Archives of disease in childhood
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Observational Study
Preschool children who are frequent attenders in emergency departments: an observational study of associated demographics and clinical characteristics.
Unscheduled visits to emergency departments (ED) have increased in the UK in recent years. Children who are repeat attenders are relatively understudied. ⋯ Frequent ED attenders fall broadly into two distinct clinical groups: those who habitually return with self-limiting conditions and those with or without exacerbation of underlying CLSI. Both groups may be amenable to both additional nursing and other forms of community support to enhance self-care and continuity of care. Further research is required to increase our understanding of specific individual family and health system factors that predict repeat attendance in this age group.
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Multicenter Study
Childhood bruising distribution observed from eight mechanisms of unintentional injury.
To inform the assessment of described mechanisms of bruising in children. ⋯ These findings have the potential to aid an assessment of the plausibility of the explanation given for a child with bruising. Certain bruise distributions were rarely observed, namely multiple bruises from a single mechanism, petechiae and bruising to the ears, neck or genitalia.
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Observational Study
The role of nurses' clinical impression in the first assessment of children at the emergency department.
To assess the diagnostic value and determinants of nurses' clinical impression for the recognition of children with a serious illness on presentation to the emergency department (ED). ⋯ The overall clinical impression of experienced nurses at the ED is on its own, not an accurate predictor of serious illness in children, but provides additional information above some well-established and objective predictors of illness severity.