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Table 3 Performances and outcome for ED visits

From: Children with special health care needs attending emergency department in Italy: analysis of 3479 cases

 

PedED

N (%)

FunED

N (%)

DedED

N (%)

Total

N (%)

P value a

Total

2155

1164

160

3479

 

Colour-code triage

 Red

109 (5.1)

29 (2.5)

4 (2.5)

142 (4.1)

0.001

 Yellow

1275 (59.2)

327 (28.1)

45 (28.1)

1647 (47.3)

< 0.001

 Green

749 (34.8)

738 (63.4)

101 (63.1)

1588 (45.6)

< 0.001

 White

22 (1.0)

70 (6.0)

10 (6.3)

102 (2.9)

< 0.001

ED arrival time

 Day-time/weekday

1200 (55.7)

658 (56.5)

82 (51.2)

1940

0.449

 Night-time/weekend

955 (44.4)

506 (43.4)

78 (48.8)

1539

Etiological diagnosis

 Syndromic disorders

1125 (52.2)

652 (56.0)

114 (71.3)

1891

< 0.001

 Inherited metabolic diseases

228 (10.6)

159 (13.7)

8 (5.0)

395

0.001

 Neuromuscular diseases

118 (5.5)

57 (4.9)

18 (11.3)

193

0.004

 Congenital skeletal condition

34 (1.6)

21 (1.8)

1 (0.6)

56

0.530

 True microcephaly

14 (0.6)

9 (0.8)

2 (1.3)

25

0.662

 Isolated CNS malformations

120 (5.6)

68 (5.8)

6 (3.8)

194

0.557

 Epilepsy under AED

279 (12.9)

150 (2.9)

8 (5.0)

437

0.013

 Medical devices users

237 (11.0)

48 (4.1)

3 (1.9)

288

< 0.001

Reason for ED access

 Pain

113 (5.2)

69 (5.9)

5 (3.1)

187

0.306

 Respiratory

544 (25.2)

332 (28.5)

50 (31.3)

926

0.050

 Gastrointestinal

475 (22.0)

239 (20.5)

28 (17.5)

742

0.288

 Cardiac

37 (1.7)

12 (1.0)

0

49

0.084

 Neurological

419 (19.4)

193 (16.6)

20 (12.5)

632

0.020

 Hematological

28 (1.3)

14 (1.2)

1 (0.6)

43

0.752

 Osteoarticular

42 (1.9)

16 (1.4)

10 (6.3)

68

< 0.001

 Device malfunctioning

101 (4.7)

35 (3.0)

0

136

0.002

 Trauma

64 (3.0)

42 (3.6)

19 (11.9)

125

< 0.001

 Metabolic failure

37 (1.7)

17 (1.5)

4 (2.5)

58

0.603

 Fever

247 (11.5)

130 (11.2)

21 (13.1)

398

0.766

 Other symptoms

48 (2.2)

65 (5.6)

2 (1.3)

115

< 0.001

Outcomes

 Discharge

1073 (49.8)

700 (60.1)

116 (72.5)

1889 (54.3)

< 0.001

 Hospitalization

1082 (50.2)

464 (39.9)

44 (27.5)

1590 (45.7)

Diagnostic procedures in DP

 0

333 (31.0)

308 (44.0)

49 (42.2)

690/1889 (36.5)

< 0.001b

 1

450 (41.9)

249 (35.6)

42 (36.2)

741/1889 (39.2)

 ≥ 2

290 (27.0)

143 (20.4)

25 (21.6)

456/1889 (24.2)

Diagnostic procedures in HP

 0

154 (14.2)

62 (13.4)

11 (25.0)

227/1590 (14.3)

0.008b

 1

382 (35.3)

193 (41.6)

20 (45.5)

595/1590 (37.4)

 ≥ 2

546 (50.5)

209 (45.0)

13 (29.5)

768/1590 (48.3)

  1. N Number, DP Discharged patients; HP Hospitalized patients, AED Anti-epilepsy drugs, CSN Central nervous system, ED Emergency department
  2. a Chi-squared test except where otherwise indicated b Kruskal-Wallis test