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

Children with the following diagnoses are considered an emergency and should be transferred to GOSH within hours from receipt of referral.
Diagnosis Estimated LoS
Stabilisation of adrenocorticotropic hormone (ACTH) and Vasopressin (AVP) post neurosurgery, where initial post operative neurosurgical care is complete Case dependent

Urgent admissions

Children with the following diagnoses should be transferred to GOSH within days from receipt of referral.
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

Elective admissions

Children with the following diagnoses should be referred to GOSH via the non-emergency pathway.
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


Reviewed by: Khalid Hussain (Consultant), and Mehul Dattani (Consultant). August 2011