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Effectiveness of multifunction paediatric short-stay units: a French multicentre study.
Acta Paediatr. 2011 Nov; 100(11):e227-33.AP

Abstract

AIM

To describe the characteristics of the activities of multifunction paediatric 'short-stay units' (SSU) including observation unit (OU), medical assessment and planning unit (MAPU) and holding unit (HU), to evaluate their effectiveness and to explore predictors of inappropriate admissions for OU patients.

METHODS

Admissions to nine French paediatric SSUs were analysed. The main outcome measures were SSU length of stay with associated outcome for all patients and appropriate admission rate for OU patients.

RESULTS

Of 1084 patients included in the study, 66% were OU patients (n = 718), 21% MAPU patients (n = 225) and 13% HU patients (n = 141). The OU patients constituted the majority of the SSU admissions. The appropriate OU admission rates ranged from 52% to 86%. Head trauma and seizure were the conditions with the highest appropriate OU admission rates (82%). Age <1 year, and need for IV fluids or medications, CT-Scan or MRI and cardiorespiratory monitoring were associated with an increased risk of inappropriate OU admission. Eighteen per cent of the MAPU patients and 5% of the HU patients were discharged home within 24 h.

CONCLUSION

By providing extended and easily available facilities for diagnostics and early treatment for a wide range of sick children, the French paediatric SSU is an effective model for 'observation medicine' in emergency department-managed units. The experience and principles may be applicable to similar units in other health care systems.

Authors+Show Affiliations

Univ Lille Nord de France, UDSL, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

21575056

Citation

Najaf-Zadeh, A, et al. "Effectiveness of Multifunction Paediatric Short-stay Units: a French Multicentre Study." Acta Paediatrica (Oslo, Norway : 1992), vol. 100, no. 11, 2011, pp. e227-33.
Najaf-Zadeh A, Hue V, Bonnel-Mortuaire C, et al. Effectiveness of multifunction paediatric short-stay units: a French multicentre study. Acta Paediatr. 2011;100(11):e227-33.
Najaf-Zadeh, A., Hue, V., Bonnel-Mortuaire, C., Dubos, F., Pruvost, I., & Martinot, A. (2011). Effectiveness of multifunction paediatric short-stay units: a French multicentre study. Acta Paediatrica (Oslo, Norway : 1992), 100(11), e227-33. https://doi.org/10.1111/j.1651-2227.2011.02356.x
Najaf-Zadeh A, et al. Effectiveness of Multifunction Paediatric Short-stay Units: a French Multicentre Study. Acta Paediatr. 2011;100(11):e227-33. PubMed PMID: 21575056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of multifunction paediatric short-stay units: a French multicentre study. AU - Najaf-Zadeh,A, AU - Hue,V, AU - Bonnel-Mortuaire,C, AU - Dubos,F, AU - Pruvost,I, AU - ,, AU - Martinot,A, Y1 - 2011/06/11/ PY - 2011/5/18/entrez PY - 2011/5/18/pubmed PY - 2012/2/14/medline SP - e227 EP - 33 JF - Acta paediatrica (Oslo, Norway : 1992) JO - Acta Paediatr VL - 100 IS - 11 N2 - AIM: To describe the characteristics of the activities of multifunction paediatric 'short-stay units' (SSU) including observation unit (OU), medical assessment and planning unit (MAPU) and holding unit (HU), to evaluate their effectiveness and to explore predictors of inappropriate admissions for OU patients. METHODS: Admissions to nine French paediatric SSUs were analysed. The main outcome measures were SSU length of stay with associated outcome for all patients and appropriate admission rate for OU patients. RESULTS: Of 1084 patients included in the study, 66% were OU patients (n = 718), 21% MAPU patients (n = 225) and 13% HU patients (n = 141). The OU patients constituted the majority of the SSU admissions. The appropriate OU admission rates ranged from 52% to 86%. Head trauma and seizure were the conditions with the highest appropriate OU admission rates (82%). Age <1 year, and need for IV fluids or medications, CT-Scan or MRI and cardiorespiratory monitoring were associated with an increased risk of inappropriate OU admission. Eighteen per cent of the MAPU patients and 5% of the HU patients were discharged home within 24 h. CONCLUSION: By providing extended and easily available facilities for diagnostics and early treatment for a wide range of sick children, the French paediatric SSU is an effective model for 'observation medicine' in emergency department-managed units. The experience and principles may be applicable to similar units in other health care systems. SN - 1651-2227 UR - https://www.unboundmedicine.com/medline/citation/21575056/Effectiveness_of_multifunction_paediatric_short_stay_units:_a_French_multicentre_study_ L2 - https://doi.org/10.1111/j.1651-2227.2011.02356.x DB - PRIME DP - Unbound Medicine ER -