Document Detail

Pediatric minor injury outcomes: an initial report.
MedLine Citation:
PMID:  21494167     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The objectives were (1) to present a preliminary evaluation of outcomes after pediatric emergency department (PED) minor injury care (not previously described) and (2) to test the feasibility of study methods and of a HRQOL tool in this acute care setting.
METHODS: A prospective observational study of clinical and functional short-term outcomes in PED patients with minor injury was performed.
RESULTS: Thirty-five (80%) of 44 families completed telephone follow-up. Children had a median of 3 days of pain; 24% had pain for more than 7 days. Children returned to normal activity in a median of 3 days, and 37%, in more than 7 days. Fifty percent of families had normal activities disrupted, with median of 5 days and 39% in more than 7 days. Among children with school/scheduled activities, 55% missed more than 3 days, and 20% missed more than 7 days. Among parents who missed work/school, the mean was 1 day, and 22% missed more than 3 days. The acute Pediatric Quality of Life Inventory (PedsQL) was feasible for emergency department/follow-up use and had the expected inverse correlations with poor outcomes.
CONCLUSIONS: We found significant morbidity after PED treatment of minor injury. The study methods and PedsQL patient and proxy forms were feasible for emergency department use. The PedsQL had some initial indications of construct validity for this population.
Martha W Stevens; Amy L Drendel; Keri R Hainsworth
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  27     ISSN:  1535-1815     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-06     Completed Date:  2011-11-15     Revised Date:  2013-07-22    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  371-3     Citation Subset:  IM    
Pediatrics, Section of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
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MeSH Terms
Child, Preschool
Follow-Up Studies
Intensive Care Units, Pediatric / standards*
Prospective Studies
Quality Assurance, Health Care*
Trauma Severity Indices
Wounds and Injuries / diagnosis,  therapy*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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