| Author(s) |
Robson, Kimberley
Bouchoucha, Stéphane
Considine, Julie
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| Publication Date |
2023-12-31
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| Abstract |
Acute gastroenteritis is a major cause of morbidity and mortality in children. The aim of this study was to explore assessment and management of children aged between 6 and 48 months presenting to the emergency department (ED) with acute gastroenteritis.This retrospective cohort study included 340 children aged 6-48 months. Data were collected by medical record audit for children presenting between 1 January and 31 December 2019.General assessments were appropriate, specific dehydration assessment, blood pressure measurement and fluid balance chart documentation could be improved. Management of children with severe or no/mild dehydration was largely compliant with current recommendations: there was variability in management of children with moderate dehydration. There were no significant differences between Australian Aboriginal and non-Aboriginal children in terms of dehydration severity and pathology abnormalities, however there were differences in management strategies.ED management of children with gastroenteritis was largely consistent with, or superior to, evidence-based recommendations. There was variability in the management of children with moderate dehydration and Australian Aboriginal children but it is unclear whether this is suboptimal or patient specific care. This study has highlighted areas for further research in this unique context.
|
| Affiliation |
School of Nursing and Midwifery, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia; Emergency Department, Alice Springs Hospital, 6 Gap Road, Alice Springs, Northern Territory 0870, Australia. Electronic address: Kimberley.Robson@nt.gov.au.
School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia; Centre for Innovation in Infectious Disease and Immunology Research (CIIDIR), Deakin University, Geelong, Victoria 3128, Australia.
School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, 1 Gheringhap Street, Geelong, Victoria 3220, Australia; Centre for Quality and Patient Safety Research - Eastern Health, 5 Arnold Street Box Hill, Victoria 3128, Australia.
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| Citation |
2024 Jun;27(2):81-87. doi: 10.1016/j.auec.2023.09.001. Epub 2023 Sep 21.
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| ISSN |
2588-994X
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| Pubmed ID |
https://pubmed.ncbi.nlm.nih.gov/37739912/?otool=iaurydwlib
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| Link | |
| Subject |
Emergency department
Emergency nursing
Emergency service
Gastroenteritis
Hospital
Paediatric
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| MESH subject |
Humans
Gastroenteritis
Retrospective Studies
Infant
Emergency Service, Hospital
Female
Child, Preschool
Male
Dehydration
Australia
Cohort Studies
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| Title |
Emergency department assessment and management of children with gastroenteritis.
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| Type of document |
Journal Article
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| Entity Type |
Publication
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| Name | Size | format | Description | Link |
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