title: The frequency distribution of presenting symptoms in children aged six months to six years to primary care.
abstract: BACKGROUND
  Primary care providers and researchers wishing to estimate study recruitment rates need estimates of illness frequency in primary care. Previous studies of children's symptoms have found that presentations are most common for the symptoms: cough, fever, earache, rash, diarrhoea and vomiting. Since 2000, primary care provision in the United Kingdom has changed with the introduction of Walk-in-Centres (WICs) and new Out of Hours (OoHs) providers.
  
  
  OBJECTIVE
  To describe the type and frequency of parent-reported presenting symptoms at a range of primary care sites between 2005 and 2007.
  
  
  METHODS
  Parent-reported presenting symptoms, recorded in their own words, were extracted from data collected from all children aged six months to six years during recruitment to a randomised controlled trial. Presenting symptoms were coded and presented as frequency per 100 'consulting sessions' by type of primary care site.
  
  
  RESULTS
  Results were evaluated from 2491 episodes of illness at 35 sites. When grouped by primary care site, respiratory symptoms were the most common at OoHs centres, the WIC and general practitioner (GP) surgeries. Trauma symptoms were common in the Emergency Department, but unexpectedly, diarrhoea and vomiting were more common in the Emergency Department and skin presenting symptoms more common at the WIC than at GP sites.
  
  
  CONCLUSIONS
  We report the relative frequency of acute symptoms by type of primary care provider. These data may be useful to those planning recruitment to primary care paediatric studies and policy makers for planning primary care service provision.
authors: Department of Community Based Medicine, University of Bristol, Bristol, UK. SWhitburn@rowvillehealth.com
authors: Sara
authors: S
authors: Whitburn
authors: Céire
authors: C
authors: Costelloe
authors: Alan A
authors: AA
authors: Montgomery
authors: Niamh M
authors: NM
authors: Redmond
authors: Margaret
authors: M
authors: Fletcher
authors: Tim J
authors: TJ
authors: Peters
authors: Alastair D
authors: AD
authors: Hay
mesh_terms: D000208:Acute Disease / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D003967:Diarrhea / Q000453:epidemiology; D005260:Female; D006801:Humans; D007223:Infant; D008171:Lung Diseases / Q000503:physiopathology; D008297:Male; D015995:Prevalence; D011320:Primary Health Care / Q000706:statistics & numerical data*; D006113:United Kingdom / Q000453:epidemiology; D014839:Vomiting / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology