382 Timing of paediatric presentation to the emergency department during the COVID-19 lockdown

ABSTRACT

382 Table 1Patient characteristics and outcomesAge N Red Sx Amber Sx 111/GP input Parental delay GP/111 delay Admission to PICU if delayed Admission to ward if delayed 0–6 weeks 67 7 (10.4%) 19 (28.4%) 23 (34.3%) 3 (4.5%) 0 (0.0%) 1 (33.3%) 1 (33.3%) 7 weeks - 3 months 51 4 (7.8%) 17 (33.3%) 50 (98.0%) 0 (0.0%) 1 (2.0%) 0 (0.0%) 0 (0.0%) 4–6 months 47 7 (14.9%) 11 (23.4%) 22 (46.8%) 4 (8.5%) 4 (8.5%) 0 (0.0%) 0 (0.0%) 7–11 months 116 10 (8.6%) 22 (19.0%) 50 (43.1%) 2 (1.7%) 0 (0.0%) 0 (0.0%) 0 (0.0%) 1 year 198 15 (7.6%) 43 (21.7%) 58 (29.3%) 4 (2.0%) 3 (1.5%) 0 (0.0%) 1 (14.3%) 2–5 years 471 14 (3.0%) 98 (20.8%) 107 (22.7%) 11 (2.3%) 1 (0.2%) 1 (8.3%) 1 (8.3%) 6–10 years 388 22 (5.7%) 112 (28.9%) 105 (27.1%) 17 (4.4%) 4 (1.0%) 0 (0.0%) 3 (14.3%) 11–15 years 299 22 (7.4%) 64 (21.4%) 64 (21.4%) 12 (4.0%) 2 (0.7%) 0 (0.0%) 3 (21.4%) Total 1637 101 (6.2%) 386 (23.6%) 449 (27.4%) 53 (3.2%) 15 (0.9%) 2 (2.9%) 9 (13.2%) Sx Signs (as per RCPCH guidance)PICU Paediatric Intensive Care UnitResults/Conclusions1637 patients patient entries were recorded, the majority in May 2020 (86%). Patient characteristics and outcomes are shown in table 1.Diagnosis of 11 patients with delayed presentation requiring admission sepsis, abdominal pain of unclear cause, abscess, bronchiolitis, headache, GORD, DKA, testicular torsion and viral induced wheeze.1 in 24 children were reported to have delayed presentation during lockdown and a small number of these children required PICU admission.Overall the data are reassuring that the majority of children are brought to ED appropriately. Ongoing messaging for parents regarding red and amber symptoms continues to be important, particularly in the event of any further lockdowns.