[Pediatric medical emergencies: clinical classification on basis of severity of illness, distribution between work days and non-working days].
OBJECTIVE
Assess one year of activity in a pediatric medical emergency unit of a non-university hospital to detail the degree of gravity of patients admitted to pediatric wards and the distribution of non-programmed activity between and work days and non-work days.


METHODS
Prospective classification into 5 degrees of emergency of all admitted children and count of non-programmed medical and surgical activity.


RESULTS
A significantly growing number of consultations for minor problems was observed during non-work days. Most hospitalizations were for problems of a rather relative emergency nature.


CONCLUSIONS
The creation of a "day-hospital" would allow evaluation and/or treatment of a large number of pediatric patients without requiring hospitalization. The problem of controlling the flow of consultations to the hospital remains a difficult problem. The many reasons leading to hospital consultation are poorly assessed. It appears indispensable to promote population "education" and development of closer physician's office-hospital collaboration.
Di Marco
J N
JN
Service de Pédiatrie, Centre Hospitalier du Pays d'Aix-en-Provence.
Laude
J F
JF
Castanier
L
L
Rimet
Y
Y
Poujol
A
A
Kiegel
P
P
Brusquet
Y
Y
D000293:Adolescent; D000553:Ambulatory Care; D002648:Child; D002675:Child, Preschool; D004630:Emergencies / Q000145:classification*; D004636:Emergency Service, Hospital; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D010372:Pediatrics; D012720:Severity of Illness Index; D014947:Wounds and Injuries / Q000145:classification* / Q000628:therapy
Urgences médicales pédiatriques: classification clinique en stades de gravité, répartition entre jours fériés et ouvrables.