Literature DB >> 16627844

A study of childhood attendance at emergency departments in the West Midlands region.

A Downing1, G Rudge.   

Abstract

INTRODUCTION: Research into childhood attendance at EDs in the UK has focused mainly on injury rather than medical conditions and studies have been relatively small. This study looks at all types of ED attendance by children across a large population. DATA AND METHODS: Routine data on all new attendances by children under 16 years were available for 12 EDs in the West Midlands (period: 1 April 2002 to 31 March 2004, 365 695 records). The data were split into four age groups (<1, 1-4, 5-9, and 10-15 years).
RESULTS: Injury related conditions increased with age (with the exception of head injury). Respiratory and gastrointestinal were the most common medical conditions decreased with age. 11.5% of children were admitted to hospital and this varied from 8.2% (10-15 years) to 24.2% (<1 year).
CONCLUSIONS: This study has shown substantial variations in ED attendance by age and has given an insight into the variation among hospitals. This is the largest study of childhood ED attendance undertaken in the UK, and it is hoped that the questions raised will prompt more research in this field.

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Year:  2006        PMID: 16627844      PMCID: PMC2564092          DOI: 10.1136/emj.2005.025411

Source DB:  PubMed          Journal:  Emerg Med J        ISSN: 1472-0205            Impact factor:   2.740


  18 in total

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Journal:  Public Health       Date:  1999-11       Impact factor: 2.427

2.  The potential of emergency department injury surveillance data: an illustration using descriptive analysis of data in 0-4 year olds from the Bath injury surveillance system.

Authors:  J Brownscombe; N Simpson; S Lenton; R Davis; T Barby
Journal:  Child Care Health Dev       Date:  2004-03       Impact factor: 2.508

3.  A profile of attenders at the A&E Department of the Children's Hospital, Temple Street, Dublin.

Authors:  B Mallon; A Cullen; P Keenan; B Kiberd; T Matthews
Journal:  Ir Med J       Date:  1997-11

4.  Patterns of unintentional injury in childhood and their relation to socio-economic factors.

Authors:  G J Laing; S Logan
Journal:  Public Health       Date:  1999-11       Impact factor: 2.427

5.  Children's fractures: a population based study.

Authors:  R A Lyons; A M Delahunty; D Kraus; M Heaven; M McCabe; H Allen; P Nash
Journal:  Inj Prev       Date:  1999-06       Impact factor: 2.399

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Authors:  H E Bedford; S M Jenkins; C Shore; P A Kenny
Journal:  Qual Health Care       Date:  1992-03

7.  Accident and emergency attendances by children under the age of 1 year as a result of injury.

Authors:  D M Macgregor
Journal:  Emerg Med J       Date:  2003-01       Impact factor: 2.740

8.  Accidents among children under five years old: a general practice based study in north Staffordshire.

Authors:  Y H Carter; P W Jones
Journal:  Br J Gen Pract       Date:  1993-04       Impact factor: 5.386

9.  The use of childhood injury surveillance within a general accident and emergency department.

Authors:  V Ness; R Hoskins; A Robb
Journal:  Accid Emerg Nurs       Date:  2002-07

10.  A survey of new attenders at a paediatric accident and emergency department.

Authors:  B Kiberd; H Sinclair
Journal:  Ir J Med Sci       Date:  1994-06       Impact factor: 1.568

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  5 in total

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4.  The combined influence of distance and neighbourhood deprivation on Emergency Department attendance in a large English population: a retrospective database study.

Authors:  Gavin M Rudge; Mohammed A Mohammed; Sally C Fillingham; Alan Girling; Khesh Sidhu; Andrew J Stevens
Journal:  PLoS One       Date:  2013-07-16       Impact factor: 3.240

5.  Cohort study protocol: Bioresource in Adult Infectious Diseases (BioAID).

Authors:  Laura J Shallcross; Alexander Mentzer; Saadia Rahman; Graham S Cooke; Shiranee Sriskandan; Mahdad Noursadeghi
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