{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:25:12Z","timestamp":1761128712478},"reference-count":11,"publisher":"American Public Health Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1993,3]]},"abstract":"<jats:p> OBJECTIVE. A large number of children with measles were hospitalized at a children's hospital during a metropolitan measles outbreak. In this study we addressed the appropriateness of those admissions. METHODS. Charts of all 634 patients with a diagnosis of measles who were treated between August 1989 and April 1990 were reviewed. Determination of the appropriateness of hospital admission was based on severity of illness and presence of severe complications of measles. RESULTS. Of 564 patients with clinical measles or serologic evidence of recent infection, 252 were inpatients (median age 1.5 years) and 312 were outpatients (median age 2.1 years). Fifty-nine (23.4%) of the inpatients had been inappropriately admitted. Inpatients were significantly more likely than outpatients to have physiologic instability or a clinical complication. Children 15 months of age or younger were more likely to be hospitalized, as were children evaluated in the first 3 months of the outbreak period, even if admission was not appropriate on the basis of physiologic instability or complications. CONCLUSIONS. Younger patients with measles and patients evaluated earlier in the epidemic were more likely to be admitted to the hospital even when admission was inappropriate as assessed by degree of physiologic instability or presence of complications. <\/jats:p>","DOI":"10.2105\/ajph.83.3.379","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:18:52Z","timestamp":1227964732000},"page":"379-384","source":"Crossref","is-referenced-by-count":11,"title":["Treating measles: the appropriateness of admission to a Wisconsin children's hospital."],"prefix":"10.2105","volume":"83","author":[{"given":"P L","family":"Havens","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J C","family":"Butler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S E","family":"Day","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B A","family":"Mohr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J P","family":"Davis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M J","family":"Chusid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"Centers for Disease Control. Measles-United States, 1989 and first 20weeks 1990."},{"key":"p_2","first-page":"353","volume":"39","author":"Markowitz LE","year":"1990","journal-title":"Orenstein MMWR"},{"key":"p_3","unstructured":"Standanlized Diagnostic Fication Method toMicro Test. Isted. Washington, DC: US Department of Health, Education, and Welfare; 1969."},{"key":"p_4","unstructured":"Gershon AA, Krugman S. Measles virus. In: Lennette EH, Schmidt NJ, eds. Diagnostic Prcedires for Vlral Rickettsia 4 and Chiamydial Infections. 5th ed. New York, NY: American Public Health Association; 1979:665-693."},{"key":"p_5","doi-asserted-by":"crossref","unstructured":"Edmonson MB, Addiss DG, McPherson JT, BergJL, Circo SR, Davis JP. Mild measles and secondaryvaccine failure during a sustained outbreak in a highly vaccinated population. JAM4. 1990;263:2467-2471.","DOI":"10.1001\/jama.263.18.2467"},{"key":"p_7","unstructured":"Fleiss JL. Statistical Tests for Rates and CHi Care Med. 1988;16:1110-1116. Proportions. 2nd ed. New York, NY: John Wiley & Sons Inc; 1981:14, 71-75."},{"key":"p_8","unstructured":"Report ofthe Committee on Infectious Diseases. 21st ed. Elk Grove Village, Ill: American Academy of Pediatrics; 1988: 277-289."},{"key":"p_10","first-page":"7","volume":"38","author":"Centers for Disease Control. Classification (ACIP).","year":"1989","journal-title":"MMWR"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1986.02140180075029"},{"key":"p_12","doi-asserted-by":"crossref","unstructured":"Kohn JL, Koiransky H. Successive roentgenograms of the chest of children during measles.AmJDis ChikL 1929;38:258-270.","DOI":"10.1001\/archpedi.1929.01930080034003"},{"key":"p_13","doi-asserted-by":"crossref","unstructured":"Babbott FL Jr, Gordon JE. Modern measles. Am JMed ScL 1954;228:334-361.","DOI":"10.1097\/00000441-195409000-00013"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.83.3.379","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:31:58Z","timestamp":1652124718000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.83.3.379"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,3]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1993,3]]}},"alternative-id":["10.2105\/AJPH.83.3.379"],"URL":"https:\/\/doi.org\/10.2105\/ajph.83.3.379","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,3]]}}}