Smita Dick, Richard Kyle, Philip Wilson, Lorna Aucott, Emma France, E King, Cari Malcolm, Pat Hoddinott, Stephen W Turner
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引用次数: 0
Abstract
Introduction: After a child is discharged home following an emergency admission to hospital, little is known about contact with emergency departments (ED) or out-of-hours (OOH) general practice. Here, we report the number of contacts with ED and OOH in the week after discharge from hospital in Scotland during 2015-2017, including the number of contacts which result in a readmission.
Methods: Databases containing routinely collected details from hospital admissions for an acute medical condition and subsequent presentation to ED or OOH were linked using a unique personal identifier and the date of discharge.
Results: Of 171 039 urgent admissions, the source of referral was identified for 97 177 (57%) including 92 148 referred by ED or OOH. In the week following discharge, 11 025 (11%) children had a total of 11 497 contacts with ED and/or OOH. The daily number of contacts with ED and/or OOH fell from 2560 on the day after discharge to 1008 1 week after discharge. There were 3892 (35%) children readmitted following contact with ED and/or OOH. An additional 7133 children had a total of 7605 contacts with ED and/or OOH in the week postdischarge but were not readmitted.
Conclusion: Many families seek medical assistance for their child from ED and/or OOH in the week after discharge from hospital, and the majority are not managed by or referred back to paediatric services. Clearer discharge planning could reduce the burden on ED, OOH and parents.
期刊介绍：
Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.
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