Centre no. | 1 | 2 | 3 |
---|---|---|---|
Study period | 6 months | 1 month | 11 days |
Unplanned reattendance rate | 5.1% | 5.2% | 4.4% |
Paediatric A&E attendances during study period | 6527 | 2452 | 1594 |
Unplanned reattendances (n) | 335 | 127 | 70 |
Gender of unplanned reattenders | |||
Male to female (%) | 54: 46 | Unavailable | 63 : 37 |
Proportion of children <2 years age | |||
All attendances | 37% | 29% | 30% |
Reattenders | 47% | 31% | 59% |
Details analysis of retrievable records (n) | |||
Detailed analysis (n) | 71 (sampled from notes available) | 126 (1 case notes unavailable) | 59 (sampled from notes available) |
Mode of primary presentation | |||
Self-presented | 92% | NA | 88% |
Referral* | 8% | NA | 12% |
Mode of reattendance | |||
Self-presented | 97% | 90% | |
Referral* | 3% | 10% | |
Initial diagnosis | |||
Respiratory | 27% | 22% | 29% |
Gastrointestinal | 27% | 13% | 27% |
Febrile illness | 24% | 20% | 12% |
Accidents | 16% | 29% | 15% |
Other | 6% | 16% | 17% |
Reattendance† | |||
Same diagnosis: | |||
Severity not worse | 35% | 57% | 62% |
Worsened severity | 46% | 21% | 19% |
Reclassified diagnosis (eg, URTI→UTI) | 3% | 14% | 5% |
Unrelated problem | 16% | 8% | 14% |
Outcome of reattendance | |||
Home | 66% | 79% | 82% |
Admitted | 34% | 21% | 18% |
*Includes all healthcare professional referrals for example, General Practitioner, urgent care or walk-in centre.
†Comparison with primary attendance.