Korean J Pediatr.  2007 Jul;50(7):622-628. 10.3345/kjp.2007.50.7.622.

An analysis of one-year experience of pediatric observation unit: The first report in Korea

• Lee JY
• Choi UY
• Lee SY
• Lee JY
• Lee BC
• Hwang HS
• Mok HR
• Jeong DC
• Chung SY
• Kang JH

• KMID: 2278456
• DOI: http://doi.org/10.3345/kjp.2007.50.7.622

Abstract

PURPOSE: While pediatric observation units (POU) have become a common practice in hospitals throughout developed countries, there has been no report about POUs in Korea so far. The aims of this study were to analyze our one-year's experience of the POU and to decide which disease entities are suitable for the POU.
METHODS
All children admitted from March 2006 to February 2007 to the POU at the Department of Pediatrics in Our Lady of Mercy Hospital were included in this study. Data were collected from retrospective reviews of their medical records.
RESULTS
There were a total of 1,076 POU admissions. Median age of patients was 2.4 years and median length of hospital stay 14.0 hours. The most common diagnoses were gastroenteritis (42.7%), pharyngotonsillitis (19.1%), bronchiolitis (7.8%), pneumonia (5.5%) and febrile seizure (5.2%). Overall, 7.5% of the POU patients required subsequent inpatient admissions due to hospital stays of longer than 48 hours. The disease entities that were most likely to require inpatient admission were pneumonia (17.0%), febrile seizure (12.5%) and asthma (11.5%). Diseases that allowed successful discharge from the POU were gastroenteritis (4.6%), upper respiratory tract infection (5.8%), such as otitis media and pharygnotonsillitis and seizure disorder (6.4%). Compared with the previous year when the POU was not in operation, there was a statistically significant reduction in the average length of hospital stays (from 4.69 to 3.75 days), as well as a rise in the bed turnover rate (from 78.8 to 98.2 patients/ bed).
CONCLUSION
Our study shows that the POU is efficient for the management of children with certain acute illnesses. Based on this study, we suggest that the POU be used as a new modality which links between the outpatient, inpatient, and emergency departments in the field of pediatrics in Korea.

Keyword

Pediatrics; Day care; Length of stay

MeSH Terms

Asthma
Bronchiolitis
Child
Day Care, Medical
Developed Countries
Diagnosis
Emergency Service, Hospital
Epilepsy
Gastroenteritis
Humans
Inpatients
Korea*
Length of Stay
Medical Records
Otitis Media
Outpatients
Pediatrics
Pneumonia
Respiratory Tract Infections
Retrospective Studies
Seizures, Febrile