Novembre 2005 - Volume XXIV - numero 9
Pagine elettroniche
1Distretto IX ASL Roma C;
2Agenzia di Sanità Pubblica della Regione Lazio
3Dipartimento ISSTMI ASL Roma C
Indirizzo per corrispondenza: capon@asplazio.it
Key words: Children, Hospitalisation rate, Paediatricians, Variability
The aim of this study was to evaluate the hospitalisation rates among patients of paediatricians in a large health unit in Rome. All hospital admissions between 2001-2003 attributable to the patients of each pediatrician of the health unit were selected, excluding those for severe diseases. Hospitalisation rates and average expense due to hospitalisation per patient were computed. Overall 11,182 admissions occurred in the whole period among 70,778 children, with an hospitalisation rate of 5.09 x 100 (95% CI: 4.98- 5.20) (including severe diseases: 7.11 x 100 [95% CI: 6.97-7.24]). Single paediatrician rates showed a large variability (range: 2.49- 10.14). Our study suggests that single paediatrician hospitalisation rate might be a useful tool to evaluate outpatient health care activity.
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Pagine elettroniche
1SOC Pronto Soccorso e Primo Accoglimento, IRCCS “Burlo Garofolo”, Trieste
2Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: giorgir@burlo.trieste.it
Key words: Prolonged seizures, Hypernatremic dehydration, Intraosseous access
A feverish 15 months baby with gastroenteritis was referred to the Emergency Room because of prolonged seizures started 15’ before access to hospital. Venous access proved impossible and despite of two administrations of rectal diazepam, seizures continued for more than 80’. The resolution of his status epilepticus became possible only when an intraosseous access was established allowing the infusion of midazolam. The gastroenteritis was further complicated by hypernatremic dehydration. Seizures management, intraosseous access and hypernatremic dehydration are discussed.
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