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Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics
BACKGROUND AND PURPOSE: There is an increasing rate of presentations by transient and adult patients (TAPs) to pediatric emergency departments (PED-EDs). TAPs with neurologic diseases (N-TAPs) comprise most of these patients. We investigated this trend and compared the characteristics of N-TAPs with...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Neurological Association
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444142/ https://www.ncbi.nlm.nih.gov/pubmed/30877696 http://dx.doi.org/10.3988/jcn.2019.15.2.191 |
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author | Na, Ji-Hoon Lee, Young-Mock |
author_facet | Na, Ji-Hoon Lee, Young-Mock |
author_sort | Na, Ji-Hoon |
collection | PubMed |
description | BACKGROUND AND PURPOSE: There is an increasing rate of presentations by transient and adult patients (TAPs) to pediatric emergency departments (PED-EDs). TAPs with neurologic diseases (N-TAPs) comprise most of these patients. We investigated this trend and compared the characteristics of N-TAPs with those of pediatric patients with neurologic diseases (N-PEDs) who presented to the PED-ED of a tertiary-care hospital in Korea. METHODS: We reviewed the medical records of neurologic patients who presented to the PED-ED of a single tertiary-care hospital from 2013 to 2017. We included patients with neurologic symptoms or diseases and those who were treated in the pediatric neurology department and underwent neurologic evaluations and treatment in the PED-ED. RESULTS: Presentations by N-TAPs to the PED-ED increased over time, whereas the number of N-PEDs gradually decreased, with a significant difference between the groups (p<0.001). The number of N-TAPs who presented to the PED-ED almost tripled from 2013 to 2017. N-TAPs had significantly more acute symptoms than N-PEDs, and a significantly higher proportion of N-TAPs were insured by Medical Aid compared to N-PEDs (p<0.001). The admission rate was significantly higher (p<0.001) and the mean hospital stay was longer (p=0.046) for N-TAPs. Epilepsy and neurometabolic diseases were mainly responsible for the increased presentations by N-TAPs. CONCLUSIONS: We have clarified the status of N-TAPs in the PED-ER and the role of pediatric neurologists who manage them. Multidisciplinary treatments focusing on the role of pediatric neurologists should be developed to that systematic long-term care plans are applied to N-TAPs. |
format | Online Article Text |
id | pubmed-6444142 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Neurological Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-64441422019-04-03 Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics Na, Ji-Hoon Lee, Young-Mock J Clin Neurol Original Article BACKGROUND AND PURPOSE: There is an increasing rate of presentations by transient and adult patients (TAPs) to pediatric emergency departments (PED-EDs). TAPs with neurologic diseases (N-TAPs) comprise most of these patients. We investigated this trend and compared the characteristics of N-TAPs with those of pediatric patients with neurologic diseases (N-PEDs) who presented to the PED-ED of a tertiary-care hospital in Korea. METHODS: We reviewed the medical records of neurologic patients who presented to the PED-ED of a single tertiary-care hospital from 2013 to 2017. We included patients with neurologic symptoms or diseases and those who were treated in the pediatric neurology department and underwent neurologic evaluations and treatment in the PED-ED. RESULTS: Presentations by N-TAPs to the PED-ED increased over time, whereas the number of N-PEDs gradually decreased, with a significant difference between the groups (p<0.001). The number of N-TAPs who presented to the PED-ED almost tripled from 2013 to 2017. N-TAPs had significantly more acute symptoms than N-PEDs, and a significantly higher proportion of N-TAPs were insured by Medical Aid compared to N-PEDs (p<0.001). The admission rate was significantly higher (p<0.001) and the mean hospital stay was longer (p=0.046) for N-TAPs. Epilepsy and neurometabolic diseases were mainly responsible for the increased presentations by N-TAPs. CONCLUSIONS: We have clarified the status of N-TAPs in the PED-ER and the role of pediatric neurologists who manage them. Multidisciplinary treatments focusing on the role of pediatric neurologists should be developed to that systematic long-term care plans are applied to N-TAPs. Korean Neurological Association 2019-04 2019-03-11 /pmc/articles/PMC6444142/ /pubmed/30877696 http://dx.doi.org/10.3988/jcn.2019.15.2.191 Text en Copyright © 2019 Korean Neurological Association http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Na, Ji-Hoon Lee, Young-Mock Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title | Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title_full | Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title_fullStr | Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title_full_unstemmed | Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title_short | Transient and Adult Patients with Neurologic Diseases in the Pediatric Emergency Department: Trends and Characteristics |
title_sort | transient and adult patients with neurologic diseases in the pediatric emergency department: trends and characteristics |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444142/ https://www.ncbi.nlm.nih.gov/pubmed/30877696 http://dx.doi.org/10.3988/jcn.2019.15.2.191 |
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