{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T14:52:55Z","timestamp":1781275975932,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T00:00:00Z","timestamp":1510099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe epidemiological data concerning paediatric attendances at the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content> of Royal Darwin Hospital (<jats:styled-content style=\"fixed-case\">RDH<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study of paediatric emergency presentations to the <jats:styled-content style=\"fixed-case\">RDH ED<\/jats:styled-content> during 2004 and 2013. Epidemiological data, including demographics, admission rates and diagnostic grouping, were analysed using descriptive and comparative statistical methods. We compared data with findings from a baseline epidemiological study by the Paediatric Research in Emergency Departments International Collaborative (<jats:styled-content style=\"fixed-case\">PREDICT<\/jats:styled-content>) conducted in 2004.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 12 745 and 15 378 paediatric presentations (age 0\u201318 years) to the <jats:styled-content style=\"fixed-case\">RDH ED<\/jats:styled-content> were analysed for the years 2004 and 2013 respectively. In 2004, the mean age of children presenting to <jats:styled-content style=\"fixed-case\">RDH<\/jats:styled-content> was 7.1 years, and 56.0% were female. Indigenous patients accounted for 31.2% of presentations at <jats:styled-content style=\"fixed-case\">RDH<\/jats:styled-content> and were significantly more likely to be admitted than non\u2010Indigenous patients (31.6% <jats:italic>vs<\/jats:italic> 12.8%, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.24, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.95\u20133.55). Children &lt;5 years old accounted for the highest number of presentations (45.2%) and admissions (51.2%), and there was a high proportion of adolescent presentations (18.0%). Similar to the <jats:styled-content style=\"fixed-case\">PREDICT<\/jats:styled-content> study, viral infectious conditions (bronchiolitis, gastroenteritis, upper respiratory tract infections) were the most common cause for presentations. Key differences included a higher proportion of patients presenting with cellulitis and head injury at <jats:styled-content style=\"fixed-case\">RDH<\/jats:styled-content> and an increasing proportion of adolescent psychiatric presentations at <jats:styled-content style=\"fixed-case\">RDH<\/jats:styled-content> from 2004 to 2013.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides important information regarding paediatric presentations to a major referral hospital in the Northern Territory. Overall, there was a disproportionate rate of presentation and admission among Indigenous children. Other key findings were higher proportions of cellulitis, head injury and adolescent presentations. These findings can assist in service planning and in directing future research specific to children in the Northern Territory.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.12853","type":"journal-article","created":{"date-parts":[[2017,11,8]],"date-time":"2017-11-08T10:12:43Z","timestamp":1510135963000},"page":"678-685","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Patterns of paediatric emergency presentations to a tertiary referral centre in the Northern Territory"],"prefix":"10.1111","volume":"29","author":[{"given":"Davina","family":"Buntsma","sequence":"first","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2675-6749","authenticated-orcid":false,"given":"Anna","family":"Lithgow","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"O'Neill","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier","family":"Palmer","sequence":"additional","affiliation":[{"name":"Emergency Department Royal Darwin Hospital  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Morris","sequence":"additional","affiliation":[{"name":"Menzies School of Health Research Institute  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Acworth","sequence":"additional","affiliation":[{"name":"Emergency Department Lady Cilento Children's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz E","family":"Babl","sequence":"additional","affiliation":[{"name":"Emergency Department The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the Paediatric Research in Emergency Departments International Collaborative (PREDICT)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2014.09.006"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03088.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00609.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2010.tb03643.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.2011.11-0185"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1996.tb122012.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2009.01154.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-6723.2006.00823.x"},{"key":"e_1_2_7_10_1","unstructured":"International Statistical Classification of Diseases and Related Health Problems. 10th revision. 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