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  • Emergency department presentations in infants: Predictors from an Australian birth cohort

    Author(s)
    Crilly, Julia
    Cameron, Cate M
    Scuffham, Paul A
    Good, Norm
    Scott, Rani
    Mihala, Gabor
    Sweeny, Amy
    Keijzers, Gerben
    Griffith University Author(s)
    Crilly, Julia
    Scuffham, Paul A.
    Year published
    2017
    Metadata
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    Abstract
    Aim: Infants under 12 months of age are disproportionately represented amongst emergency department (ED) presentations, and infants are more likely to be frequent ED users. This study aimed to describe and identify psychosocial predictors of ED presentation in infants. Methods: A prospective birth cohort from Queensland and New South Wales (Environments for Healthy Living) was used to understand infant health service use. Baseline and 12-month questionnaire data pertaining to children born between 2006 and 2011 were used to identify predictors of ED presentation, using multiple regression analysis. Results: Of the 2184 ...
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    Aim: Infants under 12 months of age are disproportionately represented amongst emergency department (ED) presentations, and infants are more likely to be frequent ED users. This study aimed to describe and identify psychosocial predictors of ED presentation in infants. Methods: A prospective birth cohort from Queensland and New South Wales (Environments for Healthy Living) was used to understand infant health service use. Baseline and 12-month questionnaire data pertaining to children born between 2006 and 2011 were used to identify predictors of ED presentation, using multiple regression analysis. Results: Of the 2184 children in the cohort with available baseline and 12-month data, 579 (27%) presented at least once to an ED during their first 12 months of life. Statistically significant predictors of ED presentation in the multivariate analysis included the mother having asthma (odds ratio (OR) 1.67, 95% confidence interval (CI) 1.15–2.39) and a higher Kessler-6 score (a measure of psychological distress) of the primary carer at baseline (OR 1.04, 95% CI 1.01–1.08). Maternal education level was not associated with ED presentations of infants. Conclusions: This study describes maternal and child factors of children who present to the ED in the first year of life. Factors related to an infant’s support system were found to be predictors for an ED presentation in the first year of life. This study emphasises the need to review the maternal medical history and psychosocial situation. There may be benefits for health-care practitioners to take the opportunity (such as during routine childhood immunisation) to perform a brief screening tool (such as the Kessler-6) to understand psychological distress experienced by mothers. This may influence the likelihood of a child presenting to an ED within the first 12 months of life.
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    Journal Title
    Journal of Paediatrics and Child Health
    Volume
    53
    Issue
    10
    DOI
    https://doi.org/10.1111/jpc.13617
    Subject
    Clinical sciences
    Reproductive medicine not elsewhere classified
    Health services and systems
    Public health
    Paediatrics
    Publication URI
    http://hdl.handle.net/10072/350482
    Collection
    • Journal articles

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