Dataset Information

Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa.

ABSTRACT:

Introduction

The provision of high-quality care is vital to improve child health and survival rates. A simple, practice-based tool was recently developed to evaluate the quality of paediatric emergency care in resource-limited settings in Africa. This study used the practice-based tool to describe the documented adherence to critical actions in paediatric emergency care at an urban district-level hospital in South Africa and assess its relation to clinical outcomes.

Methods

This study is a retrospective observational study covering a 19-month period (September 2017 to March 2019). Patients <13 years old, presenting to the emergency centre with one of six sentinel presentations (seizure, altered mental status, diarrhoea, fever, respiratory distress and polytrauma) were eligible for inclusion. In the patients' files, critical actions specific for each presentation were checked for completion. Post-hoc, a seventh group 'multiple diagnoses' was created for patients with more than one sentinel disease. The action completion rate was tested for association with clinical outcomes.

Results

In total, 388 patients were included (median age 1.1 years, IQR 0.3-3.6). The action completion rate varied from 63% (polytrauma) to 90% (respiratory distress). Participants with ?75% action completion rate were younger (p < 0.001), presented with high acuity (p < 0.001), were more likely to be admitted (adjusted OR 2.2, 95%CI: 1.2-4.1), and had a hospital stay ?4 days (adjusted OR 3.4, 95%CI: 1.5-7.9).

Conclusion

A high completion rate was associated with young age, a high patient acuity, hospital admission, length of hospital stay ?4 days, and the specific sentinel presentation. Future research should determine whether or not documented care corresponds with the quality of delivered care and the predictive value regarding clinical outcome.

SUBMITTER: Berends EA

PROVIDER: S-EPMC7910169 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa.

Berends Esmée A EA Erasmus Elaine E van Veenendaal Nicole R NR Mukonkole Suzan N SN Lahri Sa'ad S Van Hoving Daniël J DJ

African journal of emergency medicine : Revue africaine de la medecine d'urgence 20201005 1

<h4>Introduction</h4>The provision of high-quality care is vital to improve child health and survival rates. A simple, practice-based tool was recently developed to evaluate the quality of paediatric emergency care in resource-limited settings in Africa. This study used the practice-based tool to describe the documented adherence to critical actions in paediatric emergency care at an urban district-level hospital in South Africa and assess its relation to clinical outcomes.<h4>Methods</h4>This s ...[more]

PMID: 33680728

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Dataset Information

Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa.

Introduction

Methods

Results

Conclusion

Publications

Assessment of documented adherence to critical actions in paediatric emergency care at a district-level public hospital in South Africa.

Similar Datasets

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