Pediatric emergency care
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Pediatric emergency care · Dec 2021
Observational StudyAre There Differences in Pediatric Psychiatric Emergency Department Patients Related to Utilization Frequency?
The increasing frequency of visits to the pediatric psychiatric emergency department in the United States signals a need for a better understanding of factors contributing to more frequent utilization. This study examined characteristics of patients associated with higher utilization of the pediatric psychiatric emergency department to increase understanding of this group of patients. ⋯ The greater emergency department use by younger children found in this study may be an indicator of insufficient treatment at other levels of care. Additional research examining more demographic variables and demographic characteristics in greater detail is needed to fully characterize the most frequent users of costly pediatric psychiatric emergency department care.
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Pediatric emergency care · Dec 2021
Multicenter StudyAssessing the Utility of Urine Testing in Febrile Infants 2 to 12 Months of Age With Bronchiolitis.
The utility of testing for urinary tract infection (UTI) in febrile infants with bronchiolitis is indeterminate. ⋯ Febrile infants 2 to 12 months of age with bronchiolitis have a clinically significant incidence of UTI, suggesting that UTI evaluation should be considered in these patients.
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Pediatric emergency care · Dec 2021
Brief Resolved Unexplained Event: Not Just a New Name for Apparent Life-Threatening Event.
This study aimed to evaluate patients who presented to the pediatric emergency department with an apparent life-threatening event (ALTE) to (1) determine if these patients would meet the criteria for brief resolved unexplained event (BRUE), a new term coined by the American Academy of Pediatrics in May, 2016; (2) risk stratify these patients to determine if they meet the BRUE low-risk criteria; and (3) evaluate outcomes of patients meeting the criteria for BRUE. ⋯ Only 1 patient who presented to the ED with ALTE met the criteria for BRUE, and this patient did not meet the low-risk criteria. This study corroborates previous research on BRUE and continues to highlight the importance of conducting a thorough history and physical examination on all patients presenting to the ED with concerning events.