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Paediatric Admissions at a Tertiary Hospital in Kuala Lumpur - A Case for a Short-Stay Ward

Chong, L.A., and Lee, W.S., and Goh, A.Y.T., (2003) Paediatric Admissions at a Tertiary Hospital in Kuala Lumpur - A Case for a Short-Stay Ward. Medical Journal of Malaysia, 58 (1). pp. 89-93. ISSN 0300-5283

Full text not available from this repository.

Affiliations

University of Malaya Medical Centre. Dept. of Paediatrics.
University of Malaya Medical Centre. Dept. of Paediatrics.
University of Malaya Medical Centre. Dept. of Paediatrics.

Abstract

The profile of admissions staying less than 24 hours admitted to the paediatric wards of University Malaya Medical Center, Kuala Lumpur, over a period of six weeks was reviewed to ascertain the need of a short-stay ward. Ninety-three (22%) of the 428 admissions admitted during the study period were discharged within 24 hours, 56 (60%) were discharged within 12 hours. Major categories of admissions were: elective investigative procedures (43%), and emergency admissions (44%). Reasons for emergency admissions: infections 42%, minor trauma/cerebral concussion 25% and febrile/afebrile seizures 11%. Only 20% required percutaneous oximetry monitoring and 2% required observations more frequently than 2 hourly. There may be a case for a short stay ward in a big paediatric unit in Malaysia.

Item Type:Journal
Keywords:Short-stay ward, Paediatric admissions
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:6210

1. Browne GJ. A short stay or 23-hour ward in a general and academic children’s hospital: are they effective? Pediatr Emerg Care 2000; 16: 223-9.

2. Hill AM. Trends in paediatric medical admissions. BMJ 1989; 298: 1479-83.

3. MacFaul R, Werneke U. Recent trends in hospital use by children in England. Arch Dis Child 2001; 85: 203-7.

4. Kreger BE, Restuccia JD. Assessing the need to hospitalize children: Pediatric Appropriateness Evaluation Protocol. Pediatrics 1989; 84: 242-47.

5. Numa A, Oberklaid F. Can short hospital admissions be avoided? A review of admissions of less than 24 hours’ duration in a paediatric teaching hospital. Med J Aust 1991; 155: 395-98.

6. Scribano PV, Wiley JF, Platt K. Use of an observation unit by a pediatric emergency department for common pediatric illness. Pediatr Emerg Care 2001; 17: 321-3.

7. McConnochie KM, Callahan CM, Conners GP, et al. Estimating risk associated with care in alternative settings: Deterioration among children hospitalized. Arch Pediatr Adolesc Med 1998; 152: 651-58.

8. Beverley DW, Ball RJ, Smith PA, et al. Planning for the future: The experience of implementing a children’s day assessment unit in a district general hospital. Arch Dis Child 1997; 77: 287-93.

9. Beattie TF, Moir PA. Paediatric accident & emergency short-stay ward: a 1-year audit. Arch Emerg Med 1993 Sep; 10: 181-6.

10. Lamireau T, Llanas B, Favon M. A short stay observation unit improves care in the paediatric emergency care setting. Arch Dis Child. 2000 Oct; 83: 371.

11. Hospital Statistics 1998, University Malaya Medical Center. University of Malaya, Kuala Lumpur, Malaysia.

12. Hospital Statistics 2001, University Malaya Medical Center. University of Malaya, Kuala Lumpur, Malaysia.

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