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Appropriateness of Emergency Department Use in Pediatric Inflammatory Bowel Disease: A Quality Improvement Opportunity. Journal of pediatric gastroenterology and nutrition Hoffenberg, E. J., Park, K. T., Dykes, D. M., Fridge, J. n., Kappelman, M. D., Leibowitz, I. n., Tsou, M. n., Colletti, R. B. 2014

Abstract

We sought to characterize emergency department (ED) encounters for pediatric inflammatory bowel disease (IBD) to identify areas for prevention.Retrospective chart review of 5 consecutive ED encounters at 7 centers.Of 35 unique encounters by 32 subjects, 3 main factors contributed to ED utilization: disease severity or course, day or time of care, and physician instruction. Of the ED encounters, approximately one-fifth were judged medically unnecessary, and one-half avoidable in a more optimal health care system.ED visits by pediatric IBD patients may be reduced in a more optimal health care system.

View details for PubMedID 24918980