Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Na, Ji-Hoon, Lee, Young-Mock
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurological Association 2019
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
_version_ 1783407971133292544
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
work_keys_str_mv AT najihoon transientandadultpatientswithneurologicdiseasesinthepediatricemergencydepartmenttrendsandcharacteristics
AT leeyoungmock transientandadultpatientswithneurologicdiseasesinthepediatricemergencydepartmenttrendsandcharacteristics