Establishing hospital admission criteria of pediatric Henoch–Schonlein purpura
| Autor: | Kamal Masarweh, Ronen Spiegel, Avi Avital, Yoseph Horovitz |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Gastrointestinal bleeding Abdominal pain Time Factors Henoch-Schonlein purpura Adolescent IgA Vasculitis Immunology Unnecessary Procedures Severity of Illness Index Decision Support Techniques Patient Admission Rheumatology Predictive Value of Tests Severity of illness Epidemiology Chi-square test Humans Immunology and Allergy Medicine Israel Child Retrospective Studies Chi-Square Distribution business.industry Anti-Inflammatory Agents Non-Steroidal Age Factors Infant Retrospective cohort study medicine.disease Logistic Models Treatment Outcome Child Preschool Predictive value of tests Female Steroids medicine.symptom business |
| Zdroj: | Rheumatology International. 34:1497-1503 |
| ISSN: | 1437-160X 0172-8172 |
| DOI: | 10.1007/s00296-014-2971-9 |
| Popis: | The current study aimed to define evidence-based admission criteria of pediatric Henoch-Schonlein purpura (HSP). In addition, we aimed to better characterize epidemiological and clinical features of pediatric HSP in Israel. We performed a retrospective cohort study of all children with HSP admitted during a 15 years period to a single pediatric department. We strictly collected the clinical data of all HSP cases. Each case was categorized as either "necessary admission" or "unnecessary admission." We compared the two groups, using initially Chi square (χ(2)) and student "t" tests, and thereafter, we employed logistic stepwise regression analysis. One hundred and sixty-three children with HSP were included. A set of six clinical criteria of which the presence of minimum one predicts the need for hospitalization were identified including: orchitis, moderate or severe abdominal pain, arthritis involving more than two joints, proteinuria, clear evidence of gastrointestinal bleeding, and inability to ambulate. In conclusion, we suggest a predictive model for the admission of pediatric patients with acute HSP. The implementation of this model can significantly reduce unnecessary admissions. |
| Databáze: | OpenAIRE |
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