{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T18:25:12Z","timestamp":1787163912837,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T00:00:00Z","timestamp":1727136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Birth"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>This study aimed to characterize neonatal admissions to pediatric emergency departments (PEDs) in Catania, to analyze the primary pediatric conditions leading to these admissions, and to explore the association between the demographic characteristics of the population and the severity of their presentations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on neonates (aged &lt;28\u2009days) admitted to three PEDs in Catania between January 2015 and December 2019. Additionally, a comprehensive review of the literature on this topic was performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 5183 neonates presented during the study period, with a median age of 14\u2009days at admission. The top three diagnoses were neonatal jaundice (15%), abdominal discomfort (12%), and upper airway inflammation (11%). The majority of cases were classified as non\u2010urgent (green) at triage (59%). Overall, 1296 patients (25%) required hospitalization; 95% of those assigned a yellow triage color at admission required hospitalization. Only 33% of hospitalized patients were referred by parents, while the majority were referred by primary care pediatricians. The highest number of admissions occurred in August, while the peak in hospitalizations was in February.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The majority of neonatal PED admissions are for non\u2010acute conditions that do not require immediate medical attention. This concerning trend leads to increased workloads for PED staff, higher healthcare costs, and potential risks to neonates. Possible causes include insufficient caregiver knowledge, inadequate parental education, and suboptimal transition from hospital to primary care pediatric services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/birt.12877","type":"journal-article","created":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T09:19:46Z","timestamp":1727169586000},"page":"269-277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reasons for Neonatal Presentations to Pediatric Emergency Departments in Catania: Multicentric Cross\u2010Sectional Analysis and Exhaustive Review of the Literature"],"prefix":"10.1111","volume":"52","author":[{"given":"Raffaele","family":"Falsaperla","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit, Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d University of Catania  Catania Italy"},{"name":"Pediatric and Pediatric Emergency Department Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d, University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariaclaudia","family":"Meli","sequence":"additional","affiliation":[{"name":"Pediatric and Pediatric Emergency Department Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d, University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Sortino","sequence":"additional","affiliation":[{"name":"Pediatric and Pediatric Emergency Department Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d, University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Marino","sequence":"additional","affiliation":[{"name":"Pediatric and Pediatric Emergency Department Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d, University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"Tardino","sequence":"additional","affiliation":[{"name":"Pediatric and Pediatric Emergency Department Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d, University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Luca","family":"Trobia","sequence":"additional","affiliation":[{"name":"Pediatric and Pediatric Emergency Room Unit \"Cannizzaro\" Emergency Hospital Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Barbagallo","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Azienda Ospedaliera di Rilievo Nazionale e di Alta Specializzazione \"Garibaldi\"  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2449-1321","authenticated-orcid":false,"given":"Bruna","family":"Scalia","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Azienda Ospedaliero Universitaria Policlinico \u201cG. Rodolico\u2014San Marco\u201d University of Catania  Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Sicilian Group of the Italian Society of Neonatology (SIN)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2005.09.011"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.03.028"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1891\/1058\u20101243.26.2.79"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(05)71048\u20105"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2017.32.11.1870.Sci"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001680"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000000120"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild\u20102013\u2010304298"},{"key":"e_1_2_11_10_1","article-title":"Hospitals Demand Payment Upfront From ER Patients With Routine Problems","author":"Galewitz P.","year":"2012","journal-title":"Kasier Health News"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.12.031"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.pec.0000132216.65600.1b"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201099477\u20105"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40258\u2010017\u20100340\u2010z"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.281053"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(94)70237-3"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/000992289002901204"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(97)70351-2"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200009000-00004"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2000.tb00144.x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/pec.0b013e31819e361d"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcped.2012.06.016"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565\u2010200006000\u201000001"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.11622\/smedj.2021160"}],"container-title":["Birth"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/birt.12877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T08:13:11Z","timestamp":1746691991000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/birt.12877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,24]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1111\/birt.12877"],"URL":"https:\/\/doi.org\/10.1111\/birt.12877","archive":["Portico"],"relation":{},"ISSN":["0730-7659","1523-536X"],"issn-type":[{"value":"0730-7659","type":"print"},{"value":"1523-536X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,24]]},"assertion":[{"value":"2023-06-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}