RESUMO
To determine the rate of inappropriate pediatric admissions using the Pediatric Appropriateness Evaluation Protocol [PAEP] and to examine variables associated with inappropriateness of admissions. A prospective study was conducted in the Department of Pediatrics, Farwania General Hospital, Kuwait, to examine successive admissions for appropriateness of admission as well as several sociodemographic characteristics over a 5-month period [August 2010 to December 2010]. A total of 1,022 admissions were included. Of the 1,022 admissions, 416 [40.7%] were considered inappropriate. Factors associated with a higher rate of inappropriate admission included older age of patients and self-referral. The rate of inappropriate hospitalization of children was high in Farwania Hospital, Kuwait, probably due to the relatively free health care services, parental preference for hospital care, easy access to hospital services, and insufficient education about the child's condition
RESUMO
Congenital chloride diarrhea [CCD] is a rare autosomal recessive disease. It is characterized by persistent, lifelong, watery diarrhea with high fecal chloride concentration, hyponatremia, hypokalemia and hypochloremic metabolic alkalosis. In this report, we describe a nine year old Kuwaiti girl who was diagnosed to have CCD at six months of age, sensorineural deafness at 18 months of age, and epilepsy at 30 months of age. To the best of our knowledge, this appears to be a unique combination that has not been previously reported