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International Journal of Pediatrics & Neonatal Care Volume 6 (2020), Article ID 6:IJPNC-163, 4 pages
https://doi.org/10.15344/2455-2364/2020/163
Research Article
Clinical Characteristics of Children Admitted to the Pediatric Emergency Department Referred from Outpatient Departments

Ying-Ju Chen1†, Chun-Yu Chen1,2†,Wen-Chieh Yang1,2 and Han-Ping Wu1,2,3*

1Department of Pediatric Emergency Medicine, Children Hospital, China Medical University, Taichung, Taiwan
2Department of Medicine, School of Medicine, China Medical University, Taichung, Taiwan
3Department of Medical Research, Children's Hospital, China Medical University, Taichung, Taiwan
Prof. Han-Ping Wu, Department of Medical Research, Department of Pediatric Emergency Medicine, Children's Hospital, China Medical University, Taichung, Taiwan. No. 2, Yuh-Der Road, Taichung 404, Taiwan, Tel: +886-4-22052121; E-mail: arthur1226@gmail.com
†Ying-Ju Chen and Chun-Yu Chen contributed equally to this work.
11 March 2020; 06 April 2020; 08 April 2020
Chen YJ, Chen CY, Yang WC, Wu HP (2020) Systematic Preoperative Complementary Tests in Elective Minor and Medium Pediatric Surgery: Is it Time to Revalue?. Int J Pediatr Neonat Care 6: 163. doi: https://doi.org/10.15344/2455-2364/2020/163

Abstract

Objective: The objective of this study was to describe characteristics of children referred from our outpatient department (OPD) to the pediatric emergency department (PED).
Method: All pediatric patient charts from October 2018 to January 2020 who were referred from our OPD to PED were reviewed. The following clinical information was studied: demographics, (age, gender, distribution of patients by month) diagnosis, and disposition (admission, discharge).
Results: During the 16-month study period, 867 patients were enrolled, 468 (54%) were discharged from PED, and 399 (46%) were admitted. In this study, 654 (75.4%) of the 867 children were aged <6 years. the three most common referred divisions of opds were division pediatric gastroenterology (412, p =0.000), infectious disease (182, 0.784), and neurology (99, 0.000).
Conclusion: In this single-hospital study, children referred from OPDs to PED were more likely to be discharged from PED than admitted to the hospital. We suggest that effective communication with parents and well clinical evaluation may reduce unnecessary emergency resource use and inpatient admissions.