From: Epidemiology of patients presenting to a pediatric emergency department in Karachi, Pakistan
Disposition and Outcomesa | All ED visits | Neonatal visits | Children ≥ 28 days | Odds ratio (comparing neonates vs. children ≥ 28 days) |
---|---|---|---|---|
N (%) | N (%) | N (%) | ||
No. of total ED visits | 1269 | 378 | 883 | |
ED Disposition | ||||
Followed up at time of ED dispositionb | 1053 (83.0) | 333 (88.1) | 714 (80.9) | – |
Admitted | 471 (44.7) | 194 (58.3) | 272 (38.1) | 3.5 (2.4–5.1) |
Home | 528 (50.1) | 111 (33.3) | 416 (58.3) | |
Left against medical advice | 115 (10.9) | 51 (15.3) | 64 (9.0) | 3.9 (2.4–6.4) |
Left before seen by provider | 7 (0.7) | 3 (0.9) | 4 (0.6) | 3.7 (0.8–17.0) |
Discharged home by provider | 260 (24.7) | 44 (13.2) | 215 (51.7) | Reference |
Unknown reason for leaving | 146 (13.9) | 13 (3.9) | 133 (18.6) | 0.5 (0.2–0.9) |
Transferred out | 4 (0.4) | 1 (0.4) | 3 (0.4) | 1.6 (0.2–16.0) |
Died in ED | 45 (4.3) | 26 (7.8) | 19 (2.7) | 6.7 (3.4–13.1) |
48-h follow-up | ||||
Followed up at 48 hoursb | 783 (61.7) | 252 (66.7) | 526 (59.6) | – |
Returned to normal functionc | 277 (35.4) | 70 (27.8) | 206 (39.2) | 0.8 (0.5–1.1) |
Still in original hospital | 197 (25.2) | 76 (30.2) | 119 (22.6) | 2.4 (1.6–3.5) |
Returned to cared | 167 (21.3) | 43 (17.1) | 123 (23.4) | 1.1 (0.7–1.8) |
Surgery by 48 h | 20 (2.6) | 5 (2.0) | 15 (2.9) | 0.8 (0.3–2.2) |
Cumulative deaths by 48 h | 90 (11.5) | 48 (19.0) | 41 (7.8) | 2.8 (1.8–4.4) |
14-day follow-up | ||||
Followed up at 14 daysb | 679 (53.5) | 225 (59.5) | 450 (51.0) | – |
Returned to normal functionc | 420 (61.9) | 115 (51.1) | 303 (67.3) | 1.0 (0.6–1.5) |
Still in original hospital | 37 (5.4) | 11 (4.9) | 25 (5.6) | 1.2 (0.6–2.4) |
Returned to cared | 257 (37.8) | 80 (35.6) | 177 (39.3) | 1.1 (0.8–1.6) |
Surgeries, 48 hours - 14 days | 18 (2.7) | 4 (1.8) | 14 (3.1) | 0.6 (0.2–2.2) |
Cumulative deaths by 14 days | 133 (19.6) | 75 (33.3) | 57 (12.7) | 3.4 (2.3–5.1) |