Pattern and Outcome of Children Admitted in Emergency Unit of Assuit Children University Hospital Hospital

NCT06577207 | Not Yet Recruiting

• 1 other identifier: children in Emergency Unit
• Study Type: observational
• Target: 93
• Locations: 0 countries
• Sites: N/A

Brief Summary

In the present work, we aim to

1. 1.Describe the pattern of patients admitted to Emergency unite at Assiut University Child Hospital (AUCH) and classify them according to age ,distribution ,most common presenting complain, effect of seasonal variation on causes of admission ,prognosis till discharge of the patient to home or refer him to specific unit in pediatric hospital and associated chronic disease.
2. 2.Describe factors affecting mortality rate

Conditions

Pediatric Emergency Medicine

Outcome Measures

Primary Outcomes (1)

• classification of pediatric patient in emergency room

  classification of pediatric patient in emergency room according to age distribution ,most common presenting complain, effect of seasonal variation on causes of admission ,prognosis till discharge of the patient to home or refer him to specific unit in pediatric hospital and associated chronic disease.

  baseline

Secondary Outcomes (1)

• search for factors affect mortality rate

  baseline

Interventions

Initial investigations for all cases OTHER

Initial investigations for all cases: 1. Pulse oximetry. 2. Complete blood count. 3. Electrolytes. 4. Kidney function test. 5. Random blood glucose 6. Other investigations ordered for certain cases according to clinical manifestation \& previous findings \> Lines of treatment will be recorded

Eligibility Criteria

• Age: 28 Days - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Probability Sample

Study Population

The present study is a cross-sectional study.study will be carried out on patients admitted to Emergency unite at Assiut University Child Hospital (AUCH) .An informed consent will be obtained from all patients. The study will be conducted in Assiut university child hospital, during the period from Jan 2025 to Jan 2026 .The purpose and nature of the study will be explained to all patients. At least 94 patients will be included in the present study. The sample size was calculated using Epi-info version 7software,Based on previous studies, the confidence limits of 5% , a confidence level =80% ,and the rate of pediatric patients emergency admission as 50% , and allocation ratio of 1.

You may qualify if:

• All patients from 28 day till 18 years who will be admitted to emergency unite at (AUCH) during duration of the study,data of the patients will be collected in the form of :
• Full history taking:
• Personal history: (age, sex, gestational age), residence and socioeconomic status.
• Cause of admission and clinical characteristic of patients (medical or surgical condition).
• Triage and acuity : rapidly screening of sick children in order to identify: • those with emergency signs, who require immediate emergency treatment; • those with priority signs, who are at higher risk of dying.
• These children should be assessed without unnecessary delay. • non-urgent cases, who have neither emergency nor priority signs. Emergency signs include: obstructed or absent breathing, severe respiratory distress, central cyanosis, signs of shock, coma, convulsions, signs of severe dehydration . The priority signs include: any sick child aged \< 2 months, very high temperature, severe pallor, history of poisoning, severe pain, restless or continuously irritable, edema of both feet
• Associated symptoms of different systems involved.
• Provisional diagnosis.
• st admission or not
• Referring center , time and seasonal variation to detect most peak area and months
• Fate
• Complete physical examination: Including body temperature , respiratory rate, heart rate, pallor, weight loss, and evidence of dehydration. Chest, cardiac , abdominal and neurological examination.
• Investigations and Imaging: Initial investigations for all cases: 1. Pulse oximetry. 2. Complete blood count. 3. Electrolytes. 4. Kidney function test. 5. Random blood glucose 6. Other investigations ordered for certain cases according to clinical manifestation \& previous findings \> Lines of treatment will be recorded
• Patients will be followed during their stay in ER and till discharge patient to home or refer him to specific unit in pediatric hospital with monitoring of factors affecting their prognosis.

You may not qualify if:

• Neonates
• patients which their age are more than 18 years
• Patients which have recent trauma

Sponsors & Collaborators

• Assiut University: lead

Related Publications (2)

• Rothman RE, Irvin CB, Moran GJ, Sauer L, Bradshaw YS, Fry RB Jr, Josephson EB, Ledyard HK, Hirshon JM; Public Health Committee of the American College of Emergency Physicians. Respiratory hygiene in the emergency department. Ann Emerg Med. 2006 Nov;48(5):570-82. doi: 10.1016/j.annemergmed.2006.05.018. Epub 2006 Aug 23.

  PMID: 17052558 BACKGROUND

• Liu L, Oza S, Hogan D, Perin J, Rudan I, Lawn JE, Cousens S, Mathers C, Black RE. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015 Jan 31;385(9966):430-40. doi: 10.1016/S0140-6736(14)61698-6. Epub 2014 Sep 30.

  PMID: 25280870 BACKGROUND

Central Study Contacts

Ereeny louiz Azmy, master

CONTACT

+201025898896; ereny.louiz.azmy@gmail.com

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: physician

Study Record Dates

• First Submitted: August 26, 2024
• First Posted: August 29, 2024
• Study Start: January 1, 2025
• Primary Completion: January 1, 2026
• Study Completion (Estimated): January 1, 2027
• Last Updated: September 3, 2024

Record last verified: 2024-08