Emergency Department Presentations by Children in Remote Australia: A Population-based Study

被引：3

作者：

Dossetor, Philippa Jane ^{[1
,2
]}

Fitzpatrick, Emily F. M. ^{[2
,3
]}

Glass, Kathryn ^{[1
]}

Douglas, Kirsty ^{[4
]}

Watkins, Rochelle ^{[5
]}

Oscar, June ^{[6
,7
]}

Carter, Maureen ^{[8
]}

Harley, David ^{[1
,9
]}

Jeffery, Heather E. ^{[2
]}

Elliott, Elizabeth Jane ^{[2
,3
]}

Martiniuk, Alexandra L. C. ^{[2
,10
,11
]}

机构：

[1] Australian Natl Univ, Canberra, ACT, Australia

[2] Univ Sydney, Sydney, NSW, Australia

[3] Sydney Childrens Hosp Network, Westmead, NSW, Australia

[4] Australian Natl Univ, Woden, ACT, Australia

[5] Univ Western Australia, Perth, WA, Australia

[6] Marninwarntikura Womens Resource Ctr, Fitzroy Crossing, WA, Australia

[7] Univ Notre Dame, Broome, WA, Australia

[8] Nindilingarri Cultural Hlth Serv, Fitzroy Crossing, WA, Australia

[9] Univ Queensland, Brisbane, Qld, Australia

[10] Univ Toronto, Toronto, ON, Canada

[11] George Inst Global Hlth, Sydney, NSW, Australia

来源：

GLOBAL PEDIATRIC HEALTH | 2021年 / 8卷

基金：

英国医学研究理事会; 澳大利亚国家健康与医学研究理事会; 澳大利亚研究理事会;

关键词：

Aboriginal; emergency department presentation; pediatric; rural and remote; Australia; PATTERNS; COMMUNITIES;

D O I：

10.1177/2333794X21991006

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. Methods. ED presentations (2007-11 inclusive) were examined for all children born in the Fitzroy Valley in 2002-03. Results. ED data for 127/134 (94.7%) children (95% Aboriginal) showed 1058 presentations over 5-years. Most (81%) had at least 1 presentation (median 9.0, range 1-50). Common presentations included: screening/follow-up/social reasons (16.0%), injury (15.1%), diseases of the ear (14.9%), skin (13.8%), respiratory tract (13.4%), and infectious and parasitic diseases (9.8%). PAE and higher presentations rates were associated. Commonly associated socio-economic factors were household over-crowding, financial and food insecurity. Conclusion. Children in very remote Fitzroy Crossing communities have high rates of preventable ED presentations, especially those with PAE. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.

引用

页数：11

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