Diversity in the emergency care for febrile children in Europe : A questionnaire study

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dc.contributor.authorBorensztajn, Dorine
dc.contributor.authorYeung, Shunmay
dc.contributor.authorHagedoorn, Nienke N.
dc.contributor.authorBalode, Anda
dc.contributor.authorVon Both, Ulrich
dc.contributor.authorCarrol, Enitan D.
dc.contributor.authorDewez, Juan Emmanuel
dc.contributor.authorEleftheriou, Irini
dc.contributor.authorEmonts, Marieke
dc.contributor.authorVan Der Flier, Michiel
dc.contributor.authorDe Groot, Ronald
dc.contributor.authorHerberg, Jethro Adam
dc.contributor.authorKohlmaier, Benno
dc.contributor.authorLim, Emma
dc.contributor.authorMacOnochie, Ian
dc.contributor.authorMartinón-Torres, Federico
dc.contributor.authorNijman, Ruud
dc.contributor.authorPokorn, Marko
dc.contributor.authorStrle, Franc
dc.contributor.authorTsolia, Maria
dc.contributor.authorWendelin, Gerald
dc.contributor.authorZavadska, Dace
dc.contributor.authorZenz, Werner
dc.contributor.authorLevin, Michael
dc.contributor.authorMoll, Henriette A.
dc.contributor.institutionDepartment of Paediatrics
dc.date.accessioned2021-04-28T10:55:01Z
dc.date.available2021-04-28T10:55:01Z
dc.date.issued2019-06-01
dc.descriptionPublisher Copyright: © © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
dc.description.abstractObjective To provide an overview of care in emergency departments (EDs) across Europe in order to interpret observational data and implement interventions regarding the management of febrile children. Design and setting An electronic questionnaire was sent to the principal investigators of an ongoing study (PERFORM (Personalised Risk assessment in Febrile illness to Optimise Real-life Management), www.perform2020.eu) in 11 European hospitals in eight countries: Austria, Germany, Greece, Latvia, the Netherlands, Slovenia, Spain and the UK. Outcome measures The questionnaire covered indicators in three domains: local ED quality (supervision, guideline availability, paper vs electronic health records), organisation of healthcare (primary care, immunisation), and local factors influencing or reflecting resource use (availability of point-of-care tests, admission rates). Results Reported admission rates ranged from 4% to 51%. In six settings (Athens, Graz, Ljubljana, Riga, Rotterdam, Santiago de Compostela), the supervising ED physicians were general paediatricians, in two (Liverpool, London) these were paediatric emergency physicians, in two (Nijmegen, Newcastle) supervision could take place by either a general paediatrician or a general emergency physician, and in one (München) this could be either a general paediatrician or a paediatric emergency physician. The supervising physician was present on site in all settings during office hours and in five out of eleven settings during out-of-office hours. Guidelines for fever and sepsis were available in all settings; however, the type of guideline that was used differed. Primary care was available in all settings during office hours and in eight during out-of-office hours. There were differences in routine immunisations as well as in additional immunisations that were offered; immunisation rates varied between and within countries. Conclusion Differences in local, regional and national aspects of care exist in the management of febrile children across Europe. This variability has to be considered when trying to interpret differences in the use of diagnostic tools, antibiotics and admission rates. Any future implementation of interventions or diagnostic tests will need to be aware of this European diversity.en
dc.description.statusPeer reviewed
dc.format.extent500167
dc.identifier.citationBorensztajn, D, Yeung, S, Hagedoorn, N N, Balode, A, Von Both, U, Carrol, E D, Dewez, J E, Eleftheriou, I, Emonts, M, Van Der Flier, M, De Groot, R, Herberg, J A, Kohlmaier, B, Lim, E, MacOnochie, I, Martinón-Torres, F, Nijman, R, Pokorn, M, Strle, F, Tsolia, M, Wendelin, G, Zavadska, D, Zenz, W, Levin, M & Moll, H A 2019, 'Diversity in the emergency care for febrile children in Europe : A questionnaire study', BMJ Paediatrics Open, vol. 3, no. 1, e000456. https://doi.org/10.1136/bmjpo-2019-000456
dc.identifier.doi10.1136/bmjpo-2019-000456
dc.identifier.issn2399-9772
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/3973
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85073041412&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofBMJ Paediatrics Open
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectaccident & emergency
dc.subjectinfectious diseases
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectPediatrics, Perinatology, and Child Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleDiversity in the emergency care for febrile children in Europe : A questionnaire studyen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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