scholarly journals Neonatal head injuries: A prospective Paediatric Research in Emergency Departments International Collaborative cohort study

2019 ◽  
Vol 56 (5) ◽  
pp. 764-769 ◽  
Author(s):  
Nitaa Eapen ◽  
Meredith L Borland ◽  
Natalie Phillips ◽  
Amit Kochar ◽  
Sarah Dalton ◽  
...  
Keyword(s):  
Cohort Study ◽  
Emergency Departments ◽  
Head Injuries ◽  
Paediatric Research ◽  
International Collaborative

scholarly journals ‘Rational use of high-flow therapy in infants with bronchiolitis. What do the latest trials tell us?’ A Paediatric Research in Emergency Departments International Collaborative perspective

2019 ◽  
Vol 55 (7) ◽  
pp. 746-752 ◽  
Author(s):  
Sharon O'Brien ◽  
Simon Craig ◽  
Franz E Babl ◽  
Meredith L Borland ◽  
Ed Oakley ◽  
...  
Keyword(s):  
Emergency Departments ◽  
High Flow ◽  
Paediatric Research ◽  
Rational Use ◽  
International Collaborative

Paediatric Research in Emergency Departments International Collaborative (PREDICT): First steps towards the development of an Australian and New Zealand research network

2006 ◽  
Vol 18 (2) ◽  
pp. 143-147 ◽  
Author(s):  
Franz Babl ◽  
Meredith Borland ◽  
Peter Ngo ◽  
Jason Acworth ◽  
David Krieser ◽  
...  
Keyword(s):  
New Zealand ◽  
Emergency Departments ◽  
Research Network ◽  
Paediatric Research ◽  
International Collaborative

scholarly journals PAEDIATRIC RESEARCH IN EMERGENCY DEPARTMENTS INTERNATIONAL COLLABORATIVE (PREDICT)

2005 ◽  
Vol 41 (11) ◽  
pp. 614-615 ◽  
Author(s):  
FE Babl ◽  
M Borland ◽  
PK Ngo ◽  
J Acworth ◽  
D Krieser ◽  
...  
Keyword(s):  
Emergency Departments ◽  
Paediatric Research ◽  
International Collaborative

Seizure‐ and syncope‐related head injuries in children: A prospective PREDICT cohort study

2021 ◽  
Author(s):  
Nitaa Eapen ◽  
Amit Kochar ◽  
Mark D Lyttle ◽  
Natalie Phillips ◽  
John A Cheek ◽  
...  
Keyword(s):  
Cohort Study ◽  
Head Injuries

scholarly journals Performance of a new symptom checker in patient triage: Canadian cohort study

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260696
Author(s):  
Forson Chan ◽  
Simon Lai ◽  
Marcus Pieterman ◽  
Lisa Richardson ◽  
Amanda Singh ◽  
...  
Keyword(s):  
Primary Care ◽  
Cohort Study ◽  
Emergency Departments ◽  
Prospective Cohort ◽  
Simulated Patients ◽  
Medical Issues ◽  
Care Seek ◽  
Hospital Patients ◽  
Hospital Visits ◽  
Hospital Emergency Departments

Background Computerized algorithms known as symptom checkers aim to help patients decide what to do should they have a new medical concern. However, despite widespread implementation, most studies on symptom checkers have involved simulated patients. Only limited evidence currently exists about symptom checker safety or accuracy when used by real patients. We developed a new prototype symptom checker and assessed its safety and accuracy in a prospective cohort of patients presenting to primary care and emergency departments with new medical concerns. Method A prospective cohort study was done to assess the prototype’s performance. The cohort consisted of adult patients (≥16 years old) who presented to hospital emergency departments and family physician clinics. Primary outcomes were safety and accuracy of triage recommendations to seek hospital care, seek primary care, or manage symptoms at home. Results Data from 281 hospital patients and 300 clinic patients were collected and analyzed. Sensitivity to emergencies was 100% (10/10 encounters). Sensitivity to urgencies was 90% (73/81) and 97% (34/35) for hospital and primary care patients, respectively. The prototype was significantly more accurate than patients at triage (73% versus 58%, p<0.01). Compliance with triage recommendations in this cohort using this iteration of the symptom checker would have reduced hospital visits by 55% but cause potential harm in 2–3% from delay in care. Interpretation The prototype symptom checker was superior to patients in deciding the most appropriate treatment setting for medical issues. This symptom checker could reduce a significant number of unnecessary hospital visits, with accuracy and safety outcomes comparable to existing data on telephone triage.

scholarly journals Variation in CT use for paediatric head injuries across different types of emergency departments in Australia and New Zealand

2020 ◽  
Vol 37 (11) ◽  
pp. 686-689
Author(s):  
Catherine L Wilson ◽  
Emma J Tavender ◽  
Natalie T Phillips ◽  
Stephen JC Hearps ◽  
Kelly Foster ◽  
...  
Keyword(s):  
New Zealand ◽  
Head Injury ◽  
North America ◽  
Emergency Departments ◽  
Head Injuries ◽  
Admission Rate ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Paediatric Head Injury ◽  
Tertiary Hospitals

ObjectivesCT of the brain (CTB) for paediatric head injury is used less frequently at tertiary paediatric emergency departments (EDs) in Australia and New Zealand than in North America. In preparation for release of a national head injury guideline and given the high variation in CTB use found in North America, we aimed to assess variation in CTB use for paediatric head injury across hospitals types.MethodsMulticentre retrospective review of presentations to tertiary, urban/suburban and regional/rural EDs in Australia and New Zealand in 2016. Children aged <16 years, with a primary ED diagnosis of head injury were included and data extracted from 100 eligible cases per site. Primary outcome was CTB use adjusted for severity (Glasgow Coma Scale) with 95% CIs; secondary outcomes included hospital length of stay and admission rate.ResultsThere were 3072 head injury presentations at 31 EDs: 9 tertiary (n=900), 11 urban/suburban (n=1072) and 11 regional/rural EDs (n=1100). The proportion of children with Glasgow Coma Score ≤13 was 1.3% in each type of hospital. Among all presentations, CTB was performed for 8.2% (95% CI 6.4 to 10.0) in tertiary hospitals, 6.6% (95% CI 5.1 to 8.1) in urban/suburban hospitals and 6.1% (95% CI 4.7 to 7.5) in regional/rural. Intragroup variation of CTB use ranged from 0% to 14%. The regional/rural hospitals admitted fewer patients (14.6%, 95% CI 12.6% to 16.9%, p<0.001) than tertiary and urban/suburban hospitals (28.1%, 95% CI 25.2% to 31.2%; 27.3%, 95% CI 24.7% to 30.1%).ConclusionsIn Australia and New Zealand, there was no difference in CTB use for paediatric patients with head injuries across tertiary, urban/suburban and regional/rural EDs with similar intragroup variation. This information can inform a binational head injury guideline.

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