Send to

Choose Destination
Medicine (Baltimore). 2018 Sep;97(37):e12346. doi: 10.1097/MD.0000000000012346.

Transition patients: Adults with chronic pediatric disorder presenting to a tertiary pediatric emergency department in Korea.

Author information

Department of Emergency Medicine, Seoul National University Hospital.
Department of Emergency Medicine, Seoul National University College of Medicine, Seoul.
Department of Emergency Medicine, Cha Bundang Medical Center, Seongnam, Gyeonggi-do, Republic of Korea.


The primary objective was to evaluate the characteristics of adults (≥18 years old) with chronic pediatric disorders (transition patients) who visited the pediatric emergency department (PED). The secondary objective was to determine the associated factors for their admission.This study was a retrospective chart review of transition patients seen at a large, urban PED in Korea from 2010 to 2015. Epidemiologic and clinical data were used to identify the characteristics of transition patients compared with those of pediatric patients in the PED. A multivariable logistic regression model was used to calculate odds ratios (ORs) for the factors associated with hospitalization.Transition patients accounted for 2776 (2.4%) of the total encounters. A total of 463 (38.9%) of the transition patients had >1 visit. Congenital heart disease was the most common (23.2%) chronic pediatric disorder. Most encounters (94.5%) were related to an underlying disorder, and 34.4% of the encounters required consultations with other pediatric subspecialties. Diagnostic procedures were performed in 90.1% of the encounters. Transition patients were hospitalized more than pediatric patients (35.3% vs 15.3%; P < .001). The associated factors for admission in the transition patients were chronic gastrointestinal disorder (adjusted odds ratio [AOR]: 3.76 [95% confidence interval, CI, 2.29-6.16]), complaints related to an underlying disorder (AOR: 3.13 [95% CI, 1.94-5.05]), respiratory complaints (AOR: 2.02 [95% CI, 1.33-3.08]), and infectious complaints (AOR: 1.97 [95% CI, 1.40-2.76]).A substantial number of transition patients used the PED, and they required a larger amount of resources in the PED. Chronic gastrointestinal disorder, respiratory symptoms, or complaints related to an underlying disorder were the related factors for admission of transition patients.

[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wolters Kluwer Icon for PubMed Central
Loading ...
Support Center