986-03-01 00:00:00

  • Amitriptyline-associated seizures in a toddler with Munchausen-by-proxy.

    abstract::We describe an unusual case of a toddler diagnosed with an idiopathic seizure disorder that later was proved to be caused by deliberate administration of amitriptyline by his custodian. In spite of seizures associated with widened electrocardiographic wave (QRS) and right axis deviation on the electrocardiogram (EKG),...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199906000-00011

    authors: Mullins ME,Cristofani CB,Warden CR,Cleary JF

    更新日期:1999-06-01 00:00:00

  • Acute hearing loss, dysarthria, dysphagia, and a rubbery intraoral mass in an 18-year-old woman.

    abstract::Rhabdomyosarcoma is the most common soft tissue tumor of childhood, frequently presenting in the head and neck, genitourinary tract, or extremities. We present a case of rhabdomyosarcoma in which an 18-year-old woman presented with abrupt onset unilateral hearing loss, tinnitus, dysarthria, dysphagia, and a new painle...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181b0a482

    authors: Aitken L,Levin D,Blau A,Lewin MR

    更新日期:2009-08-01 00:00:00

  • Appendicitis: an unusual cause of pneumonia and impending shock in a toddler.

    abstract::Owing to its lower incidence in young children, appendicitis is not as often thought of as a common cause of abdominal pain and vomiting in this age group. However, because of its higher incidence of morbidity (perforation and peritonitis), it should be considered in any young child with either significant abdominal p...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199710000-00012

    authors: Bechtel K

    更新日期:1997-10-01 00:00:00

  • Children in methamphetamine homes: a survey of physicians practicing in southeast Tennessee.

    abstract:OBJECTIVES:Methamphetamine (meth) abuse in the rural South has increased greatly in the last decade. This addiction harms meth abusers and producers and endangers children who live with them. Appropriate medical evaluation and treatment of these exposed children are largely undefined. The objective of this research was...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181558d72

    authors: Bratcher L,Clayton EW,Greeley C

    更新日期:2007-10-01 00:00:00

  • Interexaminer agreement in physical examination for children with suspected soft tissue abscesses.

    abstract:OBJECTIVE:This study aimed to measure interexaminer agreement for physical examination (PE) findings in children with a suspected soft tissue abscess. METHODS:A prospective study was conducted from March 1 to July 31, 2007, at an urban, tertiary care children's hospital emergency department. Children presenting to the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31821d8545

    authors: Giovanni JE,Dowd MD,Kennedy C,Michael JG

    更新日期:2011-06-01 00:00:00

  • Detecting fever in young infants: reliability of perceived, pacifier, and temporal artery temperatures in infants younger than 3 months of age.

    abstract:OBJECTIVES:Fever in young infants frequently triggers a laboratory evaluation because of the increased likelihood of serious bacterial infections. Reported fever by methods other than rectal thermometry is of concern. This study evaluates the validity of perceived, pacifier, and temporal artery (TA) temperatures. METH...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000086231.54586.15

    authors: Callanan D

    更新日期:2003-08-01 00:00:00

  • Acquired Constriction Ring: A Case of Rubber Band Syndrome.

    abstract::Rubber band syndrome is a rare entity seen in younger children mainly in communities where rubber bands are worn around the wrist for decorative purposes. When the band is worn for a long duration, it burrows through the skin and soft tissues resulting in distal edema, loss of function, and even damage to the neurovas...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000992

    authors: Meier R,Haug L,Surke C,Mathys L,Vögelin E

    更新日期:2019-06-01 00:00:00

  • A Rare Pediatric Case of Posttraumatic Pseudoaneurysm: Case Report and Literature Review.

    abstract::Posttraumatic pseudoaneurysms are extremely rare in pediatric populations. In many cases, pseudoaneurysms may be confused with abscesses, epidermoid cysts, arteriovenous fistula, foreign objects, and ganglion cysts, as well as tumors. They are associated with distinguishing findings of "pulsatile mass, a palpable thri...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000001236

    authors: Gu A,Kam AJ

    更新日期:2019-12-01 00:00:00

  • Incidental renal mass found on focused assessment with sonography in trauma.

    abstract::We present the case of a 9-year-old female who presented after minor blunt abdominal trauma during a sporting event. On focused assessment with sonography for trauma, she was found to have an incidental renal mass, which was ultimately diagnosed as a renal cell carcinoma. In this report, we focus on the use of bedside...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000242

    authors: Dunlop JH,Cohen JS

    更新日期:2014-10-01 00:00:00

  • Unscheduled return visits to the pediatric emergency department-one-year experience.

    abstract:OBJECTIVES:Patients returning to the emergency department (ED) within 72 hours of their visit may contribute to crowding and might indicate failure to give a proper assessment, treatment, or follow-up instructions. The aim of this study was to describe the rate of return visits in a tertiary care pediatric ED (PED) and...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000230553.01917.05

    authors: Goldman RD,Ong M,Macpherson A

    更新日期:2006-08-01 00:00:00

  • Pediatric cyanide poisoning by fire smoke inhalation: a European expert consensus. Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.

    abstract::Most fire-related deaths are attributable to smoke inhalation rather than burns. The inhalation of fire smoke, which contains not only carbon monoxide but also a complex mixture of gases, seems to be the major cause of morbidity and mortality in fire victims, mainly in enclosed spaces. Cyanide gas exposure is quite co...

    journal_title:Pediatric emergency care

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1097/PEC.0b013e3182aa4ee1

    authors: Mintegi S,Clerigue N,Tipo V,Ponticiello E,Lonati D,Burillo-Putze G,Delvau N,Anseeuw K,Toxicology Surveillance System of the Intoxications Working Group of the Spanish Society of Paediatric Emergencies.

    更新日期:2013-11-01 00:00:00

  • Pediatric Spontaneous Pneumomediastinum: Narrative Literature Review.

    abstract:INTRODUCTION:Described since 1939 in the adult population, spontaneous pneumomediastinum is less known in children. Because of its symptoms and a generally benign evolution, it is probably an underestimated diagnosis. However, it has to be considered in the differential diagnosis of acute thoracic pain. METHODS:The in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000625

    authors: Gasser CR,Pellaton R,Rochat CP

    更新日期:2017-05-01 00:00:00

  • Case-Control Study of Injury Intervention for Preschool Children in Henggang, Shenzhen.

    abstract:AIM:To explore effective interventions for child accidental injury prevention and to reduce the incidence of injury. METHODS:Cluster random sampling method was adopted, and children in 19 kindergartens in Henggang, Shenzhen and their parents were selected as the objects of study. Nineteen kindergartens were randomly d...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000563

    authors: Wang H,Liu YX,Deng WJ,Yang WJ,Wang F

    更新日期:2015-10-01 00:00:00

  • Acute pancreatitis due to rotavirus gastroenteritis in a child.

    abstract:OBJECTIVES:Serum amylase can be elevated in various pathological conditions, but its primary application is as a biochemical test for the diagnosis of acute pancreatitis. Acute gastroenteritis has not been widely recognized as a cause for hyperamylasemia and pancreatitis. METHODS:We describe a case of acute pancreatit...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181ea72a8

    authors: Parri N,Innocenti L,Collini S,Bechi F,Mannelli F

    更新日期:2010-08-01 00:00:00

  • Pediatric Carbon Monoxide Poisoning in Southern Israel: A Cross-Sectional Study.

    abstract:OBJECTIVES:This study aimed to describe the epidemiology and clinical burden of unintended carbon monoxide (CO) poisoning among children in the Negev region of southern Israel. METHODS:This was a cross-sectional retrospective study of CO poisoning patients admitted to Soroka University Medical Center in 2011 through 2...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001484

    authors: Fruchtman Y,Perry ZH,Leibson T,Vered Cohen L,Lifshitz M,Leibovitz E

    更新日期:2020-11-01 00:00:00

  • Baclofen overdose in two siblings.

    abstract::Baclofen is a muscle relaxant used in both adults and children with neuromuscular disorders to control spasticity. In children, relatively few cases of overdose have been previously reported. We report two cases of baclofen overdose occurring in two siblings. One sibling with cerebral palsy was being treated with bacl...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/00006565-200104000-00008

    authors: Chapple D,Johnson D,Connors R

    更新日期:2001-04-01 00:00:00

  • Emergency Department Management of Bronchiolitis in the United States.

    abstract:OBJECTIVE:The aim of this study was to examine differences between general and pediatric emergency departments (PEDs) in adherence to the American Academy of Pediatrics bronchiolitis management guidelines. METHODS:We conducted a nationally representative study of ED visits by infants younger than 24 months with bronch...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001145

    authors: Gong C,Byczkowski T,McAneney C,Goyal MK,Florin TA

    更新日期:2019-05-01 00:00:00

  • Diagnosing abdominal pain in a pediatric emergency department.

    abstract::We undertook a prospective study of 377 children (two to 16 years old) presenting with abdominal pain to determine: 1) common discharge diagnoses; 2) what signs and symptoms are associated with appendicitis; and 3) follow-up of patients discharged from the emergency department (ED). Nine diagnoses accounted for 86% of...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199206000-00003

    authors: Reynolds SL,Jaffe DM

    更新日期:1992-06-01 00:00:00

  • Deep vein thrombosis and septic pulmonary emboli with MRSA osteomyelitis in a pediatric patient.

    abstract::Deep vein thrombosis (DVT) and pulmonary embolism (PE) are relatively rare occurrences in the pediatric population. However, DVT and PE are associated with significant morbidity and mortality to the patient if not promptly diagnosed and treated. We describe the case of a 5-year-old boy that was diagnosed in our emerge...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318267ea4e

    authors: Schaub RL,Rodkey ML

    更新日期:2012-09-01 00:00:00

  • Infective Uvulitis in a Child.

    abstract::Infective uvulitis is a rare condition in children. In this report, we describe the case of a 4-year old-patient who presented a group A Streptococcus pharyngitis with uvulitis. No signs of epiglottitis were detected at nasal fibroscopy. She recovered rapidly with intravenous antibiotic therapy and 2 days of corticost...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002258

    authors: De Pieri C,Valentini E,Pusiol A,Passone E,Gamalero L,Cogo PE

    更新日期:2020-10-07 00:00:00

  • Association of Delay in Appendectomy With Perforation in Children With Appendicitis.

    abstract:OBJECTIVE:The aim of this study was to assess whether increased time from emergency department (ED) triage to appendectomy is associated with a greater risk of children developing appendiceal perforation. METHODS:We performed a multicenter retrospective cohort study of children younger than 18 years hospitalized with ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0000000000000850

    authors: Meltzer JA,Kunkov S,Chao JH,Tay ET,George JP,Borukhov D,Alerhand S,Harrison PA,Hom J,Crain EF

    更新日期:2019-01-01 00:00:00

  • "My child can't keep anything down!" Interviewing parents who bring their preschoolers to the emergency department for diarrhea, vomiting, and dehydration.

    abstract:INTRODUCTION:Viral gastroenteritis with dehydration is one of the most frequent reasons for visits to pediatric emergency departments (ED). Parental intervention before presentation to the ED can make a significant difference in the course of a child's illness. There is a discrepancy between medical knowledge of dehydr...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/pec.0b013e3181d6d9de

    authors: Graham JM,Fitzpatrick EA,Black KJ

    更新日期:2010-04-01 00:00:00

  • Late presentation of massive pleural effusion from intrathoracic migration of a ventriculoperitoneal shunt catheter: case report and review of the literature.

    abstract::We report an unusual case of ventriculoperitoneal (VP) shunt intrathoracic migration, associated with massive symptomatic hydrothorax. The VP shunt was inserted 10 years before presentation, after hemorrhagic hydrocephalus caused by prenatal intraventricular hemorrhage. The pleural fluid was drained via tube thoracost...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0b013e3182447dce

    authors: Glatstein MM,Roth J,Scolnik D,Haham A,Rimon A,Koren L,Constantini S

    更新日期:2012-02-01 00:00:00

  • Traumatic deaths in children: is there a difference between urban and rural populations?

    abstract:OBJECTIVE:Trauma is a leading cause of death among children. Detailed knowledge of the epidemiology of traumatic childhood deaths is necessary for allocating available treatment resources and for preventing injuries at both community and regional levels. To our knowledge, there has been no report comparing urban to rur...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,多中心研究

    doi:10.1097/PEC.0b013e31827b50a7

    authors: Ortega HW,Velden HV,Krause E,Reid S

    更新日期:2013-01-01 00:00:00

  • Managing well-appearing neonates with hyperbilirubinemia in the emergency department observation unit.

    abstract:BACKGROUND:In September 2005, Texas Children's Hospital initiated a protocol for all neonates presenting to the emergency department (ED) with hyperbilirubinemia based on the American Academy of Pediatrics guidelines. As part of the protocol, low-risk neonates with hyperbilirubinemia requiring phototherapy are treated ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181db2058

    authors: Adekunle-Ojo AO,Smitherman HF,Parker R,Ma L,Caviness AC

    更新日期:2010-05-01 00:00:00

  • Sedation for pediatric CT scanning: is radiology becoming a drug-free zone?

    abstract:INTRODUCTION:Cooperation for a diagnostic study is a frequent indication for pediatric procedural sedation. This study examines the continued need for sedation in the era of fast helical computerized tomography (CT) scanners. METHODS:Medical records of children younger than 72 months undergoing CT scans were systemati...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000159072.40067.c8

    authors: Sacchetti A,Carraccio C,Giardino A,Harris RH

    更新日期:2005-05-01 00:00:00