272 Point-of-care testing in paediatric settings in the UK and Ireland: a cross-sectional study

Pandey, Meenu; Lyttle, Mark D; Cathie, Katrina; Munro, Andrew W.; Waterfield, Thomas; Roland, Damian

doi:10.1136/archdischild-2022-rcpch.10

Cited by 3 publications

(3 citation statements)

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“…In ED setting clinicians need to make accurate and timely decisions regarding emergency management and POC tests have the potential to provide rapid and accurate results [9,14]. In our analysis, blood count and multiparametric blood gas analysis were largely performed and they provided a great part of pathologic results, confirming the utility of their execution.…”

Section: Discussionmentioning

confidence: 58%

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Red Code Management in Pediatric Emergency Department: A Retrospective Study

Bertone,

Denina,

Pagano

et al. 2024

Preprint

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The “red code” (RD) represents the highest levels of emergency in the emergency department (ED). The study retrospectively analyzed RDs in the Regina Margherita Children’s Hospital ED, a regional referral center in north Italy, between 1 July 2020 and 30 June 2023. The aim was to describe RD characteristics and to identify significant correlations between presenting complaints and clinical management. The study includes 934 RDs (0.9% of overall ED admissions); 64% were assigned based on the Pediatric Assessment Triangle alteration. Most patients, 86.5%, followed the medical pathway, while 13.5% were surgical cases. Admission complaints were respiratory (46.9%), neuropsychiatric (26.7%), traumatic (11.8%), cardiologic (9.3%), metabolic (3.8%), and surgical (1.5%). Seventy-six per cent of patients received vascular access, and intraosseous access was obtained in 2.2% of them. In one-third of RDs, an urgent critical care evaluation was necessary, and 19% of cases required admission to the intensive care unit. The overall mortality rate was 3.4% (0.4% in ED setting). The study identified six distinct diagnostic pathways, each associated with specific characteristics in clinical presentation, management, therapeutic interventions, and outcomes: this underscored the significance of a systematic approach in improving outcomes in pediatric RD management.

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Section: Discussionmentioning

confidence: 58%

“…Alongside PALS algorithm, international guidelines and local hospital protocols aim to standardize care and optimize outcomes [10][11][12][13]. Diagnostic assessments to detect and identify severe clinical condition include bedside, laboratory and instrumental tests [9,14].…”

Section: Rds Managementmentioning

confidence: 99%

Red Code Management in Pediatric Emergency Department: A Retrospective Study

Bertone,

Denina,

Pagano

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…It can also reduce time to obtaining urine samples and sampling errors, which could reduce time to diagnosis and care in emergency settings. 13…”

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confidence: 99%

Status of Urinalysis in Nigeria: Way Forward

Dr ADEYEMO AW,

Dr OLANREWAJU TO,

Dr ADERIBIGBE A

et al. 2023

IJCP

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Urinalysis serves as a diagnostic procedure employed to assess the condition of a patient's urinary system, encompassingthe examination of physical, chemical and microscopic attributes within a urine sample. In Nigeria, urinalysis stands asa frequently utilized diagnostic modality, widely accessible within health care facilities and is generally cost-effective.Nevertheless, despite its widespread availability, certain obstacles persist that hinder its effective utilization. Through thisreview, we aim to emphasize the significance of urinalysis in the diagnosis of kidney diseases within low-income nations,while also addressing the impediments that hinder its proper application. We also propose a range of requisite measuresfor enhancement.

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Red Code Management in a Pediatric Emergency Department: A Retrospective Study

Bertone,

Denina,

Pagano

et al. 2024

Children

View full text Add to dashboard Cite

The “red code” (RC) represents the highest level of emergency in the emergency department (ED). This study retrospectively analyzed RCs in the Regina Margherita Children’s Hospital ED, a regional referral center in north Italy, between 1 July 2020 and 30 June 2023. The aim was to describe RC characteristics and to identify significant correlations between presenting complaints and clinical management. The study includes 934 RCs (0.9% of overall ED admissions); 64% were assigned based on the Pediatric Assessment Triangle alteration. Most patients, 86.5%, followed the medical pathway, while 13.5% were surgical cases. Admission complaints were respiratory (46.9%), neuropsychiatric (26.7%), traumatic (11.8%), cardiologic (9.3%), metabolic (3.8%), and surgical (1.5%). Seventy-six percent of patients received vascular access, and intraosseous access was obtained in 2.2% of them. In one-third of RCs, an urgent critical care evaluation was necessary, and 19% of cases required admission to the intensive care unit. The overall mortality rate was 3.4% (0.4% in ED setting). The study identified six distinct diagnostic pathways, each associated with specific characteristics in clinical presentation, management, therapeutic interventions, and outcomes. Our findings underscore the need for a systematic approach in pediatric emergency settings, supported by international and national guidelines but also by clearly defined diagnostic pathways, aiming to enhance the quality of care and patient outcomes.

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272 Point-of-care testing in paediatric settings in the UK and Ireland: a cross-sectional study

Cited by 3 publications

References 0 publications

Red Code Management in Pediatric Emergency Department: A Retrospective Study

Red Code Management in Pediatric Emergency Department: A Retrospective Study

Status of Urinalysis in Nigeria: Way Forward

Red Code Management in a Pediatric Emergency Department: A Retrospective Study

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