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Table 6 Predictors of hospital admission in children from multivariate modelling studies from Ireland, USA, Australia and Sweden

From: Factors predictive of hospital admission for children via emergency departments in Australia and Sweden: an observational cross-sectional study

 Predictor

Country of Study

 

Ireland [One study] [18]

USA [Four studies] [15, 16, 19, 20]

Australia [This study]

Sweden [This study]

ED type (Children only or mixed children and adults)

N/A (single site; children’s only ED)

N/A (single site studies) [15]

Not reported (multi-site studies) [16, 19, 20]

Yes: children’s only

N/A (single site; mixed ED)

Age

EFM

Yes [19]a; younger (< 3 months) [15, 16, 20]

Yes: older child ED: A,B,C,D

Yes: older child

Sex

EFM

EFM [15]

Yes: female ED: B

EFM

Arrival mode

EFM

Yes: ambulance [16, 19] EFM [15]

Yes: ambulance ED: A,B,C,D

Yes: ambulance

Referral source

Yesa

Yes: physician / other ED [20]

Yes: primary care ED: A,B,C,D

Yes: primary care

Triage category

Yesa

Yes [15]a; higher acuity [16]

Yes: higher acuity ED: A,B,C,D

Yes: higher acuity

Presenting/chief complaint

Yesa

Yes [15]a; altered mental status [16, 20], chronic disease, fever (neonate), pregnancy, psychological/behavioural [16], psychiatric reasons [19], abdominal pain (in adolescents), immunodeficiency [20]

Yes: Infectious ED: C

Gastrointestinal ED: A,B,C,D

Respiratory ED: A,B,C,D

EFM

Weekday presentation

Yes

 

Yes ED: A,B,C

EFM

In-hours presentation

  

Yes ED: A,C

EFM

Insurance status

  

Yes: Private ED: C

NC

Race / Ethnicity

  

Yes (Aboriginal / Torres Strait Islander) ED:A,C

NC

Language spoken at home

  

Yes: English ED: B,C

NC

Distance travelled

Yesa

   

Registration month

Yesa

   

ED location

Yesa

   

Previous admission

Yes

   

Vital signs

 

Yes: HR [16, 19], temperature [16], pulse oximetry [15, 19], respiratory rate [19], systolic BP [19, 20], diastolic BP [19, 20]

EFM: GCS [15, 16], BP [15, 16], HR [15], pulse oximetry [16]

  

Currently taking prescription medicines

 

Yes [16]

Yes (for asthma) [20]

EFM [15]

  

Past medical history

 

Yes [15]

EFM [16]

  

Abnormal laboratory values

 

Yes: low serum bicarbonate, high potassium, blood urea nitrogen, white blood cell count [20]

  

Oxygen requirement in ED

 

Yes [20]

  

Other

 

Indwelling medical device [20]

  
  1. ED Emergency department, HR Heart rate, BP Blood pressure, GCS Glasgow Coma Scale, EFM Excluded from model: if variable considered in study, but not included in the final model, NC Data not collected for the Swedish site
  2. aStudies noted the variable was predictive of admission, but did not specify further; presented in table are predictors of hospital admission where odds/risk noted (predictors with lower odds/risk, i.e., protective of admission, are not presented – refer to specific study); studies 18 and 19 report graded variables of importance (those noted here are their top 8 – refer to specific study for others)