OBJECTIVES: To describe the characteristics and management of the @entity1 aged less than 14 years presenting to the pediatric emergency department with @entity662 . @entity1 AND METHOD: Retrospective review of all the @entity1 who presented to the pediatric emergency department with @entity662 from 15 January 2001 to 14 January 2002. Families received a follow-up telephone call inquiring about the @entity1 's outcome. The Mann-Whitney U test was used for non-parametric data and the Chi-square test with Yates' correction and Fisher's exact test were used for categorical data. Statistical significance was set at p<0.05. RESULTS: In 2001, 161 @entity1 presented with @entity662 , representing 0.34% of the total number of consultations. Less than half of these @entity1 (48%) had associated symptoms. Physical examination revealed abnormalities in 63% of the @entity1 (39.1%). The most common finding was @entity158 on palpation of the chest wall. Additional diagnostic tests were performed in 129 @entity1 (80%). These included 116 radiographs, 62 electrocardiograms and nine miscellaneous tests. Abnormalities were found in seven chest radiographs. Only one @entity1 was admitted to hospital with @entity55 . The most common discharge diagnoses were @entity662 in 139 @entity1 , @entity158 of respiratory origin in 14 @entity1 , @entity344 in one @entity1 , @entity299 in one @entity1 and other morbid processes in nine @entity1 . @entity1 with associated symptoms were more likely to receive a diagnosis other than nonspecific @entity662 (28% vs 3.2% in @entity1 without other symptoms; relative risk: 8.66). Outpatient treatment included analgesics in 105 @entity1 (65.2%). Only two @entity1 (1.2%) returned for reevaluation and no important findings were detected. Telephone follow-up was carried out in 117 @entity1 (72.6%). The @entity158 lasted for less than 24 hours in 52 @entity1 (32.2%). Thirty percent of the @entity1 missed at least one day of school because of @entity662 . CONCLUSIONS: @entity662 is an infrequent chief complaint in our setting and, in the absence of associated symptoms, is not generally associated with serious disorders. The decision to use complementary diagnostic tests should be individualized to each @entity1 .

[ XXXX in pediatric emergency departments: a usually benign process].

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'patient', 'Children', 'PATIENTS', 'child'] @entity662 :: ('MESH:D002637', 'Disease') :: ['idiopathic and/or musculoskeletal chest pain', 'Chest pain', 'chest pain'] @entity55 :: ('MESH:D011014', 'Disease') :: ['pneumonia'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal disorders'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac problems']
@entity662 :: (MESH:D002637,Disease) :: ['Chest pain']
