{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T13:18:29Z","timestamp":1771593509633,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2005,8,5]],"date-time":"2005-08-05T00:00:00Z","timestamp":1123200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Child"],"published-print":{"date-parts":[[2005,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Objectives\u2003<\/jats:bold> To compare physical and psychological outcomes in children presenting at Accident and Emergency Departments (A&amp;E), diagnosed with gastro\u2010enteritis and admitted to hospital with those of a similar age, sex and severity of illness discharged home. The physical and psychological well\u2010being of children in these two groups, in the month after the episode, were compared as was further use of health care services.<\/jats:p><jats:p><jats:bold>Design\u2003<\/jats:bold> A prospective cohort study.<\/jats:p><jats:p><jats:bold>Methods\u2003<\/jats:bold> A comparison of 116 children aged 1\u20136\u2003years with gastro\u2010enteritis, presenting at A&amp;E over a 6\u2003months period. Admitted children were compared with children discharged, of a similar age, sex and illness severity (triage score) with follow\u2010up at 1\u2003week and 1\u2003month. Clinical history, psychosocial factors, investigations and outcomes were recorded at presentation and physical, psychological and family outcomes at 1\u2003week and 1\u2003month.<\/jats:p><jats:p><jats:bold>Results\u2003<\/jats:bold> Of 116 children, 112 (97%) completed the study (56 in each group). No differences were detected in psychosocial factors, socio\u2010economic status, family factors, time of arrival at A&amp;E or waiting times. Parental perception of illness was greater in the admitted group (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.005), but was recorded after the decision on admission was made. At 1\u2003week follow\u2010up admitted children had increased separation anxiety compared with children who were discharged (<jats:italic>P<\/jats:italic>\u2003&lt;\u20030.05), but this difference disappeared at 1\u2003month. Clinical outcomes were the same for both groups, although admitted children had more investigations (91% vs. 39%). Parents were equally satisfied with their child's treatment, but one\u2010third of children in both groups sought further consultation with a health professional in the following week.<\/jats:p><jats:p><jats:bold>Conclusions\u2003<\/jats:bold> There is no statistically significant difference in socio\u2010demographic data, time of arrival at A&amp;E, waiting times, clinical and psychosocial outcomes in children with acute gastro\u2010enteritis admitted to hospital compared with a group of children of similar age, gender and severity of illness managed at home. However, parents seek reassurance and follow\u2010up of acutely ill children, even if the child is admitted to hospital, which has service and resource implications.<\/jats:p>","DOI":"10.1111\/j.1365-2214.2005.00550.x","type":"journal-article","created":{"date-parts":[[2005,8,5]],"date-time":"2005-08-05T12:19:57Z","timestamp":1123244397000},"page":"555-562","source":"Crossref","is-referenced-by-count":9,"title":["A prospective cohort study comparing hospital admission for gastro\u2010enteritis with home management"],"prefix":"10.1111","volume":"31","author":[{"given":"F.","family":"Small","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Alderdice","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"McCusker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Stevenson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Stewart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,8,5]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Parenting Stress Index and Difficult Child Index (short form): Test Manual.","author":"Abidu R. 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