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Pediatr Emerg Care. 2011 Dec;27(12):1126-9. doi: 10.1097/PEC.0b013e31823a3e86.

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

Author information

1
Division of Pediatric Emergency Medicine, BC Children's Hospital, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada. adi@hy.health.gov.il

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.

PMID:
22134230
DOI:
10.1097/PEC.0b013e31823a3e86
[Indexed for MEDLINE]

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