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Original Papers

Is the use of the Emergency Service in neonatal period appropriate?

Authors:

Fornes Vivas Ra, Mustienes Bellot Rb, Navarro Juanes Ac, Robledo Díaz Ld, Carvajal Roca Ee

aServicio de Urgencias de Pediatría. Hospital Católico Universitario Casa de Salud. Valencia. España.
bFacultad de Medicina y Odontología. Universidad Católica San Vicente Mártir . Valencia. España.
cServicio de Urgencias. Hospital Marina Alta. Denia, Valencia. España.
dDepartamento de Sociología y Antropología Social. Facultad de Ciencias Sociales. Universidad de Valencia. Departamento de Gestión. Hospital Católico Universitario Casa de Salud. Valencia. España.
eDepartamento de Pediatría, Ginecología y Obstetricia. Facultad de Enfermería, Medicina y Odontología. Universidad Católica San Vicente Mártir. Valencia. España.

Correspondence: R Fornes. Email: rfornes@comv.es

Reference of this article.:

Fornes Vivas R, Mustienes Bellot R, Navarro Juanes A, Robledo Díaz L, Carvajal Roca E. ¿Es adecuada la utilización del Servicio de Urgencias en el periodo neonatal?. Rev Pediatr Aten Primaria. 2017;19:301-9.

Published in Internet: 11/10/2017

Abstract:

Abstract

Background: the Emergency Services are used, very often, by neonates with banal pathology and childcare questions. The objective of this study is to analyze the proper use of the Emer­gency Service by families of newborns.

Methods: analysis of the emergency report of neonates who attended the Emergency Service of the Marina Salud Hospital, in Denia (Alicante, Spain) during 2014, and the appropriate use of Emergency Service according to the new established criteria: hospital admission, patient referral, triage, and complementary explorations.

Results: Emergency Services were used by neonates with pathology considered not-urgent – weeping, ir­ritability, discomfort (32,08%) and and vomiting or regurgitation of the newborn (13,21%). At discharge, the most common diagnosis was “normality” (20%). According to the adequacy criteria established for the use of the Emergency Room for neonates, the 63,50% of the rea­sons for medical consultations were not adequate.

Conclusions: most of neonatal consultations are catalogued as inappropriate use of Emergency Ser­vice, and should have been handled in Primary Health Care.

Keywords: Medical overuse. Emergency medical services. Infant, newborn.


 


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ISSN 2174-4106  Publicación Open Acess, incluida en DOAJ, sin cargo por publicación.

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