Patterns of presentation to the Australian and New Zealand Paediatric Emergency Research Network

Acworth, Jason, Babl, Franz, Borland, Meredith, Ngo, Peter, Krieser, David, Schutz, Jacquie, Pitt, Rob, Cotterell, Elizabeth, Jamison, Sarah, Neutze, Jocelyn and Lee, Mark (2009) Patterns of presentation to the Australian and New Zealand Paediatric Emergency Research Network. Emergency Medicine Australasia, 21 1: 59-66. doi:10.1111/j.1742-6723.2009.01154.x

Author Acworth, Jason
Babl, Franz
Borland, Meredith
Ngo, Peter
Krieser, David
Schutz, Jacquie
Pitt, Rob
Cotterell, Elizabeth
Jamison, Sarah
Neutze, Jocelyn
Lee, Mark
Title Patterns of presentation to the Australian and New Zealand Paediatric Emergency Research Network
Journal name Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6731
Publication date 2009-02
Sub-type Article (original research)
DOI 10.1111/j.1742-6723.2009.01154.x
Volume 21
Issue 1
Start page 59
End page 66
Total pages 8
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing
Collection year 2010
Language eng
Formatted abstract
Objective: To describe epidemiological data concerning paediatric ED visits to an Australian and New Zealand research network.
Methods: We conducted a cross-sectional study of paediatric ED visits to all Paediatric Research in Emergency Departments International Collaborative (PREDICT) sites in 2004. Epidemiological data, including demographics, admission rates and diagnostic grouping, were examined and analysed using descriptive and comparative statistical methods. We compared the data, if possible, with published data from a US paediatric emergency research network (Pediatric Emergency Care Applied Research Network).
Results: A total of 351 440 ED presentations were analysed from 11 PREDICT sites. Mean patient age was 4.6 years and 55% were boys. Presentations were identified as 3% Aboriginal at Australian sites and 44% Maori/Pacific in New Zealand locations. According to Australasian Triage Scale (ATS), 5% were ATS 1 or 2 (to be seen immediately or within 10 min), 27% ATS 3 (to be seen within 30 min) and 67% ATS 4 or 5. Although ED visits peaked in late winter and early spring, admission rates remained unchanged throughout the year with an overall admission rate of 24%. Most frequent diagnoses were acute gastroenteritis, acute viral illness and upper respiratory tract infection. Asthma was the next most common. Pediatric Emergency Care Applied Research Network and PREDICT data showed differences in terms of ethnicity descriptions/distribution and admission rates.
Conclusions: This is the first description of the epidemiology of patient presentations to major paediatric ED in Australia and New Zealand. It details baseline data important to future collaborative studies and for planning health services for children.
Keyword Emergency department
Health Services Research
Paediatric Research in Emergency Departments International Collaborative
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 14 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 16 times in Scopus Article | Citations
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Created: Mon, 12 Apr 2010, 15:58:02 EST by Melanie Thomas on behalf of Paediatrics & Child Health - RBWH