McNeil Scott, Goyal Nikita, Parr Mandy, Cheek John, Freed Gary, Meyer Alastair, West Adam, Craig Simon
Monash Emergency Research Collaborative, Clinical Sciences at Monash Health, Clayton, Victoria, Australia.
Department of Paediatrics, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.
Emerg Med Australas. 2025 Feb;37(1):e14514. doi: 10.1111/1742-6723.14514. Epub 2024 Oct 21.
To describe sources of advice and the recommendations given to parents/guardians prior to attending ED with their child.
This was a prospective observational study of patients presenting to two EDs of a multi-centre Victorian Health service in June 2016. Data collection involved surveying all parents/guardians attending paediatric ED during a 1-week period by trained research assistants. We determined the proportion of eligible respondents who sought advice before attending ED, the source of advice, and the type of advice provided.
One thousand sixty-nine patients presented to ED over the 1-week period. There were 730 responses to the survey, of which 65% (477/730) had received a total of 620 recommendations prior to ED attendance. Seventy-six per cent (362/477) had received advice from a single source, 19% (90/477) had received advice from 2 sources, and 5% (25/477) from 3 or more sources. The most common sources of advice were general practice consultations (49%), friends/family (13.5%), and NURSE-ON-CALL (11%). Fifty-four per cent (335/620) of the recommendations were to attend ED immediately and 12% (77/620) were to attend if their child was getting worse.
Most parents and guardians sought advice from a single source prior to attending an ED. The most common source of advice was consultation with a general practitioner and the most common recommendation was to attend ED immediately, or if their child's condition worsened.
描述在带孩子前往急诊科就诊之前，家长/监护人获取建议的来源以及所得到的建议。
这是一项对2016年6月前往维多利亚州一家多中心医疗服务机构的两家急诊科就诊患者的前瞻性观察研究。数据收集工作由经过培训的研究助理在为期1周的时间内，对所有前往儿科急诊科就诊的家长/监护人进行调查。我们确定了在前往急诊科就诊之前寻求建议的合格受访者比例、建议来源以及所提供建议的类型。
在为期1周的时间里，有1069名患者前往急诊科就诊。共收到730份调查问卷回复，其中65%（477/730）的受访者在前往急诊科就诊之前共收到620条建议。76%（362/477）的受访者从单一来源获得建议，19%（90/477）的受访者从2个来源获得建议，5%（25/477）的受访者从3个或更多来源获得建议。最常见的建议来源是全科医生会诊（49%）、朋友/家人（13.5%）以及随叫随到护士服务（11%）。620条建议中，54%（335/620）是建议立即前往急诊科就诊，12%（77/620）是建议如果孩子病情恶化再前往就诊。
大多数家长和监护人在前往急诊科就诊之前从单一来源寻求建议。最常见的建议来源是与全科医生会诊，最常见的建议是立即前往急诊科就诊，或者如果孩子病情恶化则前往就诊。
