Newborn infant in the emergency department - case series of 2011 in a hospital center

Authors

  • Ana Ratola Pediatrics Service of Universidade de Aveiro, Centro Hospitalar Baixo Vouga
  • Marta Machado Pediatrics Service of Universidade de Aveiro, Centro Hospitalar Baixo Vouga
  • Ângela Almeida Pediatrics Service of Universidade de Aveiro, Centro Hospitalar Baixo Vouga
  • Daniela Pio Pediatrics Service of Universidade de Aveiro, Centro Hospitalar Baixo Vouga
  • Sílvia Almeida Pediatrics Service of Universidade de Aveiro, Centro Hospitalar Baixo Vouga

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v23.i1.8585

Keywords:

Access to health care, newborn infant, paediatric emergency department

Abstract

Introduction: The birth of a child is a challenge for parents. Thus, during the neonatal period many questions arise to parents, leading to frequent visits to the Emergency Department (ED), often unjustified from a clinical point of view.

Objectives: Characterization of newborn visits to the paediatric ED for a 12 months’ period, and evaluation of the need for emergency paediatric care..

Material and methods: Retrospective study of all neonates’ visits to the ED in our hospital from January to December 2011, analysing clinical and demographic data.

Results: During the study period, a total of 394 neonates were admitted in the ED (20% visited more than once), representing 1,3% of all paediatric visits; 20% were referred by health professionals. The main causes of ED utilisation were alimentary tract complaints (31%), dermatological issues (18%), jaundice(17%) and respiratory symptoms (15%). Diagnostic tests were required in 44%, mostly transcutaneous bilirubin measurement and urine analysis. Only 18% of the patients received treatment. The most frequent diagnoses were benign neonatal pathology and healthy care child issues in 57% of cases (n=283). The majority of neonates (75,6%) was discharged. 56,8% of mothers were primiparous and the median maternal age was 30 years. Half of the mothers with known literacy skills, studied during more than nine years.

Conclusions: Most neonatal utilisation of emergency paediatric services is due to non-urgent conditions that could be managed in primary care. We underline the importance of proper support and education of mothers during pregnancy and neonatal period. Nevertheless due to the lack of specificity of the neonatal symptoms, paediatricians must be alert to rule out severe disease.

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References

Cunha J, Nunes F, Nunes M, Azeredo P. Recém-nascidos na Urgência Pediátrica Hospitalar. Acta Pediatr Port 2007; 38:235 -40.

Millar K, Gloor JE, Wellington N, Joubert GI. Early neonatal presentations to the pediatric emergency department. Pediatr Emerg Care 2000; 16:145 -50.

Pio D, Zenha R, Diogo C, Pinhal M. Urgências no primeiro mês de vida - experiência de um hospital distrital. Juvenil Revista Médica de Pediatria 2009; 16:85 -8.

Pomerantz WJ, Schubert CJ, Atherton HD, Kotagal UR. Characteristics of nonurgent emergency department use in the first 3 months of life. Pediatr Emerg Care 2002; 18:403 -8.

Fernández -Ruiz C, de la Maza VTS, Curcoy -Barcenilla AI, Lasuen -del -Omo N, Cubells CL. Asistencia a neonatos en el servicio de urgencias de un hospital pediátrico terciário. An Pediatr (Barc) 2006; 65:123 -8.

Published

2016-02-23

How to Cite

1.
Ratola A, Machado M, Almeida Ângela, Pio D, Almeida S. Newborn infant in the emergency department - case series of 2011 in a hospital center. REVNEC [Internet]. 2016Feb.23 [cited 2024Dec.11];23(1):12-6. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/8585

Issue

Section

Original Articles