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An Esp Pediatr. 2000 Jun;52(6):542-7.

[Children's unscheduled return visits to an emergency department].

[Article in Spanish]

Author information

1
Urgencias de Pediatría. Departamento de Pediatría. Hospital de Cruces. Barakaldo. Bizkaia.

Abstract

OBJECTIVE:

To study the patients who make unscheduled return vi-sits in less than week to a pediatric emergency department (ED).

PATIENTS AND METHOD:

Retrospective review of 495 episodes in 233 children who were attended at our ED in November 1999.

RESULTS:

In November 1999, we registered 3667 episodes at our ED (495 corresponding to 233 children who made repeat visits, 13.4%). The most common chief complaints among children who revisited were fever and respiratory symptoms. The most common diagnoses were fever with-out apparent source, ORL infections, asthma and acute gastro-enteritis. The diagnoses made at the initial and fi-nal visits were the same in 131 cases (56.2%), a complication was detected in 18 (7.7%) and 84 (36.1%) were given a different diagnosis. The percentage of patients who received a symptomatic diagnosis was lower in the final visit. The admission rate of children who revisited was higher than that of children who visited our ED once (6.4% vs. 3.0%, p = 0.009), caused by the group of patients who received a different diagnosis when they revisited our ED.

CONCLUSIONS:

Patients who revisit a pediatric ED within a week are more likely to be admitted to the hospital, especially if the diagnosis they receive varies.

PMID:
11003963
[Indexed for MEDLINE]

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