Appropriateness of Emergency Department Use in Pediatric Inflammatory Bowel Disease: A Quality Improvement Opportunity

被引：11

作者：

Hoffenberg, Edward J. ^{[1
,2
]}

Park, K. T. ^{[3
]}

Dykes, Dana M. ^{[4
]}

Fridge, Jacqueline ^{[5
]}

Kappelman, Michael D. ^{[6
]}

Leibowitz, Ian H. ^{[7
]}

Tsou, V. Marc ^{[8
]}

Colletti, Richard B. ^{[9
]}

机构：

[1] Childrens Hosp Colorado, Digest Hlth Inst, Aurora, CO USA

[2] Univ Colorado, Sch Med, Dept Pediat, Aurora, CO USA

[3] Stanford Univ, Sch Med, Dept Pediat, Div Gastroenterol Hepatol & Nutr, Palo Alto, CA 94304 USA

[4] Univ Cincinnati, Coll Med, Cincinnati Childrens Med Ctr, Div Gastroenterol Hepatol & Nutr,Dept Pediat, Cincinnati, OH USA

[5] Randall Childrens Hosp, Northwest Pediat Gastroenterol LLC, Portland, OR USA

[6] Univ N Carolina, Sch Med, Dept Pediat, Div Pediat Gastroenterol Hepatol & Nutr, Chapel Hill, NC USA

[7] Inova Fairfax Hosp Children, Childrens Digest Dis Program, Fairfax, VA USA

[8] Eastern Virginia Med Sch, Dept Pediat, Childrens Specialty Grp, Div Gastroenterol Hepatol & Nutr, Norfolk, VA 23501 USA

[9] Univ Vermont, Coll Med, Burlington, VT 05405 USA

来源：

JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION | 2014年 / 59卷 / 03期

关键词：

chronic care model; emergency department; inflammatory bowel disease; pediatrics; reducing cost; CARE;

D O I：

10.1097/MPG.0000000000000457

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Objectives: We sought to characterize emergency department (ED) encounters for pediatric inflammatory bowel disease (IBD) to identify areas for prevention. Methods: Retrospective chart review of 5 consecutive ED encounters at 7 centers was performed. Results: Of 35 unique encounters by 32 patients, 3 main factors contributed to ED utilization: disease severity or course, day or time of care, and physician instruction. Of the ED encounters, approximately one-fifth were judged medically unnecessary, and one-half avoidable in a more optimal health care system. Conclusions: ED visits by pediatric patients with IBD may be reduced in a more optimal health care system.

引用

页码：324 / 326

页数：3

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