{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:43:21Z","timestamp":1782168201092,"version":"3.54.5"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>Neonatal period is a peculiar life stage. This study aimed to characterize newborns' visits to the emergency department (ED) of a secondary care hospital.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Retrospective analysis of infants up to 28 days, who resorted to the ED between January and December of 2014, was performed. The data included newborn and maternal demographic characteristics and characterization of visits in the ED.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>From 378 newborns' visits in the ED, 77 were excluded because the visits did not meet the inclusion criteria. From the remaining 301 visits, corresponding to 266 newborns, 56 newborns were referred to hospital care by another doctor, and 34 returned to ED in the neonatal period. The majority of newborns were full term (94%), born by vaginal delivery (55.1%), and had an appropriate birth weight for gestational age (94%). The main reasons for ED visits were gastrointestinal symptoms (33.8%), mucocutaneous lesions (21.4%), and jaundice (16.2%). Half (53%) of the newborns' visits were considered nonurgent. Emergency department visits for reasons justifying medical evaluation were higher in those referred by another doctor (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001). The rate of hospitalization or guidance for consultation was higher in newborns referred by another doctor (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.017), in those whose color attributed by Manchester Triage System was yellow or orange (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.029) and in newborns older than 7 days (<jats:italic toggle=\"yes\">P<\/jats:italic> = 0.035).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The majority of ED visits is owing to insufficient caretaker knowledge or benign symptoms without necessity of immediate medical evaluation. These results emphasize the need for parents' education by health professionals.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pec.0000000000001680","type":"journal-article","created":{"date-parts":[[2018,11,30]],"date-time":"2018-11-30T20:41:27Z","timestamp":1543610487000},"page":"883-887","source":"Crossref","is-referenced-by-count":12,"title":["Why Are Newborns Brought to the Emergency Department?"],"prefix":"10.1097","volume":"34","author":[{"given":"Helena","family":"Ferreira","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cl\u00e1udia","family":"Tavares","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isolina","family":"Aguiar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"bib3-20230930","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1097\/00006565-200212000-00001","article-title":"Characteristics of nonurgent emergency department use in the first 3 months of life","volume":"18","year":"2002","journal-title":"Pediatr Emerg Care"},{"key":"bib4-20230930","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1016\/j.jemermed.2007.10.090","article-title":"Pediatric emergency department overcrowding: electronic medical record for identification of frequent, lower acuity visitors. Can we effectively identify patients for enhanced resource utilization?","volume":"36","year":"2009","journal-title":"J Emerg Med"},{"key":"bib5-20230930","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1097\/PEC.0b013e31819e361d","article-title":"What brings newborns to the emergency department?: a 1-year study","volume":"25","year":"2009","journal-title":"Pediatr Emerg Care"},{"key":"bib6-20230930","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/00006565-199712000-00001","article-title":"Boomerang babies: emergency department utilization by early discharge neonates","volume":"13","year":"1997","journal-title":"Pediatr Emerg Care"},{"key":"bib7-20230930","first-page":"235","article-title":"Rec\u00e9m-nascidos na urg\u00eancia pedi\u00e1trica hospitalar","volume":"38","year":"2007","journal-title":"Acta Pediatr Port"},{"key":"bib8-20230930","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1097\/01.pec.0000132216.65600.1b","article-title":"Emergency department use by infants less than 14 days of age","volume":"20","year":"2004","journal-title":"Pediatr Emerg Care"},{"key":"bib9-20230930","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/00006565-200006000-00001","article-title":"Early neonatal presentations to the pediatric emergency department","volume":"16","year":"2000","journal-title":"Pediatr Emerg Care"},{"key":"bib10-20230930","first-page":"900","article-title":"Analysis of neonate admissions to the pediatric emergency department","volume":"19","year":"2012","journal-title":"Arch Pediatr"},{"key":"bib11-20230930","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.jemermed.2014.12.031","article-title":"The factors affecting presentations to the pediatric emergency department","volume":"48","year":"2015","journal-title":"J Emerg Med"},{"key":"bib12-20230930","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.acap.2014.01.004","article-title":"Low caregiver health literacy is associated with higher pediatric emergency department use and nonurgent visits","volume":"14","year":"2014","journal-title":"Acad Pediatr"},{"key":"bib13-20230930","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/PEC.0b013e31823f2412","article-title":"Reasons for nonurgent pediatric emergency department visits: perceptions of health care providers and caregivers","volume":"28","year":"2012","journal-title":"Pediatr Emerg Care"},{"key":"bib14-20230930","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1542\/peds.106.5.1031","article-title":"Factors influencing infant visits to emergency departments","volume":"106","year":"2000","journal-title":"Pediatrics"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00006565-201812000-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T08:16:28Z","timestamp":1696061788000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00006565-201812000-00012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12]]},"references-count":12,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000001680","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2018,12]]}}}