Endocrinology admission criteria
This is a list of patient diagnoses which are admitted to Great Ormond Sreet Hospital (GOSH) by our Endocrinology team, the timeframe in which they should be treated and their estimated length of stay (LoS).
Health professionals are reminded that this information is for guidance only.
Emergency admissions
Diagnosis
| Estimated LoS
|
Stabilisation of adrenocorticotropic hormone (ACTH) and Vasopressin (AVP) post neurosurgery, where initial post operative neurosurgical care is complete
| Case dependent
|
Children with the following diagnoses are considered an emergency and should be transferred to GOSH within hours from receipt of referral.
Urgent admissions
Diagnosis
| Estimated LoS
|
Adrenal disorder with poor electrolyte imbalance or cortisol concentrations
| Case dependent
|
Glucose infusion > 10mg/kg/min
| Case dependent
|
Requiring more than 10 per cent dextrose
| Case dependent
|
Requiring central venous access
| Case dependent
|
Severe salt/water imbalance or > 10 per cent dehydrated with hypo/hypernatraemia unresponsive to standard fluid management
| Case dependent
|
Unresponsive to diazoxide
| Case dependent
|
Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.
Elective admissions
Diagnosis
| Estimated LoS
|
Any disorder with complex issues
| Case dependent
|
Complex diagnosis eg Cushings, with hypertension requiring urgent investigations
| Case dependent
|
Complex disorders eg septo-optic dysplasia/holoprosencephaly where control is suboptimal
| Case dependent
|
Gastrostomy insertion to establish feeds
| Case dependent
|
Polydipsia/polyuria with associated salt/water imbalance and pre-existing midline anomaly
| Case dependent
|
Possible pituitary tumour or endocrine neoplasia syndrome requiring investigations/assessment pre-operatively
| Case dependent
|
Unexplained hypoglycaemia
| Case dependent
|
Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
Reviewed by: Khalid Hussain (Consultant), and Mehul Dattani (Consultant). August 2011
