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Patterns of presentation to the Australian and New Zealand Paediatric Emergency Research Network

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Authors:
Summary:

This study analysed epidemiological data from 351,440 paediatric emergency department (ED) visits to an Australian and New Zealand research network (i.e. 11 sites of the Paediatric Research in Emergency Departments International Collaborative [PREDICT]) in 2004. Mean patient age was 4.6 years and 55% were boys. Presentations were identified as 3% Aboriginal at Australian sites and 44% Māori/ Pacific in New Zealand locations. According to the Australasian Triage Scale (ATS), 5% were ATS 1 or 2 (to be seen immediately or within 10 min), 27% ATS 3 (to be seen within 30 min) and 67% ATS 4 or 5. Although ED visits peaked in late winter and early spring, admission rates remained unchanged throughout the year with an overall admission rate of 24%. Most frequent diagnoses were acute gastroenteritis, acute viral illness and upper respiratory tract infection. Asthma was the next most common.

Comment:
Importantly, this study shows ethnic differences in the number of presentations to paediatric EDs in participating NZ sites. Further analysis will be undertaken to determine whether these were ‘avoidable’ (could have been managed in primary care and therefore raise questions about access to GPs) or necessary (and so planning to improve access for Māori children to EDs would be required).
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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