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Vulnerable child syndrome, parental perception of child vulnerability, and emergency department usage.
[child syndrome]
Vulnerable
child
syndrome
(
VCS
)
describes
children
perceived
to
be
at
risk
for
behavioral
,
developmental
,
or
medical
problems
.
Families
with
the
dynamics
of
VCS
overuse
health
care
resources
with
frequent
visits
to
doctors
'
offices
.
The
objective
of
the
study
was
to
explore
the
relationship
between
VCS
,
parental
perception
of
child
vulnerability
(
PPCV
)
,
and
frequency
of
emergency
department
(
ED
)
visits
.
Parents
of
patients
1
to
15
years
old
presenting
with
nonurgent
complaints
to
a
pediatric
ED
were
eligible
.
Participants
completed
questionnaires
in
which
the
Vulnerable
Child
Scale
was
used
to
generate
a
measure
of
PPCV
.
Primary
outcomes
included
number
of
ED
visits
and
PPCV
assignment
.
Children
were
divided
into
2
PPCV
groups
by
Vulnerable
Child
Scale
score
:
less
than
40
(
high
PPCV
)
versus
40
or
greater
(
low
PPCV
)
.
The
cutoff
point
was
chosen
as
1
SD
(
7
.
3
)
from
the
sample
mean
(
46
.
8
)
on
the
vulnerable
end
of
the
scale
(
low
scores
)
.
The
mean
ages
of
the
351
parents
and
children
were
30
(
SD
,
7
.
7
)
years
and
5
(
SD
,
3
.
9
)
years
,
respectively
;
17
%
of
children
had
high
PPCV
.
Eleven
variables
differed
statistically
between
subjects
with
high
and
low
PPCV
including
number
of
ED
visits
and
hospital
admissions
,
excellent
reported
child
health
,
pregnancy
problems
,
delivery
problems
,
child
mental
health
problems
,
parent
mental
health
problems
,
and
child
developmental
problems
.
Our
results
reveal
that
children
with
higher
PPCV
had
an
increased
number
of
ED
visits
,
and
risk
factors
for
higher
perceived
vulnerability
scores
were
identified
.
Future
investigation
on
ways
to
intervene
with
families
with
the
dynamics
of
VCS
may
be
warranted
.
Diseases
Validation
Diseases presenting
"low scores"
symptom
child syndrome
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