dc.contributor.author |
Emery, Diane P |
|
dc.contributor.author |
Milne, Tania |
|
dc.contributor.author |
Gilchrist, Catherine A |
|
dc.contributor.author |
Gibbons, Megan J |
|
dc.contributor.author |
Robinson, Elizabeth |
|
dc.contributor.author |
Coster, Gregor D |
|
dc.contributor.author |
Forrest, Christopher B |
|
dc.contributor.author |
Harnden, Anthony |
|
dc.contributor.author |
Mant, David |
|
dc.contributor.author |
Grant, Cameron C |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2022-07-26T21:26:53Z |
|
dc.date.available |
2022-07-26T21:26:53Z |
|
dc.date.issued |
2015-02-05 |
|
dc.identifier.citation |
(2015). npj Primary Care Respiratory Medicine, 25(1), 14113-. |
|
dc.identifier.issn |
2055-1010 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/60557 |
|
dc.description.abstract |
<h4>Background</h4>In children, community-acquired pneumonia is a frequent cause of emergency department (ED) presentation and hospital admission. Quality primary care may prevent some of these hospital visits.<h4>Aims</h4>The aim of this study was to identify primary care factors associated with ED presentation and hospital admission of preschool-aged children with community-acquired pneumonia.<h4>Methods</h4>A case-control study was conducted by enrolling three groups: children presenting to the ED with pneumonia and admitted (n = 326), or discharged home (n = 179), and well-neighbourhood controls (n = 351). Interviews with parents and primary care staff were conducted and health record review was performed. The association of primary care factors with ED presentation and hospital admission, controlling for available confounding factors, was determined using logistic regression.<h4>Results</h4>Children were more likely to present to the ED with pneumonia if they did not have a usual general practitioner (GP) (odds ratio (OR) = 2.50, 95% confidence interval (CI) = 1.67-3.70), their GP worked ⩽ 20 h/week (OR = 1.86, 95% CI = 1.10-3.13) or their GP practice lacked an immunisation recall system (OR = 5.44, 95% CI = 2.26-13.09). Lower parent ratings for continuity (OR=1.63, 95% CI = 1.01-2.62), communication (OR = 2.01, 95% CI = 1.29-3.14) and overall satisfaction (OR = 2.16, 95% CI = 1.34-3.47) increased the likelihood of ED presentation. Children were more likely to be admitted when antibiotics were prescribed in primary care (OR = 2.50, 95% CI = 1.43-4.55). Hospital admission was less likely if children did not have a usual GP (OR = 0.22, 95% CI = 0.11-0.40) or self-referred to the ED (OR = 0.48, 95% CI = 0.26-0.89).<h4>Conclusions</h4>Accessible and continuous primary care is associated with a decreased likelihood of preschool-aged children with pneumonia presenting to the ED and an increased likelihood of hospital admission, implying more appropriate referral. Lower parental satisfaction is associated with an increased likelihood of ED presentation. |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
NPJ primary care respiratory medicine |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Community-Acquired Infections |
|
dc.subject |
Pneumonia |
|
dc.subject |
Hospitalization |
|
dc.subject |
Logistic Models |
|
dc.subject |
Risk Factors |
|
dc.subject |
Case-Control Studies |
|
dc.subject |
Emergency Service, Hospital |
|
dc.subject |
Primary Health Care |
|
dc.subject |
Continuity of Patient Care |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Pneumonia & Influenza |
|
dc.subject |
Health Services |
|
dc.subject |
Clinical Research |
|
dc.subject |
Infectious Diseases |
|
dc.subject |
Prevention |
|
dc.subject |
Lung |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Respiratory System |
|
dc.subject |
General & Internal Medicine |
|
dc.subject |
HEALTH |
|
dc.subject |
BRONCHIOLITIS |
|
dc.subject |
INEQUALITIES |
|
dc.subject |
AUCKLAND |
|
dc.subject |
QUALITY |
|
dc.subject |
ACCESS |
|
dc.subject |
RATES |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Health services & systems |
|
dc.subject |
Public Health |
|
dc.subject |
1102 Cardiorespiratory Medicine and Haematology |
|
dc.subject |
1103 Clinical Sciences |
|
dc.title |
The impact of primary care on emergency department presentation and hospital admission with pneumonia: a case-control study of preschool-aged children. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1038/npjpcrm.2014.113 |
|
pubs.issue |
1 |
|
pubs.begin-page |
14113 |
|
pubs.volume |
25 |
|
dc.date.updated |
2022-06-16T04:18:00Z |
|
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
25654661 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/25654661 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
475912 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Paediatrics Child & Youth Hlth |
|
dc.identifier.eissn |
2055-1010 |
|
dc.identifier.pii |
npjpcrm2014113 |
|
pubs.number |
14113 |
|
pubs.record-created-at-source-date |
2022-06-16 |
|
pubs.online-publication-date |
2015-12 |
|