Hospital Admissions in Children Aged 3 Months to 5 Years Presenting With Fever to the Emergency Department

NCT ID: NCT01196793

Last Updated: 2019-09-17

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 108 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2012-04-30
• Study Completion Date: 2014-07-03

Brief Summary

This study primarily aims to describe factors associated with hospitalisation of children aged 3 months to 5 years presenting with fever to an urban paediatric A&E departments by describing and analysing characteristics both of those patients admitted to hospital and those managed in the community. To complement this, information on the short-term healthcare utilization by families attending the emergency department because of feverish illness will be collected. The study will be carried out in one participating centre in Switzerland and the United Kingdom, respectively, to enable a head to head comparison of the assessment and admission practices in two European countries. The resulting data will be used as the basis for further research in this area and will provide information on how to optimally structure service provision in acute febrile childhood illness.

Detailed Description

A significant number of children 0 to 5 years of age are seen in paediatric Accident & Emergency departments (A&E) with feverish illness. Most of these patients could safely be managed in a primary care setting, particularly with guidelines in place on how to optimally assess these children. Some patients, however, will require admission, either because of a potentially serious underlying disease or because of other factors, for example parental concern or difficulties in communication because of language barriers. An increase in the number of children attending A&E departments with feverish illness as well as a rise in the volume of admissions has been noted over time. To enable an appropriate adaptation of acute medical services for children an in depth understanding of the assessment and admission processes is crucial.

Conditions

Fever

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

febrile children, age 3 m to 5 y

No interventions assigned to this group

Eligibility Criteria

Inclusion Criteria

• Child aged 3months to 5years
• Temperature above or equal to 38°C measured by any method or reported hot by parents

Exclusion Criteria

• none

• Minimum Eligible Age: 3 Months
• Maximum Eligible Age: 5 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Imperial College Healthcare NHS Trust

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Hermione Lyall, MD

Role: PRINCIPAL_INVESTIGATOR

Imperial College Healthcare NHS Trust

Locations

University Children's Hospital

Zurich, , Switzerland

St Mary's Hospital, Imperial NHS Hospitals Trust

London, , United Kingdom

Countries

Switzerland; United Kingdom

Other Identifiers

SMH 24062010 V1 4

Identifier Type: -

Identifier Source: org_study_id