ArticleArchives of disease in childhood2004
Patterns of admissions for children with special needs to the paediatric assessment unit.
Article in Archives of disease in childhood, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of Clinical Guidelines on Oral Care for Children with Special Healthcare Needs: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Review
- Diagnosing Pain in Individuals with Intellectual and Developmental Disabilities: Current State and Novel Technological Solutions.Diagnostics (Basel, Switzerland) · 2023Article
- Oral Care for Children with Special Healthcare Needs in Dentistry: A Literature Review.Journal of clinical medicine · 2022Review
- Hospital admissions in infants with Down syndrome: a record-linked population-based cohort study in Wales.Journal of intellectual disability research : JIDR · 2022Article
- A Standardized Protocol to Improve Acute Seizure Management in Hospitalized Pediatric Patients.Hospital pediatrics · 2021Article
- The role of health and social factors in education outcome: A record-linked electronic birth cohort analysis.PloS one · 2019Article
- Mapping staff perspectives towards the delivery of hospital care for children and young people with and without learning disabilities in England: a mixed methods national study.BMC health services research · 2018Article
- Improving communication between staff and disabled children in hospital wards: testing the feasibility of a training intervention developed through intervention mapping.BMJ paediatrics open · 2017Article
- Article
- Respiratory illness in children with disability: a serious problem?Breathe (Sheffield, England) · 2016Review
- Communicating with disabled children when inpatients: barriers and facilitators identified by parents and professionals in a qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2016Article
- Development and evaluation of a community respiratory physiotherapy service for children with severe neurodisability.BMJ quality improvement reports · 2015Article
- Article
- Risk score to stratify children with suspected serious bacterial infection: observational cohort study.Archives of disease in childhood · 2011Article
- Oral microbial and respiratory status of persons with mental retardation/intellectual and developmental disability: an observational cohort study.Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics · 2009Article
- Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChildren with special needs present a challenge to those involved in their care.
aimsTo determine the role of the acute assessment unit for these children.
methodsCase notes and other records were reviewed for information on referrals, admissions, readmission within 7 and 28 days, length of stay, and management of 86 children registered for special needs. The study covered five years between January 1997 and December 2001.
resultsOf the 86 children, 48 (58%) were boys; 62 children had cerebral palsy and 52 learning disability. There were 914 episodes, with 44% of these being self referrals and 35% from general practitioners; 35.5% of the episodes were managed in the assessment unit. The average length of stay in hospital was 5 days, ranging from <24 hours to 63 days; 37.5% of those admitted to the ward stayed for less than 24 hours. Respiratory tract infections and seizures were the main reasons for referral and admission.
conclusionChildren with special needs tend to have a predictable pattern of conditions requiring inpatient care. One third of the inpatients episodes did not need a prolonged stay in hospital. This latter group of children could be managed at home with support of community nurses. Integrated care pathways need to be developed to minimise disruption to their lives. Appropriate resources should be made available to achieve these goals.
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