Emergency Department Presentations by Children in Remote Australia: A Population-based Study-Reference-Cited by-同舟云学术

Emergency Department Presentations by Children in Remote Australia: A Population-based Study

Published:2021-01 Issue: Volume:8 Page:2333794X2199100
ISSN:2333-794X
Container-title:Global Pediatric Health
language:en
Short-container-title:Global Pediatric Health

Author:

Dossetor Philippa Jane¹²^ORCID,Fitzpatrick Emily F. M.²³,Glass Kathryn¹,Douglas Kirsty⁴,Watkins Rochelle⁵,Oscar June⁶⁷,Carter Maureen⁸,Harley David¹⁹,Jeffery Heather E.²,Elliott Elizabeth Jane²³,Martiniuk Alexandra L. C.²¹⁰¹¹

Affiliation:

1. Australian National University, Canberra, ACT, Australia

2. University of Sydney, Sydney, NSW, Australia

3. The Sydney Children’s Hospital Network, Westmead, NSW, Australia

4. Australian National University, Woden, ACT, Australia

5. The University of Western Australia, Perth, WA, Australia

6. Marninwarntikura Women’s Resource Centre, Fitzroy Crossing, WA, Australia

7. University of Notre Dame, Broome, WA, Australia

8. Nindilingarri Cultural Health Services, Fitzroy Crossing, WA, Australia

9. The University of Queensland, Brisbane, QLD, Australia

10. University of Toronto, Toronto, ON, Canada

11. The George Institute for Global Health, Sydney, NSW, Australia

Abstract

Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. Methods. ED presentations (2007-11 inclusive) were examined for all children born in the Fitzroy Valley in 2002-03. Results. ED data for 127/134 (94.7%) children (95% Aboriginal) showed 1058 presentations over 5-years. Most (81%) had at least 1 presentation (median 9.0, range 1-50). Common presentations included: screening/follow-up/social reasons (16.0%), injury (15.1%), diseases of the ear (14.9%), skin (13.8%), respiratory tract (13.4%), and infectious and parasitic diseases (9.8%). PAE and higher presentations rates were associated. Commonly associated socio-economic factors were household over-crowding, financial and food insecurity. Conclusion. Children in very remote Fitzroy Crossing communities have high rates of preventable ED presentations, especially those with PAE. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.

Publisher

SAGE Publications

Subject

Pediatrics,Pediatrics, Perinatology and Child Health

Link

http://journals.sagepub.com/doi/pdf/10.1177/2333794X21991006

Reference25 articles.

1. Prime Minister’s Report. Closing the Gap: The Prime Minister’s Report. National Indigenous Australians Agency; 2017.

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