Table 1 Pediatric patients presenting unscheduled at two Cambodian hospitals, July–August 2012
Characteristic | No. (%) of patientsa, b |
|---|---|
All patients | 867 |
Demographic characteristic | |
Site of presentation | |
Battambang Provincial Hospital | 550 (63.4) |
Sampov Meas Provincial Hospital | 317 (36.6) |
Age | |
Age in years, mean (SD) | 5.65 (4.8) |
Infant (< 1 year) | 136 (15.7) |
Young child (1–5 years) | 374 (43.1) |
Child (6–10 years) | 182 (21.0) |
Older child (11–13 years) | 98 (11.3) |
Teen (14–17 years) | 77 (8.9) |
Gender | |
Female | 396 (45.7) |
Male | 471 (54.3) |
Socioeconomic characteristic | |
Patient had low-income health insurancec | 444 (51.2) |
Travel to hospital | |
Time | |
Time in hours, median (IQR) | 0.5 (0.3–1.0) |
Time < 0.5 h | 482 (55.6) |
Time 0.5–2 h | 326 (37.6) |
Time > 2 h | 52 (6.0) |
Distance | |
Distance in kilometers, median (IQR) | 10 (3.0–30.0) |
Presentation | |
Time of arrival | |
Daytime Monday to Friday (i.e., 07.00–17.00) | 765 (88.2) |
Overnight Sunday to Friday (i.e., 17.00–07.00) | 68 (7.8) |
Weekend (i.e., Friday 17.00 to Sunday 17.00) | 34 (3.9) |
Care before presentation | |
Transferred from another healthcare facility | 163 (18.8) |
Referred by an external medical provider | 81 (9.3) |
Prior care of those not transferred or referred | |
Prior care received in the previous 48 h | 79 (9.1) |
Prior care received more than 48 h earlier | 65 (7.5) |
No prior care | 468 (54.0) |
Symptom duration | |
Sudden (< 24 h) | 266 (30.7) |
Recent (1–3 days) | 340 (39.2) |
Sub-acute (4–14 days) | 206 (23.8) |
Chronic (> 14 days) | 49 (5.7) |
Time before seeking any medical care | |
Median time before seeking care in days (IQR) | 1.5 (0.6–3) |
< = 24 h | 339 (39.1) |
> 24 h | 505 (58.3) |
Examination findings | |
Respiratory rate, blood pressure, and heart rated | |
Abnormal respiratory rate, blood pressure, or heart rate | 405 (46.7) |
Abnormal respiratory rate | 224 (25.8) |
Abnormal blood pressure | 153 (17.6) |
Abnormal heart rate | 217 (25.0) |
Respiratory rate, blood pressure, or heart rate not recorded | 216 (24.9) |
Temperature | |
Low temperature (< 36 °C) | 80 (9.2) |
High temperature (> 38 °C) | 153 (17.7) |
Temperature not recorded | 213 (24.6) |
Pain | |
Pain documented as present | 254 (29.3) |