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Course of uncomplicated acute gastroenteritis in children presenting to out-of-hours primary care.
Weghorst, Anouk A H; Bonvanie, Irma J; Holtman, Gea A; de Boer, Michiel R; Berger, Marjolein Y.
Afiliación
  • Weghorst AAH; Department of General Practice and Elderly Care Medicine, FA21, University of Groningen, University Medical Centre Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands. a.a.h.weghorst@umcg.nl.
  • Bonvanie IJ; Department of General Practice and Elderly Care Medicine, FA21, University of Groningen, University Medical Centre Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands.
  • Holtman GA; Department of Paediatrics, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.
  • de Boer MR; Department of General Practice and Elderly Care Medicine, FA21, University of Groningen, University Medical Centre Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands.
  • Berger MY; Department of General Practice and Elderly Care Medicine, FA21, University of Groningen, University Medical Centre Groningen, PO Box 196, 9700 AD, Groningen, The Netherlands.
BMC Prim Care ; 23(1): 125, 2022 05 24.
Article en En | MEDLINE | ID: mdl-35606695
BACKGROUND: The aim of this article is to describe the courses of vomiting, diarrhea, fever, and clinical deterioration, in children with uncomplicated gastroenteritis at presentation. This study was performed as a 7-day prospective follow-up study in an out-of-hours primary care service. The course of vomiting, diarrhea, and fever was analyzed by generalized linear mixed modeling. Because young children (≤ 12 months) and children with severe vomiting are at increased risk of dehydration, the potentially more complicated courses of these groups are described separately. The day(s) most frequently associated with deterioration and the symptoms present in children who deteriorated during follow-up were also described. RESULTS: In total, 359 children presented with uncomplicated acute gastroenteritis to the out-of-hours primary care service. Of these, 31 (8.6%) developed a complicated illness and needed referral or hospitalization. All symptoms decreased within 5 days in most children (> 90%). Vomiting and fever decreased rapidly, but diarrhea decreased at a somewhat slower pace, especially among children aged 6-12 months. Children who deteriorated during follow-up had a higher frequency of vomiting at presentation and higher frequencies of vomiting and fever during follow-up. CONCLUSIONS: The frequency of vomiting, not its duration, appears to be the more important predictor of deterioration. When advising parents, it is important to explain the typical symptom duration and to focus on alarm symptoms. Clinicians should be vigilant for children with higher vomiting frequencies at presentation and during follow-up because these children are more likely to deteriorate.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Posterior / Gastroenteritis Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Humans Idioma: En Revista: BMC Prim Care Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención Posterior / Gastroenteritis Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Child / Child, preschool / Humans Idioma: En Revista: BMC Prim Care Año: 2022 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido