Understanding the Transition from Paediatric to Adult Care
The transition from paediatric to adult healthcare services is a critical period for children and young people (CYP), particularly those with long-term conditions (LTCs). This transition often coincides with increased rates of emergency admissions, as highlighted in the research article "Emergency admissions and long-term conditions during transition from paediatric to adult care: a cross-sectional study using Hospital Episode Statistics data."
Key Findings from the Research
The study analyzed emergency admissions in England between 2009 and 2011, focusing on CYP aged 10–24 years. It revealed that emergency admission rates increased significantly during the transition period, especially for those with LTCs. The incidence rate ratio (IRR) for CYP with LTCs was 1.55, indicating a 55% increase in emergency admissions compared to those without LTCs, who had an IRR of 1.21.
Notably, the increase in admissions was most pronounced for CYP with mental health issues, metabolic, endocrine, digestive, renal, genitourinary (MEDReG) disorders, and multiple LTCs. The study also found that the length of stay for emergency admissions increased with age, particularly for those with mental health problems.
Implications for Practitioners
For practitioners, these findings underscore the importance of targeted interventions to support CYP during this vulnerable transition period. Here are some strategies to consider:
- Early Planning and Coordination: Initiate transition planning early, ideally starting in early adolescence. Involve multidisciplinary teams to ensure a holistic approach to care.
- Focus on Mental Health: Given the steep increase in admissions related to mental health, prioritize mental health support and services during the transition.
- Enhance Communication: Facilitate clear communication between paediatric and adult care providers to ensure continuity of care.
- Engage Families: Involve families in the transition process to provide additional support and understanding of the changes in care.
- Address Socioeconomic Disparities: Pay special attention to CYP from deprived backgrounds, who may face additional barriers during the transition.
Encouraging Further Research
While this study provides valuable insights, further research is needed to explore effective interventions and programs that can reduce emergency admissions during the transition period. Practitioners are encouraged to engage in or support research initiatives that focus on improving transition care, particularly for those with LTCs.
To read the original research paper, please follow this link: Emergency admissions and long-term conditions during transition from paediatric to adult care: a cross-sectional study using Hospital Episode Statistics data.
