TY  - JOUR
PY  - 2021//
TI  - Emergency department presentations by children in remote Australia: a population-based study
JO  - Global pediatric health
A1  - Dossetor, Philippa Jane
A1  - Fitzpatrick, Emily F. M.
A1  - Glass, Kathryn
A1  - Douglas, Kirsty
A1  - Watkins, Rochelle
A1  - Oscar, June
A1  - Carter, Maureen
A1  - Harley, David
A1  - Jeffery, Heather E.
A1  - Elliott, Elizabeth Jane
A1  - Martiniuk, Alexandra L. C.
SP  - e2333794X21991006
EP  - e2333794X21991006
VL  - 8
IS  - 
N2  - Background. Aboriginal leaders invited us to examine the frequency and reasons for emergency department (ED) presentations by children in remote Western Australia, where Prenatal Alcohol Exposure (PAE) is common. <br><br>METHODS. ED presentations (2007-11 inclusive) were examined for all children born in the Fitzroy Valley in 2002-03. <br><br>RESULTS. ED data for 127/134 (94.7%) children (95% Aboriginal) showed 1058 presentations over 5-years. Most (81%) had at least 1 presentation (median 9.0, range 1-50). Common presentations included: screening/follow-up/social reasons (16.0%), injury (15.1%), diseases of the ear (14.9%), skin (13.8%), respiratory tract (13.4%), and infectious and parasitic diseases (9.8%). PAE and higher presentations rates were associated. Commonly associated socio-economic factors were household over-crowding, financial and food insecurity. <br><br>CONCLUSION. Children in very remote Fitzroy Crossing communities have high rates of preventable ED presentations, especially those with PAE. Support for culturally appropriate preventative programs and improved access to primary health services need to be provided in remote Australia.<p />  <p>Language: en</p>
LA  - en
SN  - 2333-794X
UR  - http://dx.doi.org/10.1177/2333794X21991006
ID  - ref1
ER  -