NDLI: Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients.

Please wait, while we are loading the content...

Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. Accuracy of emergency department ultrasound scanning in detecting abdominal aortic aneurysm.

Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. Use of aspirin in acute stroke.

Towards evidence-based emergency medicine: best BETs from the Manchester Royal Infirmary. Myringotomy in traumatic haemotympanum.

Results of streamlined regional ambulance transport and subsequent treatment of acute abdominal aortic aneurysms.

Ambulance alerting to hospital: the need for clearer guidance.

Case of the month: A case of airway obstruction following tenecteplase administration.

Cocaine induced non-ST-elevation myocardial infarction: an uncommon electrocardiographic presentation.

Localised pneumothorax.

Unstable proximal interphalangeal joint dislocations: another cause.

Year: 2006 Volume: 23 Issue: 9

Year: 2006 Volume: 23 Issue: 8

Year: 2006 Volume: 23 Issue: 7

Year: 2006 Volume: 23 Issue: 6

Year: 2006 Volume: 23 Issue: 5

Year: 2006 Volume: 23 Issue: 4

Year: 2006 Volume: 23 Issue: 3

Year: 2006 Volume: 23 Issue: 2

Year: 2006 Volume: 23 Issue: 1

Year: 2005 Volume: 22

Year: 2004 Volume: 21

Year: 2003 Volume: 20

Year: 2002 Volume: 19

Year: 2001 Volume: 18

Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	O'Donohoe, P. B. Kessler, R. Beattie, T. F.
Spatial Coverage	Scotland
Description	Country affiliation: United kingdom Author Affiliation: O'Donohoe PB ( College of Medicine, University of Edinburgh, Edinburgh, UK. p_od@yahoo.com)
Abstract	BACKGROUND: Ketonuria (on standard urine testing) is a frequent finding in children presenting to emergency departments. With the advent of hand-held ketone meters, blood ketone levels can now be rapidly quantified. HYPOTHESIS: Point of care testing (POCT) of blood ketone levels could provide clinically useful information on severity of illness in children and risk of hospital admission. METHODS: A prospective study using POCT of blood ketone levels in a convenience sample of children <13 years old, with a typical case mix of medical problems. FINDINGS: 186 children were studied. The range of ketone levels varied widely among this study population depending on the presenting complaint. Higher levels were noted in those presenting with anorexia or vomiting and fever. The median ketone level of the total study population was 0.2 (range 0-6.0, interquartile range 0.1-0.9) mmol/l. Ketone levels correlated poorly with discharge destination and duration of admission. However, receiver-operator characteristics for ketones as a predictor of admission were comparable to Pediatric Risk of Admission scores (area under the curve 0.64 and 0.72, respectively) and may represent an independent risk factor for admission. A ketone level >1.2 mmol/l has a positive predictive value of 66.7% for admission. Ketone levels correlated well with decreased oral intake (R2 = 0.25; p<0.001). CONCLUSIONS: A strong association was found between ketone levels, decreased oral intake and fever. Although ketone levels do not correlate well with more traditional markers of illness severity, they can help to predict the requirement for admission to hospital when interpreted in the context of the presenting illness. They may have applications in both the emergency department and primary care settings. Further prospective testing is required to validate these findings.
File Format	HTM / HTML
ISSN	14720205
e-ISSN	14720213
Journal	Emergency Medicine Journal
Issue Number	10
Volume Number	23
Language	English
Publisher	BMJ Publishing Group Ltd
Publisher Date	2006-10-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Emergency Discipline Medicine Emergency Service, Hospital Ketones Blood Biological Markers Child, Preschool Feeding Behavior Hospitalization Infant Infant, Newborn Point-of-care Systems Prospective Studies Scotland Severity Of Illness Index
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Critical Care and Intensive Care Medicine

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients

Validity of the Manchester Triage System in paediatric emergency care.

The association between deprivation levels, attendance rate and triage category of children attending a children's accident and emergency department.

How do blood cultures sent from a paediatric accident and emergency department influence subsequent clinical management?

Tracheal intubation in the emergency department: the Scottish district hospital perspective.

Review of calls to NHS Direct related to attendance in the paediatric emergency department.

Pilot study of a paediatric emergency department oral rehydration protocol.

Apparent life threatening events in infants presenting to an emergency department.

Paediatric allergic reactions in the emergency department: a review.

Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients.

Similar Documents

Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients

Validity of the Manchester Triage System in paediatric emergency care.

The association between deprivation levels, attendance rate and triage category of children attending a children's accident and emergency department.

How do blood cultures sent from a paediatric accident and emergency department influence subsequent clinical management?

Tracheal intubation in the emergency department: the Scottish district hospital perspective.

Review of calls to NHS Direct related to attendance in the paediatric emergency department.

Pilot study of a paediatric emergency department oral rehydration protocol.

Apparent life threatening events in infants presenting to an emergency department.

Paediatric allergic reactions in the emergency department: a review.

Exploring the clinical utility of blood ketone levels in the emergency department assessment of paediatric patients.