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  • On call paediatricians were not better than advice nurses for after hours medical advice in a general paediatric population

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On call paediatricians were not better than advice nurses for after hours medical advice in a general paediatric population

https://doi.org/10.1136/ebn.7.1.27

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    Lee TJ, Baraff LJ, Guzy J, et al. Does telephone triage delay significant medical treatment? Advice nurse service vs on-call pediatricians. Arch Pediatr Adolesc Med 2003;157:635–41.OpenUrlCrossRefPubMedWeb of Science

    Q In a general paediatrics population, is medical advice from on call paediatricians compared with that from advice nurses associated with (1) fewer parents or guardians seeking unadvised medical care, and (2) fewer parents or guardians obtaining unadvised significant care for their children?

    METHODS

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.

    Embedded ImageBlinding:

    blinded (healthcare providers).

    Embedded ImageFollow up period:

    72 hours.

    Embedded ImageSetting:

    a university general paediatrics faculty practice in Los Angeles, California, USA.

    Embedded ImagePatients:

    1182 parents or guardians who called for after hours telephone advice from the on call paediatrician regarding their children (mean age 3 y, 55% boys). Exclusion criteria: calls …

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    Footnotes

    • For correspondence: Dr L J Baraff, Emergency Medicine Center, UCLA Medical School, Los Angeles, CA, USA. lbaraffucla.edu

    • Source of funding: Agency for Healthcare Research and Quality.