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Published in: Irish Journal of Medical Science (1971 -) 4/2019

01-11-2019 | Emergency Medicine | Original Article

Profiling emergency department presentations of 14–15-year-olds in modern Ireland

Authors: Therese Martin, Aoife Corcoran, Niofa Canty, James Dillon, Peter O’Reilly, Gillian O’Donnell, John Twomey, Anne-Marie Murphy

Published in: Irish Journal of Medical Science (1971 -) | Issue 4/2019

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Abstract

Background

Mid-adolescence, that twilight era when the human child transitions to adulthood, is an often overlooked developmental age yet harbours a subpopulation of patients with their own myriad of medical problems somewhat unique to their age group.

Aims

Our study is aimed at reviewing the typical presentations to a paediatric emergency department of modern Irish teenagers in mid-adolescence, the profile of which has changed significantly over the past 10 years.

Methods

Hospital electronic databases were used to conduct a retrospective review of the paediatric emergency department presentations of patients aged 14–15 years during the year of 2017. We collated data on the presenting complaint, background history, admission rate and medical specialities involved in each patient’s care while in our Emergency Department.

Results

A total of 1485 presentations were made, with 1363 being eligible for inclusion in this study. The results highlight the varied and challenging presentations (Table 1) and the high number of specialities required within emergency medicine to care for this unique population (Table 2).

Conclusion

The results highlight the most common presentations of this subgroup of patients, with trauma, in keeping with recent international data, being the most common presentation. The noted high frequency in the number of mental health/intoxication/self-harm presentations among the Irish teenagers in our region is consistent with trends reported in world literature and serves to emphasise one of the main challenges facing those working in paediatrics in Ireland over the next 10 years.
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Metadata
Title
Profiling emergency department presentations of 14–15-year-olds in modern Ireland
Authors
Therese Martin
Aoife Corcoran
Niofa Canty
James Dillon
Peter O’Reilly
Gillian O’Donnell
John Twomey
Anne-Marie Murphy
Publication date
01-11-2019
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 4/2019
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-019-02002-x

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