Abstract：
Background:Constipation is a common condition in children. Little is known about the acute health care utilization of constipated children, including how many present to the paediatric emergency department (ED), the spectrum of presenting complaints, investigations and treatments used. Methods:We conducted a cross-sectional chart review of all 42,875 visits to British Columbia Children's Hospital ED between August 31, 2012 and September 1, 2013. All visits were assessed for a potential diagnosis of constipation and a total of 913 patients were included. We recorded the chief complaints, tests performed and therapies administered in the ED and measures of flow/efficiency including waiting time (WT), length of stay (LOS) and disposition. Results:Constipation-related visits comprised 2.1% of overall visits. Abdominal pain was found to be the most common presenting complaint in 65.6% of patients; however, 11.9% of patients presented with complaints unrelated to the gastrointestinal tract. Abdominal radiographs were obtained in nearly one-third of patients and almost half of the patients received a fleet enema in the ED. Only a quarter of patients were discharged home on longer-term management. Measures of ED flow were similar between groups, with no meaningful difference in WT or LOS. The vast majority of children (99.7%) were discharged home. Conclusions:Constipation can be treated as an out-patient, rather than burdening the paediatric ED unnecessarily. This study demonstrates over utilization of radiologic tests and invasive ED treatments and an under utilization of outpatient medication and dietary counselling that may contribute to unnecessary return ED visits.
journal_name
Paediatr Child Healthjournal_title
Paediatrics & child healthauthors
Nutter A,Meckler G,Truong M,Doan Qdoi
10.1093/pch/pxx041subject
Has Abstractpub_date
2017-06-01 00:00:00pages
139-142issue
3eissn
1205-7088issn
1918-1485pii
pxx041journal_volume
22pub_type
杂志文章abstract：:Adolescents who suffer from chronic pain also report complex syndrome-associated disability and distress that can detrimentally affect the quality of their lives and the lives of their family members. Over the past 10 years, there have been significant developments in both methods of assessment and in treatment progra...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/12.2.117
更新日期：2007-02-01 00:00:00
abstract：Background:Functional abdominal pain disorders (FAPD) are prevalent in the paediatric population, however, there is currently no consensus regarding best practices for treatment. The use of probiotics is becoming popular to treat FAPD. The goal of this rapid review is to synthesize the best evidence on the use of probi...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/pxz036
更新日期：2019-09-01 00:00:00
abstract：:[This corrects the article on p. 12 in vol. 20, PMID: 25722635.]. ...
journal_title：Paediatrics & child health
pub_type： 已发布勘误
doi：
更新日期：2015-04-01 00:00:00
abstract：:The ability to communicate effectively with patients and families is paramount for good patient care. This practice point reviews the importance of communicating effectively in cross-cultural encounters. The concept of cultural competence is introduced, along with the LEARN (Listen, Explain, Acknowledge, Recommend, Ne...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx126
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:To assist in the diagnosis of retinopathy of prematurity (ROP) to facilitate treatment in a timely manner to help prevent blindness. DATA SOURCES:Systematic review using MEDLINE including the following key words, "retinopathy of prematurity", "retrolental fibroplasia", "blind", "blindness", "vision screening...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：Background:Referrals to paediatric endocrine clinics for short stature are common. Height velocity (HV) is an essential component of the evaluation of short stature as growth deceleration often reflects an underlying paediatric endocrine diagnosis (PED). Access to previous measurements facilitates prompt calculation of...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxy079
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Despite the important role of drug therapy in children, there is often a lack of readily available information regarding the indications and dosing regimens for medications in paediatrics. OBJECTIVE:To collect data on where family physicians obtain this prescribing information. METHOD:A structured question...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/8.4.219
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:To determine whether an association exists between the publication of journal articles before and during paediatrics residency. METHODS:A retrospective search of PubMed was conducted for publications by all 567 Canadian paediatricians certified between 2009 and 2012, inclusive. Paediatricians were separated ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/21.4.187
更新日期：2016-05-01 00:00:00
abstract：BACKGROUND:A checklist that promotes compliance with aseptic technique during line insertion is a component of many care bundles aimed at reducing nosocomial infections among intensive care unit patients. OBJECTIVE:To determine whether the use of bundled interventions that include a checklist during central-line inser...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/19.4.e20
更新日期：2014-04-01 00:00:00
abstract：:In the face of negative media attention, community members and Elders from the First Nation community of Maskwacis identified the importance of promoting community strengths and reframing perceptions of their community. Two research questions were addressed: (1) How do youth in Maskwacis view their community strengths...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx178
更新日期：2018-07-01 00:00:00
abstract：:Sepsis is a systemic inflammatory response to suspected or proven infection. Given its importance in terms of morbidity and mortality, a number of initiatives by several professional societies in recent years have led to the development of guidelines for the recognition and timely management of sepsis. The principal e...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxz178
更新日期：2020-11-02 00:00:00
abstract：BACKGROUND:The optimal timing for changing intravenous (IV) administration sets that contain total parenteral nutrition (TPN), with and without lipids, in neonates remains unknown. OBJECTIVE:To determine whether decreasing the frequency of changing IV administration sets (>24 h versus every 24 h) in neonates increases...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：
更新日期：2012-11-01 00:00:00
abstract：:Respite care is one integral component of the transition process from paediatric to adult health care, and is of particular importance to individuals with medical complexities. Numerous gaps that exist within the current system limit a child and family's ability to access quality respite care during a time when it is ...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx142
更新日期：2017-10-01 00:00:00
abstract：:The management of patients with headaches is a major component of every paediatric practice. In a nationally representative sample of Canadian adolescents, it was found that 26.6% of those 12 to 13 years of age and 31.2% of those 14 to 15 years of age reported that they experienced headaches at least once per week.The...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/14.1.24
更新日期：2009-01-01 00:00:00
abstract：BACKGROUND:Night-float systems, in which residents work consecutive nights, have been increasingly adopted in paediatric programs, but may be detrimental to residents' sleep and mood. OBJECTIVE:To describe the self-reported impact of a novel system consisting of two consecutive weeks of 16 h overnight shifts every sec...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/20.2.77
更新日期：2015-03-01 00:00:00
abstract：:Medically unexplained symptoms in young people can present a challenge for primary care physicians to manage. Despite the prevalence of this clinical problem, physicians feel ill-equipped to deal with it. Families may attribute symptoms to an organic cause, despite the absence of identified pathology, and often resist...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：:In the present longitudinal study, the physical growth and health of 36 early-deprived postinstitutionalized Romanian orphans (ROs; 17 boys) adopted by Canadian families are documented. Data were collected for each child at three time points: at 11 months postadoption, at 4.5 years of age and at 10.5 years of age. Dat...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2006-02-01 00:00:00
abstract：:Zika virus (ZIKV) was recently recognized to be teratogenic. The diagnosis of congenital ZIKV syndrome should be considered in children with unexplained microcephaly, intracranial calcifications, ventriculomegaly or major structural central nervous system abnormalities. Management is evolving but suggestions are provi...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxx012
更新日期：2017-03-01 00:00:00
abstract：:An Alternate Funding Plan (AFP) was introduced at the Hospital for Sick Children in 1990 as the fee-for-service model was incapable of meeting the academic mandate of the Department of Pediatrics. The plan was challenged by some members of the Ontario Medical Association and community paediatricians as inefficient, to...
journal_title：Paediatrics & child health
pub_type： 杂志文章,评审
doi：10.1093/pch/pxy159
更新日期：2019-05-01 00:00:00
abstract：:Although acute and subacute lead toxicity requiring active treatment is rare in Canada, paediatricians need to be aware of new evidence linking lower lead levels to neurodevelopmental deficits. Health Canada has identified potential exposures occurring prenatally, in infancy and during early childhood from food and wa...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/pxz080
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Many intervention studies typically require data from several centres to ensure adequate power. The usual intention is to pool data after testing for heterogeneity. Sites that differ in sample characteristics may, on the one hand, complicate the assessment of the intervention, but on the other hand, they may...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/8.7.433
更新日期：2003-09-01 00:00:00
abstract：BACKGROUND:The treatment of celiac disease is a strict, life-long gluten-free (GF) diet. This diet is complex and can be challenging. Factors affecting adherence to the GF diet are important to identify for improving adherence. OBJECTIVE:To identify factors that inhibit or improve adherence to a GF diet in children wi...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/19.6.305
更新日期：2014-06-01 00:00:00
abstract：:Idiopathic neonatal priapism is a rare and poorly understood phenomenon. The case of an otherwise healthy premature male newborn who was noted to have a persistent penile erection on the first day of life is presented. A Doppler ultrasound of the penis was performed, along with the first-ever cavernous blood gas analy...
journal_title：Paediatrics & child health
pub_type：
doi：10.1093/pch/16.1.e6
更新日期：2011-01-01 00:00:00
abstract：:Arthropod-borne diseases do not occur commonly in Canada. Nevertheless, Canadians run the risk of contracting certain infections within the country during arthropod season, as well as when travelling abroad. Therefore, it is important that clinicians are aware of the possible occurrence of arthropod-borne diseases, an...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/5.4.206
更新日期：2000-05-01 00:00:00
abstract：:Canada lags behind other countries when it comes to investing in families with children. Canada, therefore, fails to promote health by not optimizing early development. The authors diagnose the Canadian failure. The problem is not research or fiscal capacity, but rather a sickness in Canadian culture. Four ailments ar...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/14.10.685
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVES:To review the risks of injury to children in the hospital setting and to provide an overview of the factors which influence the approach to hospital safety, including institutional liability, hospital accreditation, patient safety and risk management issues. METHODS:Fatal and nonfatal injuries to children i...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:The importance of the teaching role of residents in medical education is increasingly being recognized. There are little data about how this role is perceived within training programs or how residents develop their teaching skills. The aims of the present study were to explore the perspectives of Canadian pa...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/13.8.675
更新日期：2008-10-01 00:00:00
abstract：:Respiratory syncytial virus (RSV) is recognized as an important cause of childhood morbidity and mortality. Vaccine development has been challenging in young infants and has required the advent of molecular technologies to optimize the safety profile, while maintaining immunogenicity of live-attenuated vaccines. Prote...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/8.10.605
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVE:To identify a target group of children with acute immune thrombocytopenic purpura (ITP) that may not require hospitalization for management. METHODS:A retrospective chart review was conducted of all children admitted over a two-year period to a tertiary care paediatric hospital with the diagnosis of acute IT...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/7.6.386
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVE:To determine the current prevalence of smoking among First Nations youth living on reserve within the Saskatoon Tribal Council, and to determine the independent risk indicators associated with smoking among First Nations youth. METHODS:Students in grades 5 to 8 attending school within the Saskatoon Tribal Co...
journal_title：Paediatrics & child health
pub_type： 杂志文章
doi：10.1093/pch/16.10.e71
更新日期：2011-12-01 00:00:00
