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Emergency Medicine Journal 2006;23:612-613; doi:10.1136/emj.2005.029470
© 2006 BMJ Publishing Group Ltd and the College of Emergency Medicine.

ORIGINAL ARTICLE

Review of a paediatric emergency department observation unit

I Levett1, K Berry2, I Wacogne2

1 New Cross Hospital, Wolverhampton, UK
2 Birmingham Children’s Hospital, Birmingham, UK

Correspondence to:
Correspondence to:
Ian Levett
154 Pershore Road, Birmingham B5 7NY, UK; ianlevett{at}doctors.net.uk

Aim: To review the function of an emergency department paediatric observation unit.

Method: A retrospective observational study reviewing the activity of the observation unit for 12 months

Results: During 12 months, 4446 children were admitted to the observation unit and 76% were discharged home: usually within 8 hours. The average admission rate was 12 children in 24 hours. The commonest causes for children being admitted to the observation unit were respiratory problems and gastroenteritis or dehydration.

Conclusion: The emergency paediatric observational unit was used to assess and treat children with a variety of conditions. This enabled many children to be managed in the emergency department rather than being admitted to the paediatric wards.

Abbreviations: BCH, Birmingham Children’s Hospital; ED, emergency department

Keywords: paediatric; observation unit; emergency department


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