Emergency Department Chief Complaints Among Children With Cancer
| Autor: | Anneli R. Cochrane, Megan D Burcham, Seethal A. Jacob, Emily L. Mueller, Aaron E. Carroll |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Male medicine.medical_specialty Adolescent Fever Nausea Pain Hemorrhage Logistic regression Article Odds 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine Neoplasms medicine Humans Pain Management Child Retrospective Studies business.industry Infant Newborn Infant Retrospective cohort study Hematology Emergency department Odds ratio Confidence interval 030104 developmental biology Oncology 030220 oncology & carcinogenesis Child Preschool Pediatrics Perinatology and Child Health Vomiting Female medicine.symptom business Emergency Service Hospital |
| Zdroj: | J Pediatr Hematol Oncol |
| ISSN: | 1536-3678 |
| Popis: | Children with cancer have high emergency department (ED) utilization, but little is known about their chief complaints. A retrospective chart review of ED chief complaints for children with cancer (actively receiving therapy) at Riley Hospital for Children from January 2014 to December 2015 was performed. Proportions of visits and disposition for top 5 chief complaints were determined. Multivariate logistic regression analyzed factors associated with admission. There were 598 encounters by 231 children with cancer. About half (49%) had > 1 complaint. The 5 most common primary chief complaints were: fever (60.2%), pain (6.5%), nausea/vomiting (5.0%), bleeding (3.9%), and abnormal laboratory values (3.3%). Admission rates varied, with the highest rates being for nausea/vomiting (66.7%). Risk factors for admission were: hospitalization in prior 4 weeks (odds ratio [OR], 2.67; confidence interval [CI], 1.77-4.02), chief complaint of fever (OR, 1.90; CI, 1.16-3.09). For each increase in number of chief complaints, odds increased by 1.45 (CI, 1.14-1.83). Black, non-Hispanic (OR, 0.44; CI, 0.22-0.88) as compared with white, non-Hispanic, younger age (OR, 0.53; CI, 0.29-0.99) or complaint of abnormal laboratory values (OR, 0.20; CI, 0.06-0.68) had lower odds of admission. Children with cancer present to the ED with multiple and varied complaints. Future interventions could aim to improve caregiver anticipatory guidance and ED visit preparedness. |
| Databáze: | OpenAIRE |
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