Where are children seen in Australian emergency departments? Implications for research efforts

Lim, Ching Jou; Borland, Meredith L; Middleton, Paul; Moore, Katie; Shetty, Amith; Babl, Franz E; Lee, Robert S; Acworth, Jason; Wilson, Catherine L; Than, Martin; Craig, Simon

doi:10.1111/1742-6723.13698

Cited by 6 publications

(11 citation statements)

References 17 publications

(40 reference statements)

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“…At the Royal Darwin Hospital, paediatric Indigenous Australians are disproportionately likely to present, need admission and have cellulitis compared with non‐Indigenous Australians 12 . Patients aged 10–14 years who attended tertiary paediatric EDs were more likely to present for psychiatric or neurological illness than their regional or mixed ED peers 5 …”

Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

“…Most PEM actually occurs in non‐tertiary paediatric centres. Less than one‐quarter (23.8%) of all Australian paediatric ED attendances during the 2017–2018 year presented to the nine major tertiary paediatric hospitals 5 . Meanwhile, Starship Children's Hospital, NZ's only tertiary paediatric centre, sees approximately 34 000 children each year, 6 which represents a small fraction of the over 200 000 paediatric attendances 4 .…”

Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

“…Further, Australian data show that the majority of Australasian Triage Scale (ATS) category 1 patients are seen in non‐tertiary EDs. The total number of ATS category 1 paediatric presentations to Australian EDs over 2017–2018 was 3724 in non‐tertiary hospitals, compared with 2372 in tertiary hospitals 5 . Sick kids present everywhere, and we must be ready to receive and treat.…”

Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

“…Paediatrics consistently represents a significant proportion of the ED clinician's workload. [2][3][4] The ACEM Annual Site Census Report from 1 July 2018 to 30 June 2019 showed children accounted for 21.7% and 24.3% of all ED attendances in Australia and New Zealand (NZ), respectively; 4 this represented more than 1.6 million attendances in Australia 5 and over 200 000 in NZ. 4 These figures actually underrepresent our traditional notion of the paediatric patient; both the Australian and NZ Departments of Health report demographic information in 5-year age groups, as such, only those aged 0-14 years are included in these data.…”

mentioning

confidence: 99%

“…12 Patients aged 10-14 years who attended tertiary paediatric EDs were more likely to present for psychiatric or neurological illness than their regional or mixed ED peers. 5 Mental health is a growing area of concern in paediatric patients. Public EDs in Victoria saw a 46% increase in the number of mental health presentations from 2008-2009 to 2014-2015, compared with a 13% increase in physical health-related presentations.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Do we do enough paediatrics?

Kozlovski

Matthews

Bertenshaw

et al. 2021

Emerg Medicine Australasia

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Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

Section: Trainees Enrolled Prior To 20227 Trainees Enrolled From 20228mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Do we do enough paediatrics?

Kozlovski

Matthews

Bertenshaw

et al. 2021

Emerg Medicine Australasia

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Making the most of what we have: What does the future hold for Emergency Department data?

Craig,

O'Reilly,

Egerton‐Warburton

et al. 2024

Emerg Medicine Australasia

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Over 10 million ED visits occur each year across Australia and Aotearoa New Zealand. Outside basic administrative data focused on time‐based targets, there is minimal information about clinical performance, quality of care, patient outcomes, or equity in emergency care. The lack of a timely, accurate or clinically useful data collection represents a missed opportunity to improve the care we deliver each day. The present paper outlines a proposal for a National Acute Care Secure Health Data Environment, including design, possible applications, and the steps taken to date by the Australasian College for Emergency Medicine ED Epidemiology Network in collaboration with the College of Emergency Nursing Australasia. Optimal use of the existing information collected routinely during clinical care of emergency patients has the potential to enable data‐driven quality improvement and research, leading to better care and better outcomes for millions of patients and families each year.

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Sepsis awareness and understanding in Australian parents: A National Child Health Poll survey

Peters

Rhodes

Measey

et al. 2023

J Paediatrics Child Health

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AimThe primary aim of the study was to assess parental awareness and understanding of childhood sepsis. Secondary aims included parental knowledge of the signs and symptoms of sepsis, and what parents would do if they suspected sepsis in their own child.MethodsAn online questionnaire was administered as part of The Royal Children's Hospital National Child Health Poll. The Poll is a quarterly online survey of a sample of Australian families with at least one child aged 0–17 years old, representative by age, sex and state of residence. The questionnaire collected information on parental sepsis awareness, and for those defined as sepsis aware, information was gathered on sepsis knowledge, signs and symptoms, and how they would respond if they thought their child had sepsis. Signs and symptoms highly likely to be suggestive of sepsis were predefined based on published sepsis guidelines and awareness campaigns.ResultsThe questionnaire was completed by 3352 parents. Of those, 2065 (61.6%) had heard of the term sepsis and 2818 (84.1%) had heard of at least one alternate term for sepsis and were classified as ‘sepsis aware’. Of the ‘sepsis aware’ parents, 82.9% knew that sepsis was a life‐threatening condition, but only 33.8% knew that once diagnosed, sepsis may not be curable. Only 27.8% thought that they could recognise the signs of sepsis in their own child. Less than half of respondents correctly identified signs and symptoms that were highly likely to be suggestive of sepsis. Seventy‐one per cent of parents said they would seek urgent care at a hospital emergency department or other facility if they thought their child had sepsis, but only 37.3% said they would consider calling an ambulance.ConclusionThere are considerable knowledge gaps in parental awareness and knowledge of sepsis, particularly sepsis recognition. Parental education should target these knowledge gaps in order to improve healthcare‐seeking behaviour and communication between parents and healthcare providers in order to facilitate early sepsis diagnosis and treatment.

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Where are children seen in Australian emergency departments? Implications for research efforts

Cited by 6 publications

References 17 publications

Do we do enough paediatrics?

Do we do enough paediatrics?

Making the most of what we have: What does the future hold for Emergency Department data?

Sepsis awareness and understanding in Australian parents: A National Child Health Poll survey

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