Return visits to the emergency department among febrile children 3 to 36 months of age.

Abstract:

OBJECTIVES AND METHODS:The aim of the present retrospective, cross-sectional, descriptive study was to determine the characteristics of febrile 3- to 36-month-old children who were admitted to the emergency department (ED) with the chief complaint of fever and returned with the same complaint within 72 hours (returning group), compared with age-matched children who did not return to the ED (nonreturning group). Demographics and predischarge evaluation extent were focused on. RESULTS:Compared with the nonreturning group (n = 305), the returning group (n = 92) demonstrated higher mean temperature at home (P = 0.008), longer fever duration (P < 0.0001), and greater pain frequency (P = 0.03). Demographics and predischarge evaluation extent were similar in both groups. Within the returning group, fever duration was longer at the time of the second visit (P = 0.004). CONCLUSIONS:Higher fever causes higher rate of return visits. Among the investigated groups, pain was the sole differentiating symptom. Further studies should identify patterns that diminish children's ED readmission.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Klein-Kremer A,Goldman RD

doi

10.1097/PEC.0b013e31823a3e86

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1126-9

issue

12

eissn

0749-5161

issn

1535-1815

journal_volume

27

pub_type

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