Atención a neonatos en una unidad de urgencias pediátricas

Solís, David Pérez; Vega, Rafael Pardo de la; González, N. Fernández; Fernández, Agapito; Espuñes, S. Prieto; Fernández, Jorge del Río

doi:10.1016/s1695-4033(03)78148-x

Cited by 11 publications

(11 citation statements)

References 7 publications

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“…A study in Spain found that 91.3% of families opt to take the newborn directly to the emergency room. [6] A study conducted in Brazil indicates that only 18.9% of parents prefer to look for first care in the primary health care (PHC) network. It was found that 63.5% of the children taken to the emergency services had health problems that could be solved in this level of care.…”

Section: Introductionmentioning

confidence: 99%

“…[11] Several factors, such as first pregnancy, low maternal age, early postnatal discharge, low family income, single mother, low parental educational levels and mainly the caregivers' insufficient knowledge about newborn care are affecting an adequate newborns' use of pediatric emergency departments. [1,6,8,10] Maternal counseling could therefore decrease spontaneous demand for emergency care, by exposing major complications and explaining under what circumstances the newborn should be brought to the emergency room. [1,11] These initiatives give mothers the opportunity to express their own questions, therefore facilitating understanding and improving their interest.…”

Section: Introductionmentioning

confidence: 99%

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Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period

Bonadio¹,

Oliveira²

2019

AJP

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The neonatal period, between the date of birth and twenty-eighth days after birth, is a time when parents face many doubts and anxiety. Even previous experiences are not enough to avoid or diminish parental anxiety. Therefore, parents commonly take their newborns to emergency units to care for simple health disorders. Despite reassuring the parents, this custom can be harmful to the newborns because they get exposed to a wide pathogen circulation environment. Since immunity from vaccination is still not complete, as well as due to the age-specific immunodeficiency, this behavior is risky to the newborns. The study aims to reduce the newborns' care flow to emergency units using educational interventions in maternity wards. Methodology: This is a descriptive, quantitative and qualitative study, that evaluate the impacts of an educational intervention done by pediatricians, in the municipal maternity of Salto de Pirapora, in the Brazilian countryside. It is based in individual questionnaires, applied before the educational intervention to 99 mothers and newborns' accompanying parties, in order to understand the most frequent concerns about the main health problems during the neonatal period. A dialogical educative intervention was done in the maternity regarding how and when the newborn should be taken to an emergency unit. The same mothers answered an intervention evaluation questionnaire after the neonatal period; the data of newborns' care flow towards emergency units before and after the intervention was also compared. The results show that there was a reduction on the emergency services demand. The proportion of patients going to the emergency room was 36.7% on the last year and 30.56% two years before the intervention. The reduction reached about 12.33% after the intervention, an average reduction of 21.3%. The biggest concerns of the participants were: fever 65.63%, choking or suffocating 39.58% and constant crying 33.33%.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period

Bonadio¹,

Oliveira²

2019

AJP

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“…13 Special attention must thus be given to this particular paediatric population during the triage and waiting time in the PED to limit the risk of over-infection or healthy children getting sick. 14 The currently available triage systems were first built for an adult population and secondarily adapted for children. 3,[5][6][7][8] To our knowledge, no study has been devoted to evaluate PED triage of a less than 3-month-old children population.…”

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confidence: 99%

Comparison between local and three validated triage systems in an emergency department for 2126 children under 3 months

et al. 2023

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AimTriage of patients less than 3 months old was not already studied. The aim was to evaluate Paediatric Emergency Department triage in patients less than 3 months old and newborns using a local system in comparison with three validated paediatric triage systems (Canadian Triage and Acuity Scale, Manchester Triage System and Emergency Severity Index) and to determine inter‐system agreement.MethodsAll admissions of patients less than 3 months old admitted to the Emergency Department of the Saint Vincent University Hospital between April 2018 and December 2019 were included. The local triage system level was determined prospectively for comparison with retrospectively calculated triage levels of the validated systems. Hospitalisation rates were compared and inter‐system agreements determined.ResultsAmong emergency admissions, 2126 were included (55% males, mean age 45 days). Hospitalisation rate increased with priority severity as determined by all triage systems studied. Cohen's kappa showed slight agreement between the local triage system and the Canadian Triage and Acuity Scale, Emergency Severity Index and Manchester Triage System (weighted kappa = 0.133, 0.185 and 0.157 respectively).ConclusionWhether prospective or retrospective triage used, the systems studied exhibited good association with hospitalisation rate for patients aged less than 3 months and newborn infants.

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“…Esto genera en ocasiones dudas y ansiedad a los padres respecto de su importancia o gravedad y por ello los médicos de urgencia deben conocerlos para poder detectar los problemas potencialmente graves (3,6). Por esta razón la mayoría de visitas de los neonatos a los servicios de urgencia se explican más por la inexperiencia y falta de conocimientos de los progenitores que por la relevancia del problema consultado (2).…”

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“…Millar (4) Londres, 2000 165.000 -2.750 Pérez Solís (2) Oviedo, 2000 21.258 --Pomerantz (23) Ohio, 2002 NR --Madden (26) Boston, 2002 NR --Jain (20) Atlanta, 2006 122585 --Fernández (27) Barcelona, 2006 77000 --Calado (10) Faro, 2009 36121 --Lara (5) Chile, 2014 24.531 --Lee (7) California, 2014 320540 -26711…”

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For which reasons are newborns brought to the emergency department?

et al. 2021

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Objectives: Compare what sanitary and socio-demographic factors present the newborns that were attended in the hospital emergency room in regard to the newborns who don’t visit the hospital during their first month of life. Methods: A retrospective observational case-control study was performed, considering as cases those neonates who were brought to the hospital emergency department during their first month of life, matched with control of their same sex and age, born in the hospital but that hadn’t visited the emergency room. Results: 15.15% of the newborns were brought to the hospital emergency department during the year of the study. The main risk factors associated with the visits to the emergency room were: Unemployment, self-employment, and the mother’s younger age. The main reasons why the newborns were brought were: Phisiological phenomena of the newborn (17.4%), upper respiratory infection (13.4%), and colic or crying (12.8%). Conclusions: Newborns can manifest a wide variety of symptoms and signs that, due to their non-specificity, generate anxiety in their parents and can generate numerous visits to the emergency services, with a higher probability of hospitalization due to their young age and the physician’s caution, rather than due to severity of the illness.

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Atención a neonatos en una unidad de urgencias pediátricas

Cited by 11 publications

References 7 publications

Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period

Relationship Between Demand for Emergency Room Care in Newborns and Maternal Counseling About the Main Events in the Neonatal Period

Comparison between local and three validated triage systems in an emergency department for 2126 children under 3 months

For which reasons are newborns brought to the emergency department?

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