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Factors predictive ...
Factors predictive of hospital admission for children via emergency departments in Australia and Sweden: an observational cross-sectional study
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- Crilly, Julia (författare)
- Gold Coast Health, Southport, QLD, Australia; Griffith University, Southport, QLD, Australia,Gold Coast Hlth, Dept Emergency Med, 1 Hosp Blvd, Southport, Qld 4215, Australia.;Griffith Univ, Sch Nursing & Midwifery, Southport, Qld, Australia.
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- Sweeny, Amy (författare)
- Gold Coast Health, Southport, QLD, Australia; Griffith University, Southport, QLD, Australia,Gold Coast Hlth, Dept Emergency Med, 1 Hosp Blvd, Southport, Qld 4215, Australia.;Griffith Univ, Sch Nursing & Midwifery, Southport, Qld, Australia.
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- Muntlin, Åsa, Docent, 1971- (författare)
- Uppsala universitet,Klinisk epidemiologi,Institutionen för folkhälso- och vårdvetenskap
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- Green, David (författare)
- Gold Coast Hlth, Dept Emergency Med, 1 Hosp Blvd, Southport, Qld 4215, Australia.
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- Malyon, Lorelle (författare)
- Queensland Children's Hospital, Children's Health Queensland, Brisbane, QLD, Australia,Queensland Childrens Hosp, Emergency Dept, Childrens Hlth Queensland, Brisbane, Qld, Australia.
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- Christofis, Luke (författare)
- Lyell McEwin Hospital, Elizabeth Vale, South Australia, Australia,Lyell McEwin Hosp, Emergency Dept, Elizabeth Vale, SA, Australia.
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- Higgins, Malcolm (författare)
- Women's and Children's Hospital, North Adelaide, South Australia, Australia,Womens & Childrens Hosp, Paediat Emergency Dept, North Adelaide, SA, Australia.
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- Källberg, Ann-Sofie, 1960- (författare)
- Högskolan Dalarna,Omvårdnad,Falun Hospital, Falun,Dalarna Univ, Sch Hlth & Welf, Falun, Sweden.;Falun Cent Hosp, Dept Emergency Med, Falun, Sweden.
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- Dellner, Sara (författare)
- Region Stockholm, Stockholm,Maternal Hlth Care Unit, Reg Stockholm, Stockholm, Sweden.
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- Myrelid, Åsa, 1974- (författare)
- Uppsala universitet,Institutionen för kvinnors och barns hälsa
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- Djärv, Therese (författare)
- Karolinska Institutet,Karolinska Univ Hosp, Emergency & Reparat Med Theme, Stockholm, Sweden.;Karolinska Inst, Dept Med, Stockholm, Sweden.
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- Göransson, Katarina, 1974- (författare)
- Högskolan Dalarna,Omvårdnad,Karolinska Institutet, Solna, Stockholm,Dalarna Univ, Sch Hlth & Welf, Falun, Sweden.;Karolinska Inst, Dept Med, Stockholm, Sweden.
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Gold Coast Health, Southport, QLD, Australia; Griffith University, Southport, QLD, Australia Gold Coast Hlth, Dept Emergency Med, 1 Hosp Blvd, Southport, Qld 4215, Australia;Griffith Univ, Sch Nursing & Midwifery, Southport, Qld, Australia. (creator_code:org_t)
- Springer Nature, 2024
- 2024
- Engelska.
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Ingår i: BMC Health Services Research. - : Springer Nature. - 1472-6963. ; 24:1
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- Background: Identifying factors predictive of hospital admission can be useful to prospectively inform bed management and patient flow strategies and decrease emergency department (ED) crowding. It is largely unknown if admission rate or factors predictive of admission vary based on the population to which the ED served (i.e., children only, or both adults and children). This study aimed to describe the profile and identify factors predictive of hospital admission for children who presented to four EDs in Australia and one ED in Sweden.Methods: A multi-site observational cross-sectional study using routinely collected data pertaining to ED presentations made by children < 18 years of age between July 1, 2011 and October 31, 2012. Univariate and multivariate analysis were undertaken to determine factors predictive of hospital admission.Results: Of the 151,647 ED presentations made during the study period, 22% resulted in hospital admission. Admission rate varied by site; the children's EDs in Australia had higher admission rates (South Australia: 26%, Queensland: 23%) than the mixed (adult and children's) EDs (South Australia: 13%, Queensland: 17%, Sweden: 18%). Factors most predictive of hospital admission for children, after controlling for triage category, included hospital type (children's only) adjusted odds ratio (aOR):2.3 (95%CI: 2.2-2.4), arrival by ambulance aOR:2.8 (95%CI: 2.7-2.9), referral from primary health aOR:1.5 (95%CI: 1.4-1.6) and presentation with a respiratory or gastrointestinal condition (aOR:2.6, 95%CI: 2.5-2.8 and aOR:1.5, 95%CI: 1.4-1.6, respectively). Predictors were similar when each site was considered separately.Conclusions: Although the characteristics of children varied by site, factors predictive of hospital admission were mostly similar. The awareness of these factors predicting the need for hospital admission can support the development of clinical pathways.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Emergency departments
- Children
- Hospital admission
- Australia
- Sweden
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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- Av författaren/redakt...
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Crilly, Julia
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Sweeny, Amy
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Muntlin, Åsa, Do ...
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Green, David
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Malyon, Lorelle
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Christofis, Luke
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visa fler...
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Higgins, Malcolm
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Källberg, Ann-So ...
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Dellner, Sara
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Myrelid, Åsa, 19 ...
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Djärv, Therese
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Göransson, Katar ...
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Högskolan Dalarna
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Karolinska Institutet
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Uppsala universitet