Skip to main content Accessibility help
×
Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-27T23:27:28.930Z Has data issue: false hasContentIssue false

Subpart IVK - Clinical – Pediatrics and Geriatrics

from Part IV - Clinical

Published online by Cambridge University Press:  31 March 2017

Sharon E. Mace
Affiliation:
Department of Emergency Medicine, Cleveland Clinic, Ohio
Get access

Summary

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Chapter
Information
Observation Medicine
Principles and Protocols
, pp. 291 - 308
Publisher: Cambridge University Press
Print publication year: 2017

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

References

Emergency Care for Children: Growing Pains. Committee on the Future of Emergency Care in the United States Health System. (ISBN: 0–309-65964–7). ch. 1 Introduction, p.18. National Academies Press. www.nap.edu/catalog/11655.html (Accessed February 2016)Google Scholar
Lamb, S, Washington, DL, Fink, A, et al. Trends in the Use and Capacity of California’a emergency departments 1990–1999. Ann Emerg Med 2002; 39:389396.CrossRefGoogle Scholar
Zhou, JC, Pan, KH, Zhou, DY, et al. High hospital occupancy is associated with increased risk for patients boarding in the emergency department. Amer J Emerg Med 2012; 125(4):416, e1–7.Google ScholarPubMed
Pines, JM, Hilton, JA, Weber, EJ, et al. International perspectives on emergency department crowding. Acad Emerg Med 2011; 18(12); 13581370.CrossRefGoogle ScholarPubMed
www.cdc.gov/nchs/data/hus/2011/093.pdf (Table 93) (Accessed February 2016)Google Scholar
Nawar, EW, Niska, RW, Xu, J; Division of Health Care Statistics. Advance Data from Vital and Health Statistics. National Hospital Ambulatory Medical Care Survey: 2005 Emergency Department Summary, number 386 + June 29, 2007.Google Scholar
Hostetler, M, Mace, SE, Brown, K, et al. Emergency department overcrowding and children. Pediatr Emerg Care 2007; 23(7):507515.CrossRefGoogle ScholarPubMed
ACEP Observation Medicine Section. State of the Art: Observation Units in the Emergency Department. Policy Resource and Education Paper. American College of Emergency Physicians. Dallas, TX, 2011. www.acep.org/search.aspx?searchtext=observation%20medicine (Accessed February 2016)Google Scholar
Mace, SE. Pediatric Observation Medicine. In: Graff, LG, ed. Observation Medicine: The Healthcare System’s Tincture of Time. American College of Emergency Physicians, Dallas, TX, 2011, ch. 12. www.acep.org/Search.aspx?searchtext=observation%20medicine%20Observation%20Medicine%20The%20Healthcare%20System%e2%80%99s%20Tincture%20of%20Time.&pgsize=10&filter=acep,news,ecfy,media (Accessed February 2016)Google Scholar
Conners, GP, Melzer, SM, Committee on Hospital Care and Committee on Pediatric Emergency Medicine. Pediatric Observation Units. Pediatrics 2012:130:172179.Google Scholar
Mace, SE. Pediatric Observation Medicine. Emerg Med Clin North Amer 2001; 19(1): 239254.CrossRefGoogle ScholarPubMed
Mace, SE. Issues in pediatric emergency medicine. Foresight 1999; 47:1.Google Scholar
Centers for Disease Control: Nationwide Estimates of Specific Health Care Needs Children Qualifiying by Specific Types of Special Health Care Needs Criteria. Atlanta, GA, Centers for Disease Control, 2006.Google Scholar
Goske, M, Bulas, D, Callahan, MJ, et al. Image gently: progress and challenges in CT education and advocacy. Pediatr Radiol 2011; 41(Suppl 2):S461S466.CrossRefGoogle Scholar
Klein, BL, Patterson, M. Observation unit management of pediatric emergencies. Emerg Med Clin North Am 1991; 9:699676.CrossRefGoogle ScholarPubMed
Graff, LG. Observation Medicine. Boston: Andover Medical Publishers, Inc; 1993.Google Scholar
American College of Emergency Physicians: Report on the Preparedness of the Emergency Department in the Care of Children. American College of Emergency Physicians, Dallas, TX, 1993, p. 1–.Google Scholar
Mace, SE. A comparison of pediatric versus adult observation medicine patients. Abstract presented at the Ninth Annual Midwest Regional Society for Academic Emergency Medicine Research Forum. Ann Arbor, MI, September 25, 1999.Google Scholar
Mace, SE. Observing children: can it be done in a general hospital? Presented at Emergency Observation Conference. Harvard School of Medicine. ACEP Short Term Observation Medicine Conference. Boston, MA, October 2, 1999.Google Scholar
Mace, SE. A comparison of pediatric vs. adult observation medicine patients. Abstract presented at the International Conference of Emergency Medicine. Boston, MA., May 5, 2000. Ann Emerg Med 35(suppl): S61, 2000.Google Scholar
LeDuc, K. An observation unitin a pediatric emergency department: one children’s hospital’s experience. J Emerg Nursing 2002; 28(5):407413.CrossRefGoogle Scholar
Najaf-Zadeh, A, Hue, V, Bonnel-Mortuaire, C, et al. Effectiveness of multifunction paediatric short-stay units: a French multicentre study. Acta Paediatrica; e227–e233. DOI:10.1111/j1651-2227.2011.02356a.CrossRefGoogle Scholar
Wiley, JF II, Friday, JH, Nowakowski, T, et al. Observation units: the role of an outpatient extended treatment site in pediatric care. Pediatr Emerg Care 2000; 16: 223229.Google Scholar
Scribano, PV, Wiley, JF 2nd, Platt, K. Use of an observation unit by a pediatric emergency department for common pediatric illnesses. Pediatr Emerg Care 2001; 17:321323.CrossRefGoogle ScholarPubMed
Alpern, ER, Calello, DP, Windreich, R, et al. Utilization and unexpected hospitalization rates of a pediatric emergency department 23- hour observation unit. Pediatr Emerg Care 2008; 24(9):589594.CrossRefGoogle ScholarPubMed
Lamireau, T, LLanas, B, Dommange, S, et al. A short-stay observation unit improves care in the paediatric emergency care setting. European J Emerg Med 2000; 7: 261–28.CrossRefGoogle ScholarPubMed
Browne, GJ. A short stay or 23-hour ward in a general and academic children’s hospital: are they effective? Pediatric Emerg Care 2000; 16(4):223229.CrossRefGoogle Scholar
Beattie, TF, Moir, PA. Paediatric accident and emergency short-stay ward: a 1-year audit. Archives Emerg Med 1993; 10(3):181186.CrossRefGoogle Scholar
Crocetti, MT, Barone, MA, Dritt Amin, D, et al. Pediatric observation status beds on an inpatient unit: an integrated model. Pediatr Emerg Care 2004; 20(1):1721.CrossRefGoogle Scholar
Greenberg, RA, Dudley, NC, Rittichier, KK. A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. Amer J Emerg Med 2006; 24(7):818821.CrossRefGoogle ScholarPubMed
Calello, DP, Alpern, ER, McDaniel-Yakscoe, M, et al. Observation unit experience for pediatric poison exposures. J Medical Toxicology 2009; 5(1):1519.CrossRefGoogle ScholarPubMed
Holsti, M, Kadish, HA, Sill, BL, et al. Pediatric closed head injuries treated in an observation unit. Pediatr Emerg Care 2005; 21(10):639644.CrossRefGoogle Scholar
Ellerstein, NS, Sullivan, TD. Observation unit in a children’s hospital. NY State J Med 1980; 80:1684Google Scholar
Beattie, TF, Ferguson, J, Moir, PA. Short-stay facilitiess in accident and emergency departments for children. Archives Emerg Med 1993; 10:177180.CrossRefGoogle Scholar
O’Brien, SR, Hein, EN, Sly, RM. Treatment of acute asthmatics attacks in a holding unit in a pediatric emergency room. Ann Allergy 1980; 45:159162.Google Scholar
Willert, C, David, AT, Herman, JJ, et al. Short-term holding room treatment of asthmatics. J Pediatr 1985; 106:707711.CrossRefGoogle Scholar
Geelhoed, GC. Sixteen years of croup in a western Australian teaching hospital. Effects of routine steroid treatment. Ann Emerg Med 1996; 28:621626.CrossRefGoogle Scholar
Gururaj, VJ, Allen, JL, Russo, RM. Short stay in an outpatient department. Am J Dis Child 1972:123:128132.CrossRefGoogle Scholar
Knapp, JF. What’s new in pediatric emergency medicine. Pediatr Rev 1997; 18:424CrossRefGoogle ScholarPubMed
Gouin, S, Macarthur, C, Parkin, PC, et al. Effect of a pediatric observation unit on the rate of hospitalization for asthma. Ann Emerg Med 1997; 29(2):218222.CrossRefGoogle ScholarPubMed
Marks, MK, Lovejoy, FH Jr., Rutherford, PA, et al. Impact of a short stay unit on asthma patients admitted to a tertiary pediatric hospital. Quality Management in Health Care 1997; 6(1):1422.CrossRefGoogle Scholar
Rydman, RJ, Roberts, RR, Albrecht, GL, et al. Patient satisfaction with an emergency department asthma observation unit. Acad Emerg Med 1999; 6:178183.CrossRefGoogle ScholarPubMed
Aderonke-Ojo, AO, Smitherman, HF, Parker, R, et al. Managing well-appearing neonates with hyperbilirubinemia in the emergency department observation unit. Pediatr Emerg Care 201: 26(5):343–348.CrossRefGoogle Scholar
Bajaj, L, Roback, MG. Postreduction management of intussception in a children’s hospital emergency department. Pediatrics 2003; 112:13021307.CrossRefGoogle Scholar
Miescier, MJ, Nelson, DS, Firth, SD, et al. Children with asthma admitted to a pediatric observation unit. Pediatr Emerg Care 2005; 21(10): 645649.CrossRefGoogle ScholarPubMed
McConnochie, AKM, Russo, MJ, McBride, JT, et al. How commonly are children hospitalized for asthma eligible for care in alternative settings? Arch Pediatr Adolesc Med 1999; 153:49Google ScholarPubMed
DeAngelis, CD. Editor’s Note: How commonly are children hospitalized for asthma eligible for care in alternate settings? Arch Pediatr Adolesc Med 1999; 153: 49Google Scholar
DeCoster, C, Peterson, S, Karian, P. Manitoba Centre for Health Policy and Evaluation: Report summary alternatives to acute care. Winnipeg, Manitoba, Canada. University of Manitoba- Manitoba Centre for Health Policy and Evaluation, 1996.Google Scholar

References

American College of Emergency Physicians Survey. Section of Observation Medicine. Unpublished data from 2007.Google Scholar
Zebrack, M, Kadish, H, Nelson, D. The pediatric hybrid observation unit: Aanalysis of 6477 patients. Pediatrics 2005; 115: e535e542.CrossRefGoogle Scholar
Macy, ML, Hall, M, Shah, SS, et al. Differences in designation of Observation care in US free standing hospitals: are they virtual or real. J Hospital Med 2011:1–7.CrossRefGoogle Scholar
Graff, LG. Observation Medicine, 1st ed. Andover Medical Publishers, 1993;640.Google Scholar
Rentz, AC, Kadish, HA, Nelson, DS. Physician satisfaction with a pediatric observation unit administered by Pediatric Emergency physicians. Ped Emerg Care 2004; 20: 430432.CrossRefGoogle Scholar
Greenberg, RA, Dudley, NC, Rittichier, KK. A reduction in hospitalization, length of stay, and hospital charges for croup with the institution of a pediatric observation unit. Am J Emerg Med 2006; 24: 818821.CrossRefGoogle ScholarPubMed
Mace, SE. Pediatric observation medicine. Emerg Med Clin North Am 2001; 19: 234254.CrossRefGoogle ScholarPubMed
Macy, ML, Kim, CS, Sasson, C. Pediatric observation units in the United States: A systematic review. J Hospital Med 2010; 5: 172182.CrossRefGoogle ScholarPubMed
Mace, SE, Graff, L, Mikhail, M, et al. National survey of observation units in the United States. American Journal of Emergency Medicine 2003; 21: 529533.CrossRefGoogle ScholarPubMed
AmWiley, JF. Pediatric clinical decision units: observation, past present and future. Clin Ped Emerg Med 2001; 2: 247252.Google Scholar
Holsti, M, Kadish, HA, Sill, BL, et al. Pediatric closed head injuries treated in an observation unit. P Emerg Care 2005; 21: 639644.CrossRefGoogle Scholar
Mallory, MD, Kadish, H, Zebrack, M, et al. Use of pediatric observation unit for treatment of children with Dehydration caused by gastroenteritis. P Emerg Care 2006; 22: 16.CrossRefGoogle ScholarPubMed
Alpern, ER, Callello, DP, Windreich, R, et al. Utilization and unexpected hospitalization rates of a pediatric emergency department. P Emerg Care 2008: 24: 589594.CrossRefGoogle ScholarPubMed
Mierscier, MJ, Nelson, DS, Firth, SD, et al. Children with asthma admitted to a pediatric observation unit. P Emerg Care 2005; 21: 645649.CrossRefGoogle Scholar
Adekunle-Ojo, AO, Smithermann, HF, Parker, R, et al. Managing well-appearing neonates with hyperbilirubinemia in the emergency department observation unit. P Emerg Care 2010; 26: 343346.CrossRefGoogle ScholarPubMed
Adekunle- Ojo, AO, Craig, AM, Ma, L, et al. Intussusception: postreduction fasting is not necessary to prevent complications and recurrences in the emergency department observation unit. Pediatr Emerg Care 2011; 27: 897899.CrossRefGoogle Scholar
Gouin, S, Macarthur, C, Parkkin, PC, et al. Effect of a Pediatric observation unit on the rate of hospitalization for asthma. Ann Emerg Med 1997; 29(2): 218222.CrossRefGoogle ScholarPubMed
Scribano, PV, Wiley, JF 2nd, Platt, K. Use of an observation unit by a pediatric emergency department for common pediatric illnesses. P Emerg Care 2001; 17: 321323.CrossRefGoogle ScholarPubMed
Cooke, MW, Higgins, J, Kidd, P. Use of emergency observation and assessment wards: a systematic review. Emerg Med J 2003; 20: 138142.CrossRefGoogle Scholar
Burkhardt, J, Peacock, WF, Emerman, CL, et al. Predictors of ED OU outcomes. Acad Emerg Med 2005; 12: 869874.CrossRefGoogle Scholar
Mace, SE. An analysis of patient complaints in an observation unit. Journal of Quality in Clinical Practice 1998; 18(2): 151158.Google Scholar
Mace, SE. Resuscitations in an observation unit. Journal of Quality in Clinical Practice 1999; 19: 155164.CrossRefGoogle Scholar
Mace, SE. Continuous quality improvement for the clinical decision unit. Journal for Healthcare Quality 2004; 26(1): 2936.CrossRefGoogle ScholarPubMed

References

Wilber, ST, Gerson, LW, Terrell, KM, et al. Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the U.S. health system. Acad Emerg Med. [Review]. 2006 Dec;13(12):13451351.CrossRefGoogle Scholar
Strange, GR, Chen, EH. Use of emergency departments by elder patients: a five-year follow-up study. Acad Emerg Med. [Research Support, Non-U.S. Gov’t]. 1998 Dec;5(12):11571162.CrossRefGoogle ScholarPubMed
Ross, MA, Compton, S, Richardson, D, et al. The use and effectiveness of an emergency department observation unit for elderly patients. Ann Emerg Med. [Comparative Study]. 2003 May;41(5):668677.CrossRefGoogle ScholarPubMed
Madsen, TE, Bledsoe, J, Bossart, P. Appropriately screened geriatric chest pain patients in an observation unit are not admitted at a higher rate than nongeriatric patients. Crit Pathw Cardiol. [Comparative Study]. 2008 Dec;7(4):245247.CrossRefGoogle Scholar
Stead, LG, Bellolio, MF, Suravaram, S, et al. Evaluation of transient ischemic attack in an emergency department observation unit. Neurocrit Care. [Clinical Trial Research Support, Non-U.S. Gov’t]. 2009;10(2):204208.CrossRefGoogle Scholar
Decker, WW, Smars, PA, Vaidyanathan, L, et al. A prospective, randomized trial of an emergency department observation unit for acute onset atrial fibrillation. Ann Emerg Med. [Randomized Controlled Trial Research Support, Non-U.S. Gov’t]. 2008 Oct;52(4):322328.CrossRefGoogle ScholarPubMed
Chana, R, Noorani, A, Ashwood, N, et al. The role of MRI in the diagnosis of proximal femoral fractures in the elderly. Injury. 2006 Feb;37(2):185189.CrossRefGoogle ScholarPubMed
Zradzinski, MJ, Phelan, MP, Mace, SE. Impact of fraility and sociodemographic factors on hospital admission froman emeregency department observation unit. AJMQ (accepted for publication 2016).CrossRefGoogle Scholar
Hustey, FM, Meldon, SW, Smith, MD, et al. The effect of mental status screening on the care of elderly emergency department patients. Ann Emerg Med. 2003;41(5):678684.CrossRefGoogle ScholarPubMed
Inouye, SK. Delirium in older persons.[see comment][erratum appears in N Engl J Med. 2006 Apr 13;354(15):1655]. N Engl J Med. 2006;354(11):1157–1165.CrossRefGoogle ScholarPubMed
Katuma, R, Galbaud, du Fort, G, Arsenault, L, et al. Delirium in older emergency department patients discharged home: effect on survival. J Am Geriatr Soc. 2003;51:443450.Google Scholar
Inouye, SK, van Dyck, CH, Alessi, CA, et al. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. [see comment]. Annals of Internal Medicine. 1990;113(12):941948.CrossRefGoogle Scholar
Ely, EW, Inouye, SK, Bernard, GR, et al. Delirium in mechanically ventilated patients: validity and reliability of the confusion assessment method for the intensive care unit (CAM-ICU). JAMA. 2001;286(21):27032710.CrossRefGoogle ScholarPubMed
Hustey, FM, Meldon, SW. The prevalence and documentation of impaired mental status in elderly emergency department patients. [see comment]. Ann Emerg Med. 2002;39(3):248253.CrossRefGoogle ScholarPubMed
Lewis, LM, Banet, GA, Blanda, M, et al. Etiology and clinical course of abdominal pain in senior patients: a prospective, multicenter study. J Gerontol A Biol Sci Med Sci. [Multicenter Study Research Support, Non-U.S. Gov’t]. 2005 Aug;60(8):10711076.CrossRefGoogle ScholarPubMed
Marco, CA, Schoenfeld, CN, Keyl, PM, et al. Abdominal pain in geriatric emergency patients: variables associated with adverse outcomes. Acad Emerg Med. [Research Support, Non-U.S. Gov’t]. 1998 Dec;5(12):11631168.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×