The cost of diagnostic uncertainty: a prospective economic analysis of febrile children attending an NHS emergency department
The cost of diagnostic uncertainty: a prospective economic analysis of febrile children attending an NHS emergency department
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DOI：
10.1186/s12916-019-1275-z
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发表时间：
2019-03-06
期刊：
影响因子：
9.3
通讯作者：
Carrol, Enitan D.
中科院分区：
文献类型：
--
作者：
Leigh, Simon;Grant, Alison;Carrol, Enitan D.
背景：儿科发热是急诊科（ED）就诊的常见原因。由于缺乏及时和明确的诊断，很难区分病毒和可能危及生命的细菌原因，因此需要采取谨慎的方法。这可能导致延长观察时间，进行额外的放射照相，并在发现细菌灶之前预防性使用抗生素（ABs）。本研究考察了资源利用、服务成本和健康结果。方法对6518例发热儿童（年龄：60岁）进行了全年前瞻性、综合性、代表性的队列研究
BackgroundPaediatric fever is a common cause of emergency department (ED) attendance. A lack of prompt and definitive diagnostics makes it difficult to distinguish viral from potentially life-threatening bacterial causes, necessitating a cautious approach. This may result in extended periods of observation, additional radiography, and the precautionary use of antibiotics (ABs) prior to evidence of bacterial foci. This study examines resource use, service costs, and health outcomes.MethodsWe studied an all-year prospective, comprehensive, and representative cohort of 6518 febrile children (aged