Trends in Regionalization of Emergency Care for Common Pediatric Conditions

For children who cannot be discharged from the emergency department, definitive care has become less frequent at most hospitals. It is uncertain whether this is true for common conditions that do not require specialty care. We sought to determine how the likelihood of definitive care has changed for...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2020-04, Vol.145 (4), p.1
Main Authors: Cushing, Anna M, Bucholz, Emily, Michelson, Kenneth A
Format: Article
Language:English
Subjects:
Adolescent
Asthma
Asthma - therapy
Child
Child, Preschool
Children
Confidence Intervals
Cross-Sectional Studies
Croup
Croup - therapy
Databases, Factual
Demography
Emergency medical care
Emergency Service, Hospital - statistics & numerical data
Emergency Service, Hospital - trends
Emergency Treatment - statistics & numerical data
Emergency Treatment - trends
Gastroenteritis
Gastroenteritis - therapy
Humans
Logistic Models
Patient Transfer - statistics & numerical data
Patient Transfer - trends
Patients
Pediatrics
Referral and Consultation - statistics & numerical data
Referral and Consultation - trends
United States
United States Agency for Healthcare Research and Quality - statistics & numerical data
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Summary:For children who cannot be discharged from the emergency department, definitive care has become less frequent at most hospitals. It is uncertain whether this is true for common conditions that do not require specialty care. We sought to determine how the likelihood of definitive care has changed for 3 common pediatric conditions: asthma, croup, and gastroenteritis. We used the Nationwide Emergency Department Sample database to study children
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2019-2989