Non-urgent presentations to the paediatric emergency department: a literature review

Pol, Alessandra; Biagioli, Valentina; Adriani, Luca; Fadda, Giulia; Gawronski, Orsola; Cirulli, Luisa; Stelitano, Rocco; Federici, Tatiana; Tiozzo, Emanuela; Dall’Oglio, Immacolata

doi:10.7748/en.2023.e2154

Cited by 3 publications

(9 citation statements)

References 37 publications

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“…The diversity in reasons highlights that many participants lack awareness of the capabilities and services offered by PHC centers [ 19 ]. Similarly, most parental visits, exceeding 50%, were categorized as non-urgent, with a corresponding 43.25% classified as less urgent [ 20 ]. Furthermore, of the 30,737 ED visits in Riyadh, Saudi Arabia, a significant proportion (61.4%) were categorized as less-urgent or non-urgent.…”

Section: Discussionmentioning

confidence: 99%

Breaking the Emergency Room Cycle: The Impact of Telemedicine on Emergency Department Utilization

Alshurtan,

Almomtin,

Alqhtani

et al. 2024

Cureus

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Background Telemedicine has gained prominence in healthcare, and understanding its impact on diverting non-urgent cases from the emergency room (ER) has become crucial. This study delves into the dynamic relationship between telemedicine utilization and ER visits, seeking to understand the transformative impact of telehealth on breaking the traditional ER cycle. Method To explore the awareness and utilization of telemedicine services in the broader population of Saudi Arabia, we adopted a cross-sectional design utilizing the convenience sampling method. Data collection was facilitated through a self-administered online survey comprising four sections: demographic variables, ER visits, awareness of non-urgent cases, and suggestions. The collected data were entered into IBM SPSS Statistics for Windows, Version 21 (Released 2012; IBM Corp., Armonk, New York, United States) for descriptive analysis. Results Among the 1140 participants, the majority were females (56.8%), with 43.2% being males. Regarding age distribution, the highest percentage fell within the 18-25 age group (46.8%). Nationality-wise, a substantial proportion identified as Saudi (95.2%). Educational backgrounds varied, with 60.7% holding a bachelor's degree. Notably, 62.6% of the visits were classified as urgent. A significant portion (66.8%) demonstrated awareness of alternative options for non-urgent care, such as outpatient clinics and telemedicine services. Specifically regarding telemedicine, 82.8% of respondents believed that video consultations and prescription refills could effectively address non-urgent conditions. Furthermore, 89.6% of participants agreed that educating patients on self-care and home remedies could help manage symptoms and deter unnecessary ER visits. Conclusions The positive reception of telemedicine, as evidenced by high satisfaction rates among participants, further reinforces its role in reshaping the landscape of healthcare delivery.

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Section: Discussionmentioning

confidence: 99%

Breaking the Emergency Room Cycle: The Impact of Telemedicine on Emergency Department Utilization

Alshurtan,

Almomtin,

Alqhtani

et al. 2024

Cureus

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“…This variability in the rates found in the studies may, in part, be attributable to the different conceptual definitions used in the research criteria for identifying NUPs (Alele et al, 2019). However, analysis of the studies included in the systematic reviews by Alele et al (2019) and Pol et al (2023) suggests that this may also be due to the different types of sampling used. Nevertheless, it is clear that NUPs are prevalent in our context.…”

Section: Discussionmentioning

confidence: 99%

“…Although research on NUPs and associated factors in adults is not uncommon (Barbadoro et al, 2015;Behr & Diaz, 2016;Unwin et al, 2020), systematic reviews by Alele et al 2019 andPol et al 2023, which focus on the paediatric setting, highlight the limited number of studies addressing this phenomenon in the Spanish setting. Similarly, in the international context, there is a paucity of research including psychological variables as influential factors in NUPs (Alele et al, 2019;Pol et al, 2023). On the one hand, previous research in Spain has mainly focused on patients who are frequent or hyperfrequent users of PEDs (Expósito-Ruiz et al, 2017;Rivas et al, 2017).…”

Section: Study Rationalementioning

confidence: 99%

“…These visits are known as non-urgent presentations (NUP) (Alele et al, 2019;Cag et al, 2018;Pol et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

“…Internationally, estimates suggest that anywhere from 30% to 82% of PED visits could be handled in an alternative setting. These visits are known as non‐urgent presentations (NUP) (Alele et al., 2019; Cag et al., 2018; Pol et al., 2023).…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with non‐urgent presentations in the paediatric emergency department using Andersen's behavioural model: A cross‐sectional descriptive study

Montoro‐Pérez,

Montejano‐Lozoya,

Escribano

et al. 2024

Journal of Clinical Nursing

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ObjectivesTo explore the rate of NUPs and associated factors in the PED of the ‘Hospital Universitario y Politécnico La Fe’ in Valencia (Spain) using Andersen's Behavioural Model.MethodsWe conducted a descriptive cross‐sectional study using Andersen's Behavioural Model in parents visiting the PED with their children at the ‘Hospital Universitario y Politécnico La Fe’ in Valencia (Spain).ResultsThe study involved a total of 530 participants, of whom 419 (79%) had made an NUP. The predisposing factors identified were: (I) paediatric patients brought in by their fathers (OR = 0.460; p = 0.005), (II) lower educational attainment (OR = 3.841; p = 0.000), (III) first‐time parenthood (OR = 2.335; p = 0.000) and (IV) higher parental stress (OR = 1.974; p = 0.023). The enabling factors included: (I) responsibility for a significant part of the childcare shared with others (OR = 0.348; p = 0.041) and (II) the perception that PEDs provide better care than primary care (PC) services (OR = 1.628; p = 0.005). The need factors were: (I) existing chronic illness in the child seeking care (OR = 0.343; p = 0.000) and (II) the perceived severity of the urgency (OR = 0.440; p = 0.031).ConclusionsThe NUP rates found in this study are similar to those found internationally. In accordance with Andersen's Behavioural Model, we identify predisposing, enabling and need factors to explain the multifactorial nature of NUPs in PEDs.Implications for PracticeIdentifying the factors associated with NUPs enables interventions to be targeted at those groups most likely to engage in NUPs, thereby optimising the functioning of the PED and improving the well‐being of children and families. These interventions should focus on improving parental health literacy, providing education on making appropriate decisions about accessing health services and recognising severe symptoms in children, as well as improving access to high‐quality PC services. Providing support to parents during the transition to parenthood would also be beneficial.Reporting MethodThis paper adheres to the STROBE initiative guidelines.Contribution from patients or members of the publicParticipants, who voluntarily agreed to take part, contributed to the study by completing a paper‐based questionnaire containing all the study variables as prepared by the research team.

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Children accessing accident and emergency department for non-urgent consultations: A cross-sectional study about parents’ use of primary care services

Dall’Oglio,

Biagioli,

Pol

et al. 2024

International Emergency Nursing

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Non-urgent presentations to the paediatric emergency department: a literature review

Cited by 3 publications

References 37 publications

Breaking the Emergency Room Cycle: The Impact of Telemedicine on Emergency Department Utilization

Breaking the Emergency Room Cycle: The Impact of Telemedicine on Emergency Department Utilization

Factors associated with non‐urgent presentations in the paediatric emergency department using Andersen's behavioural model: A cross‐sectional descriptive study

Children accessing accident and emergency department for non-urgent consultations: A cross-sectional study about parents’ use of primary care services

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