Characteristics of nonurgent emergency department use in the first 3 months of life

Pomerantz, Wendy J.; Schubert, Charles J.; Atherton, Harry D.; Kotagal, Umar R

doi:10.1097/00006565-200212000-00001

Cited by 50 publications

(61 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A recent study of full-term neonates discharged from a single newborn nursery in Ohio found that one third of all ED visits were made when the primary care physicians' offices were open and 58% of these ED visits were determined to be nonurgent. 59 Only 15% of all visits to the ED were referred by a primary care physician. Twenty-nine percent of physician-referred visits were determined to be nonurgent while 64% of the self-referred visits were nonurgent.…”

Section: Commentmentioning

confidence: 99%

Relationship Between Early Primary Care and Emergency Department Use in Early Infancy by the Medicaid Population

Kotagal

Schoettker²,

Atherton³

et al. 2002

Arch Pediatr Adolesc Med

Self Cite

View full text Add to dashboard Cite

Objective: To examine the relationship between the use and type of primary care and visits to the emergency department (ED) in early infancy by healthy infants who are Medicaid recipients.Design: A population-based cohort study using a database linking birth certificate data to Medicaid claims.Participants: A total of 151464 full-term infants born in Ohio to mothers receiving Medicaid from July 1, 1991, through June 30, 1998. Main Outcome Measures:The primary outcome of interest was the occurrence of an ED visit within 91 days of the neonate's birth. Bivariate and multivariate analyses were performed to determine the effect of early linkage with primary care (within 21 days of birth) on ED use in early infancy.Results: Only 53% of the infants had a documented primary care visit within 21 days of birth. Twenty-eight percent of infants had at least 1 ED visit within 91 days of birth and 9% had more than 1 visit. The mean age of the neonate at the first ED visit was 39.7 days. Fifteen percent of primary care visits within 21 days of birth occurred at a hospitalbased primary care clinic. After adjusting for maternal, infant, and residency characteristics and temporal differences, early primary care linkage was associated with a 16% increase in the likelihood of ED use. When the primary care visit occurred in a hospital-based primary care clinic, it was associated with a 27% increase in the likelihood of ED use.Conclusion: Contrary to our expectations, early primary care linkage did not result in a decreased risk of ED use.Arch Pediatr Adolesc Med. 2002;156:710-716

show abstract

Section: Commentmentioning

confidence: 99%

Relationship Between Early Primary Care and Emergency Department Use in Early Infancy by the Medicaid Population

Kotagal

Schoettker²,

Atherton³

et al. 2002

Arch Pediatr Adolesc Med

Self Cite

View full text Add to dashboard Cite

show abstract

“…Néanmoins, nous observons que les motifs de consultations étaient assez proches des diagnostics finalement retenus. Plus de la moitié des visites (54,2 %) était liée à des motifs « non urgents » qui auraient pu être facilement gérés en externe [3,4,11]. Cela nécessiterait cependant un réaménage-ment de l'offre de soins qui, en France, ne garantit pas toujours une réponse adaptée aux attentes parentales (accès difficile aux consultations de médecine générale ou de pédia-trie de ville, permanence des soins non assurée en soirée ou le week-end.…”

Section: Discussionunclassified

“…É tude épidémiologique, rétrospective des dossiers informatiques des nouveau-nés ayant consulté au SAU pédiatrique du CHU de Saint-É tienne du 1 er janvier au 31 décembre 2011. Les 4 critères combinés (1) enfant non adressé par un professionnel de santé, (2) score de gravité G1, G2, ou G3 de notre échelle interne à l'accueil, (3) absence de réalisation d'examen complémentaire et (4) retour à domicile ont été retenus pour définir les consultations non urgentes. Résultats.…”

Section: Résuméunclassified

“…Une inquiétude parentale excessive associée à un manque de soutien familial, éducatif ou socioculturel au décours du séjour en maternité et un état de grande vulnérabilité pour le bébé à cet âge, peuvent expliquer en partie le recours aux SAU [2]. Selon les études, le motif de consultation est lié à la présence d'affections dites « bénignes » dans 43 à 60 % des cas chez ces nouveau-nés [3,4]. De telles consultations sont par définition non-urgentes et contribuent à l'augmentation du temps d'attente aux urgences [5], d'autant plus délétère qu'il survient en période épidémique automno-hivernale (grippe, gastro-entérite et bronchiolite).…”

Section: Introductionunclassified

See 1 more Smart Citation

Étude épidémiologique des consultations précoces de nouveau-nés aux services d’accueil des urgences pédiatriques

Richier¹,

Gocko²,

Mory³

et al. 2015

Archives de Pédiatrie

View full text Add to dashboard Cite

“…Several studies have shown a particular presentation pattern for pediatric patients using emergency departments (EDs); that is, children visit EDs more often during the evening and late night than at other hours. 7,8 The pattern may vary between weekdays and weekend days 7 because use of emergency facilities is naturally influenced by the availability or nonavailability of other health care providers. To the contrary, the diurnal pattern in the use of emergency facilities may have a kind of regularity.…”

mentioning

confidence: 99%

Circadian Pattern of Ambulance Use for Children in a Japanese City

Ohshige

2004

Acad Emergency Med

View full text Add to dashboard Cite

Objectives: Many emergency events have a unique cyclic pattern. Understanding the patterns is important for anticipating the events and for providing appropriate medical services. This study aimed at verifying periodic fluctuation in ambulance use for children in Yokohama, Japan, and determining whether the periodic pattern differs between holidays and ordinary days. Methods: The study comprised a retrospective analysis of Yokohama city ambulance records covering transport of children aged 14 years or less between January 1994 and December 2001. A partial Fourier model was used to compare the pattern of ambulance use on holidays with that on ordinary days. The least squares method was used to determine coefficients of the partial Fourier series. Results: Twenty-four-hour periodicity was observed in the use of ambulances for children. Ambulance use per hour peaked in the evening and bottomed in the early morning. The patterns were nearly identical between holidays and ordinary days, although the frequencies of ambulance use differed significantly between holidays and ordinary days. Conclusions: Ambulances are used for children more frequently from late afternoon to evening than in the morning.

show abstract

Characteristics of nonurgent emergency department use in the first 3 months of life

Abstract: Maternal and economic factors affected nonurgent ED utilization. Other critical factors still need to be explored. Interventions focused on decreasing nonurgent ED use in early infancy should be targeted at patients with the identified risk factors.

Cited by 50 publications

References 13 publications

Relationship Between Early Primary Care and Emergency Department Use in Early Infancy by the Medicaid Population

Relationship Between Early Primary Care and Emergency Department Use in Early Infancy by the Medicaid Population

Étude épidémiologique des consultations précoces de nouveau-nés aux services d’accueil des urgences pédiatriques

Circadian Pattern of Ambulance Use for Children in a Japanese City

Contact Info

Product

Resources

About