Self-referral and serious illness in children with fever
- Ierland, Y. (Yvette) van
- Seiger, N. (Nienke)
- Veen, M. (Mirjam) van
- Meurs, A.H.J. (Alfred) van
- Ruige, M. (Madelon)
- Oostenbrink, R. (Rianne)
- Moll, H.A. (Henriëtte)
DOIAbstract
OBJECTIVE: The goal of this study was to evaluate parents' capability to assess their febrile child's severity of illness and decision to present to the emergency department. We compared children referred by a general practitioner (GP) with those self-referred on the basis of illness-severity markers. METHODS: This was a cross-sectional observational study conducted at the emergency departments of a university and a teaching hospital. GP-referred or self-referred children with fever (aged <16 years) who presented to the emergency department (2006-2008) were included. Markers for severity of illness were urgency according to the Manchester Triage System, diagnostic interventions, therapeutic interventions, and follow-up. Associations between...
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