{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:22:27Z","timestamp":1767853347372,"version":"3.49.0"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:00Z","timestamp":1584403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Short-term emergency department (ED) observation care may prevent prolonged and unnecessary hospital admission in patients with sickle pain. This study highlights the outcomes of short-term ED care of acute pain in children with sickle cell disease (SCD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Children aged 6\u00a0mo to 19\u00a0y with SCD and painful crises who were managed by short-term ED care from July 2017 to June 2019 were studied retrospectively. Biodata, pain score, type of care, length of hospital stay, inpatient transfer rate (the proportion that required transfer for full admission) and return rate (the proportion that returned to the hospital for retreatment of unresolved pain) were documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From July 2017 to June 2019, 122 children with SCD were admitted to the ED for painful crises, of whom 118 (96.7%) with 167 hospital visits were managed by short-term ED observation care. The median length of stay was 10.5\u00a0h. In 50.3% of encounters, patients were successfully managed without requiring further care. However, in 17.4% of encounters, they had their ED observation care terminated and converted to full admission. The overall return rate for acute care within 1 wk for either persistence of symptoms or any other complaint was 31.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dedicated short-term ED observation care has the potential to provide effective and timely management of acute pain in children with SCD.<\/jats:p><\/jats:sec>","DOI":"10.1093\/trstmh\/traa006","type":"journal-article","created":{"date-parts":[[2020,1,18]],"date-time":"2020-01-18T12:09:46Z","timestamp":1579349386000},"page":"365-371","source":"Crossref","is-referenced-by-count":3,"title":["Outcome of short-term emergency department observation care of children with sickle cell disease and vaso-occlusive crises: initial experience from south-western Nigeria"],"prefix":"10.1093","volume":"114","author":[{"given":"Samuel A","family":"Adegoke","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, Obafemi Awolowo University (OAU), Ile-Ife, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O I","family":"Oladimeji","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Wesley Guild Hospital Ilesa Unit, OAU Teaching Hospitals Complex, Ile-Ife, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B G","family":"Ologun","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Wesley Guild Hospital Ilesa Unit, OAU Teaching Hospitals Complex, Ile-Ife, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T A","family":"Aladekomo","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, Obafemi Awolowo University (OAU), Ile-Ife, Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"O A","family":"Oyelami","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health, Obafemi Awolowo University (OAU), Ile-Ife, 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units offer savings, shorter stays and reduced admissions","volume":"32","author":"Ross","year":"2013","journal-title":"Health Affairs."},{"issue":"3","key":"2020050408274722700_ref20","first-page":"12","article-title":"Sickle cell disease pain management","volume":"43","author":"Okwerekwu","year":"2018","journal-title":"US Pharm."},{"key":"2020050408274722700_ref21","author":"National Institute for Health and Clinical Excellence","year":"2019]"}],"container-title":["Transactions of The Royal Society of Tropical Medicine and 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