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

The recruitment status of this study is unknown because the information has not been verified recently.
Verified September 2010 by Imperial College Healthcare NHS Trust.
Recruitment status was  Not yet recruiting
Sponsor:
Information provided by:
Imperial College Healthcare NHS Trust
ClinicalTrials.gov Identifier:
NCT01196793
First received: September 6, 2010
Last updated: September 7, 2010
Last verified: September 2010
  Purpose

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.

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.


Condition
Fever

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Prospective
Official Title: Evaluation of Medical and Non-medical Factors Associated With Admission of Children Aged 3 Months to 5 Years Presenting to the Urban Paediatric Emergency Department With Febrile Illness in the United Kingdom and in Switzerland

Resource links provided by NLM:


Further study details as provided by Imperial College Healthcare NHS Trust:

Primary Outcome Measures:
  • Hospital admission [ Time Frame: 7-10 days ] [ Designated as safety issue: No ]

Estimated Enrollment: 5600
Study Start Date: November 2010
Groups/Cohorts
febrile children, age 3 m to 5 y

  Eligibility

Ages Eligible for Study:   3 Months to 5 Years
Genders Eligible for Study:   Both
Sampling Method:   Probability Sample
Study Population

Children aged 3 months to 5 years presenting to an urban paediatric emergency department with fever

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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01196793

Contacts
Contact: Julia A Bielicki, MD 0041 79 8159239 julia.bielicki@cantab.net

Locations
Switzerland
University Children's Hospital Not yet recruiting
Zurich, Switzerland, 8032
Contact: Julia A Bielicki, MD    0041 79 8159239    julia.bielicki@cantab.net   
Principal Investigator: Julia A Bielicki, MD         
United Kingdom
St Mary's Hospital, Imperial NHS Hospitals Trust Not yet recruiting
London, United Kingdom, W2 1NY
Contact: Julia A Bielicki, MD    0041 79 8159239    julia.bielicki@cantab.net   
Sub-Investigator: Julia A Bielicki, MD         
Sponsors and Collaborators
Imperial College Healthcare NHS Trust
  More Information

No publications provided

Responsible Party: Ms Lucy Parker, Imperial College London and Imperial College Healthcare NHS Trust
ClinicalTrials.gov Identifier: NCT01196793     History of Changes
Other Study ID Numbers: SMH 24062010 V1 4
Study First Received: September 6, 2010
Last Updated: September 7, 2010
Health Authority: United Kingdom: National Health Service

Keywords provided by Imperial College Healthcare NHS Trust:
Feverish illness in children

Additional relevant MeSH terms:
Emergencies
Fever
Disease Attributes
Pathologic Processes
Body Temperature Changes
Signs and Symptoms

ClinicalTrials.gov processed this record on July 29, 2014