{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:26:23Z","timestamp":1765959983582,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T00:00:00Z","timestamp":1528243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012503","name":"Royal Hobart Hospital Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012503","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>We investigated the presentations of children with unspecified fever to an Australian emergency department (ED): (i) to determine the proportion of these presentations that could be classified as potentially avoidable and (ii) to identify factors associated with an increased risk of hospital admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study retrospectively identified and described children aged &lt;6 years who presented to the Royal Hobart Hospital (Tasmania, Australia) ED with unspecified fever (ICD\u201010\u2010AM code R50.9) between January 2013 and December 2015, using data from the ED information system and digital medical records. The Australian Institute of Health and Welfare method was used to estimate the number of potentially avoidable general practitioner\u2010type presentations. Predictors of hospital admission were determined using multivariate logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 459 patients aged &lt;6 years presented to the ED with a primary diagnosis description of unspecified fever. Of these, 30.7% were classed as potentially avoidable general practitioner\u2010type presentations. Overall, 26.1% of presentations resulted in admission to hospital. Administration of intravenous fluids in the ED and a longer treat time were identified as significant predictors of a child with non\u2010specific fever being admitted to hospital. Older age, administration of antipyretics in the ED and presentations triaged as semi\u2010urgent and non\u2010urgent significantly reduced the probability of admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To our knowledge, this is the first Australian study that has assessed the impact of unspecified childhood fever on an Australian ED. Further investigation of presentations classified as potentially avoidable is warranted to investigate whether these could be managed in the primary care setting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14071","type":"journal-article","created":{"date-parts":[[2018,6,6]],"date-time":"2018-06-06T19:01:51Z","timestamp":1528311711000},"page":"1308-1313","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Emergency department presentations of febrile children to an Australian public hospital"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8463-4817","authenticated-orcid":false,"given":"Bonnie J","family":"Bereznicki","sequence":"first","affiliation":[{"name":"School of Medicine University of Tasmania  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madeline GA","family":"Tucker","sequence":"additional","affiliation":[{"name":"School of Medicine University of Tasmania  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean A","family":"Beggs","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Royal Hobart Hospital  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graeme R","family":"Zosky","sequence":"additional","affiliation":[{"name":"School of Medicine University of Tasmania  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke RE","family":"Bereznicki","sequence":"additional","affiliation":[{"name":"School of Medicine University of Tasmania  Hobart Tasmania Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,6]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Royal Childrens Hospital.Clinical Practice Guidelines \u2013 Febrile Child. Melbourne: The Hospital;2011. Available from:http:\/\/www.rch.org.au\/clinicalguide\/guideline_index\/Febrile_Child\/[accessed June 2017]."},{"key":"e_1_2_9_3_1","unstructured":"National Institute for Health and Care Excellence.Feverish Illness in Children: Assessment and Initial Management in Children Younger than 5 Years. London: The Institute;2013. Available from:https:\/\/www.nice.org.uk\/guidance\/cg160[accessed June 2017]."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.11.001"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2006.03802.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.6.1241"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922809355312"},{"key":"e_1_2_9_8_1","unstructured":"Australian Institute of Health and Welfare.Emergency Department Care 2014\u201315: Australian Hospital Statistics. Canberra: The Institute;2015. Available from:http:\/\/www.aihw.gov.au\/WorkArea\/DownloadAsset.aspx?id=60129553618[accessed June 2017]."},{"key":"e_1_2_9_9_1","unstructured":"Australian Bureau of Statistics.3101.0 \u2013 Australian Demographic Statistics. Canberra: The Bureau; 2016. Available from:http:\/\/www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/3101.0[accessed June 2017]."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12368"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja14.01724"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31823f2412"},{"key":"e_1_2_9_13_1","unstructured":"Department of Treasury and Finance.Regional Population Growth 2015\u201316. Hobart: Tasmania Government; 2017. Australian Bureau of Statistics Cat. No.: 3218.0. Available from:http:\/\/www.treasury.tas.gov.au\/Documents\/Regional-Population-Growth.pdf[accessed June 2017]."},{"key":"e_1_2_9_14_1","unstructured":"Independent Hospital Pricing Authority.Emergency Department ICD\u201010\u2010AM (Ninth Edition) Principal Diagnosis Short List. Canberra: The Authority; 2017. Available from:https:\/\/www.ihpa.gov.au\/what-we-do\/classifications\/emergency-care\/emergency-department-icd-10-am-ninth-edition-principal-diagnosis-short-list[accessed June 2017]."},{"key":"e_1_2_9_15_1","unstructured":"Australasian College for Emergency Medicine.Guidelines on the Implementation of the Australasian Triage Scale in Emergency Departments. Melbourne: The College;2016. 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