Emergency department assessment and management of children with gastroenteritis

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE
Kimberley Robson , Stéphane Bouchoucha , Julie Considine
{"title":"Emergency department assessment and management of children with gastroenteritis","authors":"Kimberley Robson ,&nbsp;Stéphane Bouchoucha ,&nbsp;Julie Considine","doi":"10.1016/j.auec.2023.09.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis.</p></div><div><h3>Methods</h3><p>This retrospective cohort study included 340 children aged 6–48 months. Data were collected by medical record audit for children presenting between 1 January and 31 December 2019.</p></div><div><h3>Results</h3><p>General assessments were appropriate, specific dehydration assessment, blood pressure measurement and fluid balance chart documentation could be improved. Management of children with severe or no/mild dehydration was largely compliant with current recommendations: there was variability in management of children with moderate dehydration. There were no significant differences between Australian Aboriginal and non-Aboriginal children in terms of dehydration severity and pathology abnormalities, however there were differences in management strategies.</p></div><div><h3>Conclusions</h3><p>ED management of children with gastroenteritis was largely consistent with, or superior to, evidence-based recommendations. There was variability in the management of children with moderate dehydration and Australian Aboriginal children but it is unclear whether this is suboptimal or patient specific care. This study has highlighted areas for further research in this unique context.</p></div>","PeriodicalId":55979,"journal":{"name":"Australasian Emergency Care","volume":"27 2","pages":"Pages 81-87"},"PeriodicalIF":2.1000,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2588994X23000696/pdfft?md5=895a47fafd9df54a31baa597eaaaee88&pid=1-s2.0-S2588994X23000696-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Australasian Emergency Care","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2588994X23000696","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background

Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis.

Methods

This retrospective cohort study included 340 children aged 6–48 months. Data were collected by medical record audit for children presenting between 1 January and 31 December 2019.

Results

General assessments were appropriate, specific dehydration assessment, blood pressure measurement and fluid balance chart documentation could be improved. Management of children with severe or no/mild dehydration was largely compliant with current recommendations: there was variability in management of children with moderate dehydration. There were no significant differences between Australian Aboriginal and non-Aboriginal children in terms of dehydration severity and pathology abnormalities, however there were differences in management strategies.

Conclusions

ED management of children with gastroenteritis was largely consistent with, or superior to, evidence-based recommendations. There was variability in the management of children with moderate dehydration and Australian Aboriginal children but it is unclear whether this is suboptimal or patient specific care. This study has highlighted areas for further research in this unique context.

儿童肠胃炎急诊科的评估和管理。
背景:急性肠胃炎是儿童发病和死亡的主要原因。本研究的目的是探讨对6至48个月大的儿童因急性肠胃炎到急诊科就诊的评估和管理。方法:这项回顾性队列研究包括340名年龄在6-48个月的儿童。数据是通过对2019年1月1日至12月31日期间出现的儿童的医疗记录审计收集的。结果:一般评估是适当的,具体的脱水评估、血压测量和液体平衡图文件可以改进。严重或无/轻度脱水儿童的管理在很大程度上符合目前的建议:中度脱水儿童的处理存在差异。澳大利亚原住民和非原住民儿童在脱水严重程度和病理异常方面没有显著差异,但在管理策略上存在差异。结论:儿童肠胃炎的ED治疗在很大程度上符合或优于循证建议。中度脱水儿童和澳大利亚原住民儿童的管理存在差异,但尚不清楚这是次优护理还是针对患者的护理。这项研究突出了在这一独特背景下需要进一步研究的领域。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信