Terry Daniel, Peck Blake, Kloot Kate
School of Nursing and Midwifery, University of Southern Queensland, Ipswich, QLD 4305, Australia.
Institute of Health and Wellbeing, Federation University, Ballarat, VIC 3350, Australia.
Healthcare (Basel). 2023 Dec 7;11(24):3113. doi: 10.3390/healthcare11243113.
Asthma is a key illness driving children to present to emergency departments, and although paediatric emergency asthma presentations have been examined, the temporal trends remain somewhat elusive. The aim is to highlight, describe, and model the temporal trends of emergency paediatric asthma presentations, using comprehensive hospital emergency presentation data. A retrospective cross-sectional study examined de-identified paediatric (0 to 14 years) emergency asthma presentation data over a three-year period. Data were obtained from nine healthcare facilities in Victoria, Australia. Episode-level data were collected through RAHDaR, a comprehensive emergency data register which includes missing data (35.0%) among rural health facilities not currently captured elsewhere. Monthly presentation rates demonstrate a significant difference in presentations between fall/autumn and spring, and males had higher presentation rates in February and June-August. Emergency presentations were more likely to occur Sunday-Tuesday, peaking in the time periods of 8-9 a.m., 11 a.m.-12 p.m., and 8-9 p.m. Significant differences were noted between all age groups. Examining previously unavailable rural data has highlighted patterns among emergency asthma presentations for children 0-14 years of age. Knowledge of these by season, month, and day of the week, in combination with time of day, offers scope for more focused workforce education and planning, and nuanced referral pathways, particularly in resource-limited settings.
哮喘是导致儿童前往急诊科就诊的一种关键疾病，尽管已对儿科急诊哮喘就诊情况进行了研究，但时间趋势仍有些难以捉摸。目的是利用综合医院急诊就诊数据，突出、描述并模拟儿科急诊哮喘就诊的时间趋势。一项回顾性横断面研究检查了三年期间匿名的儿科（0至14岁）急诊哮喘就诊数据。数据来自澳大利亚维多利亚州的九个医疗机构。通过RAHDaR收集病例级数据，RAHDaR是一个综合急诊数据登记系统，其中包括农村医疗机构中目前在其他地方未收集到的缺失数据（35.0%）。月度就诊率显示秋季和春季的就诊情况存在显著差异，男性在2月以及6 - 8月的就诊率较高。急诊就诊更有可能发生在周日至周二，在上午8 - 9点、上午11点至中午12点以及晚上8 - 9点达到高峰。各年龄组之间存在显著差异。对以前无法获得的农村数据进行研究，突出了0 - 14岁儿童急诊哮喘就诊的模式。了解这些按季节、月份、星期几以及一天中的时间呈现的模式，为更有针对性的劳动力教育和规划以及细致入微的转诊途径提供了空间，特别是在资源有限环境中。
