Pediatric emergency revisits of children with COVID-19.

Autor:	Akcan Yildiz L; Pediatric Emergency Clinic, Ankara Bilkent City Hospital, Ankara, Turkey., Karaca Vural O; Department of Pediatrics, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey., Tehci AK; Department of Pediatrics, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey., Akca H; Pediatric Emergency Clinic, Ankara Bilkent City Hospital, Ankara, Turkey.; Division of Pediatric Emergency, Department of Pediatrics, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Turkey., Kurt F; Pediatric Emergency Clinic, Ankara Bilkent City Hospital, Ankara, Turkey., Akca Caglar A; Pediatric Emergency Clinic, Ankara Bilkent City Hospital, Ankara, Turkey., Dibek Misirlioglu E; Department of Pediatrics, Ankara Bilkent City Hospital, University of Health Sciences, Ankara, Turkey.
Jazyk:	angličtina
Zdroj:	Postgraduate medicine [Postgrad Med] 2023 May; Vol. 135 (4), pp. 379-385. Date of Electronic Publication: 2022 Dec 22.
DOI:	10.1080/00325481.2022.2157634
Abstrakt:	Objective: This study was conducted to reveal the characteristics of pediatric emergency revisits of children with COVID-19 and the factors associated with clinical worsening and hospitalization at the revisit. Materials and Methods: In pediatric emergency visits of children between July 2020 and March 2021 with COVID-19, the patients who had a revisit within 7 days were included in the study. Demographic and clinical characteristics, test results, and the relationship of these variables with clinical worsening and hospitalization at the revisit were investigated. Results: In 6779 children with COVID-19, 284 (4.1%) patients included in the study. 51.8% of the patients were male, the median age was 11.1 years, and median time to revisit time was 2.0 days. The rates of clinical worsening and hospitalization were 9.1% and 14.7%, respectively. Children younger than 24 months and those with chronic diseases were more commonly hospitalized at the revisit. Though the frequency of laboratory and radiologic testing at the revisit was significantly increased compared to the first presentation, tests did not play an important role in the decision-making processes. More than 85% of patients were clinically mild at the first presentation and revisit. Conclusions: Children with a diagnosis of COVID-19 can revisit the emergency without evident clinical worsening. Since revisits cause increase in frequency of laboratory and radiological testing, preventing unnecessary revisits of children with COVID-19 can reduce the workload and cost of health care services. We may consider changing our perspective on revisit patients to make decisions based on clinical findings instead of obtaining for more laboratory tests.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu