Trends in paediatric medical admissions.

Hunter, James; Davies, J; Reynolds, B.

doi:10.1136/bmj.299.6697.516-b

Cited by 2 publications

(1 citation statement)

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“…Further, unnecessary admission of children is considered to be harmful to children and their carers.1920 One paediatric unit found that as a result of setting up a system of consultant screening of a proportion of admissions in addition to a follow up policy, that they only needed two of the three children's wards. 20 The finding that consultants differ significantly in interpretation of the need for admission suggests that further improvements should be possible.…”

Section: Discussionmentioning

confidence: 99%

A study of admissions to paediatric beds

Rajaratnam

1991

Postgraduate Medical Journal

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Summary:The reasons for admission of children to paediatric beds and the appropriateness of those admissions were investigated by a retrospective study of admission notes by two paediatricians. Approximately 3% and 9% of the admissions according to assessor, were for purely social reasons and the remainder for predominantly medical reasons. There were a number of admissions for whom the assessors were unable to justify admission. Assessor 1 considered that 20% and assessor 2 15%, of those studied could have been managed without admission. Agreement over individual cases between assessors was poor but significant. The assessors agreed that admission was appropriate in 74% and inappropriate in 8% of cases. In the remaining 18 cases, the assessors did not agree on the need for admission. It is suggested that there is a need for local specialty specific admission policies to ensure cost-effective use of facilities.

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Section: Discussionmentioning

confidence: 99%

A study of admissions to paediatric beds

Rajaratnam

1991

Postgraduate Medical Journal

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Appropriateness of paediatric admission.

MacFaul

Glass

Jones

1994

Archives of Disease in Childhood

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A study on the 'appropriateness' of 267 consecutive emergency admissions to a district paediatric department showed that admission was at a peak in the evening and night time. Breathing difficulty, head injury, and fever were the commonest presenting problems. Sixty three per cent of admissions occurred between 6 pm and 8 am and these were more likely to be after self referral to the accident and emergency department and were evenly distributed through the social classes. Overall 80/5% of admissions were considered to be necessary on medical grounds by the. consultants at the time of discharge. Parental assessment of severity of illness and need for admission correlated well with that of the doctors. Fifty two per cent of all admissions took place though the accident and emergency department, and although a higher number of these were from disadvantaged families these were equally appropriate on medical grounds to those sent for admission by the general practitioner. Altogether 26.5% of admissions were for less than 24 hours and half of these were judged to be unnecessary.

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Trends in paediatric medical admissions.

Cited by 2 publications

References 1 publication

A study of admissions to paediatric beds

A study of admissions to paediatric beds

Appropriateness of paediatric admission.

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