“People die much more miserable than they need to because they haven't dared to look at this thing called death before it's too late.” —BJ Miller
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Meditation state is a place of deep relaxation where you can pinpoint the things you do and to set a paradigm switch from effect to cause. So how to be a cause in your own life.-Roseanne Barr
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Children discharged from an emergency department with bacteraemia had lower C‐reactive protein and better outcomes than admissions
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi:10.1111/apa.15645
Abstract
Aim
To investigate whether there are common clinical findings in bacteremic children that were discharged from the emergency department (ED) and to follow their clinical outcome.
Methods
A retrospective chart review of children above one month old with positive blood cultures obtained in Shamir Medical Center's ED between January 2011 and December 2019 was conducted.
Results
250 cases were analysed, of which 68 discharged after first evaluation. Streptococcus pneumonia was the most commonly isolated pathogen. Compared to children that were admitted when first evaluated in the ED, discharged children had lower C‐reactive protein (mean 50.5 ±62.8 vs 121.7 ±113.2 mg/L, p<0.001). Dyspnoea and being ill‐looking were less prevalent among the latter (6.7% versus 35.1%, p=<0.001, 3.0% versus 22.2% p<0.001, respectively), as were presence of Kingella kingae and other gram‐negative bacteria. Of the children hospitalised in our institution, the duration of hospitalization was significantly lower than in those admitted during the first visit (6.3± 4.3 vs 9.0±7.4 days, p=0.002). None of the discharged children were admitted to paediatric intensive care unit.
Conclusion
Children with bacteraemia who were discharged home before knowing their positive blood cultures results had lower C‐reactive protein and better outcome compared to those admitted on first evaluation in emergency department.
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TEACHING SURVIVL TRICKS TO YR CHLD
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DTH IN INSTALLMENT
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ALIVENESS
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“People die much more miserable than they need to because they haven't dared to look at this thing called death before it's too late.” —BJ Miller
INCR CORTISOL IF BLEEP INTERRUPTED
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