{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:51:13Z","timestamp":1775141473650,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Cambodia, emergency rooms (ERs) often serve as the primary access point for paediatric care, reflecting limited outpatient capacity and health system constraints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective descriptive analysis of presentations at Angkor Hospital for Children between 2012 and 2021 was conducted. Diagnoses were harmonised using ICD\u201010 definitions. The primary cohort included all eligible presentations, while a secondary cohort excluded patients aged outside the hospital age range, procedural\u2010only visits, unclassifiable diagnoses, and referrals. Analyses focused on the 10 most common diagnostic groups in the secondary cohort. Seasonal and rural\u2013urban patterns were assessed using risk ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 60\u2009310 patients with 87\u2009977 visits were included in the primary cohort and 43\u2009170 patients with 62\u2009148 visits in the secondary cohort. More boys (57%) than girls (43%) accounted for ER presentations, and approximately 40% of patients were aged 1\u20135\u2009years. Respiratory\u2010related diseases were the most frequent diagnostic group, followed by infectious and parasitic diseases. Visits peaked during the rainy season, with dengue showing strong rainy season predominance (RR\u2009\u2248\u20095.9). Rural children accounted for 56% and showed a higher relative likelihood of dengue, influenza and pneumonia, and haemolytic anaemias, whereas chronic respiratory diseases and toxic substance exposures were more frequent among urban children. Most presentations resulted in discharge home, and mortality was low (0.09%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ER utilisation in Cambodia reflects both acute illness burden and broader health system access patterns. The findings highlight the need for seasonally responsive preparedness, strengthened rural outreach, and integrated acute care planning in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70319","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T10:24:13Z","timestamp":1770978253000},"page":"621-630","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Paediatric Presentations to an Emergency Department Providing Urgent and After\u2010Hours Outpatient Care in Cambodia: A 10\u2010Year Retrospective Review"],"prefix":"10.1111","volume":"62","author":[{"given":"Pises","family":"Ngeth","sequence":"first","affiliation":[{"name":"Angkor Hospital for Children (AHC)  Siem Reap Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Habsreng","family":"Eang","sequence":"additional","affiliation":[{"name":"Angkor Hospital for Children (AHC)  Siem Reap Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kongkea","family":"Oeur","sequence":"additional","affiliation":[{"name":"Angkor Hospital for Children (AHC)  Siem Reap Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2199-3067","authenticated-orcid":false,"given":"Lina Saem","family":"Stoey","sequence":"additional","affiliation":[{"name":"Angkor Hospital for Children (AHC)  Siem Reap Cambodia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"UNICEF Health and Nutrition: UNICEF Country Programme 2019\u20132023(UNICEF 2018) https:\/\/www.unicef.org\/cambodia\/media\/2361\/file\/CountryProgramme_OVERVIEW_25x25_2019_Final.pdf%20.pdf."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12245-018-0172-0"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02646-8"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.31486\/toj.18.0134"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0001440"},{"key":"e_1_2_11_7_1","volume-title":"Health Management Information System Annual Report 2017","author":"Ministry of Health, Cambodia","year":"2018"},{"key":"e_1_2_11_8_1","unstructured":"UNICEF Cambodia Inclusion of Children With Disabilities in Cambodia(UNICEF 2022) https:\/\/www.unicef.org\/cambodia\/media\/8896\/file\/Inclusion%20of%20Children%20with%20Disabilities%20in%20Cambodia\u2010Final.pdf."},{"key":"e_1_2_11_9_1","volume-title":"Emergency Care Systems for Universal Health Coverage: Ensuring Timely Care for the Acutely Ill and Injured","author":"World Health Organization","year":"2019"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)31519\u20100"},{"key":"e_1_2_11_11_1","volume-title":"ICD\u201010 Version 2019","author":"World Health Organization","year":"2019"},{"key":"e_1_2_11_12_1","unstructured":"Department of Agricultural Engineering and Cambodia Horticulture Advancing Income and Nutrition Project https:\/\/elibrary.maff.gov.kh\/book\/6530911bd274c."},{"key":"e_1_2_11_13_1","unstructured":"City Population Cambodia: Provinces Cities Urban Areas & Urban Communes\u2014Population Statistics Maps Charts Weather and Web Information https:\/\/www.citypopulation.de\/en\/cambodia\/cities\/."},{"key":"e_1_2_11_14_1","first-page":"1","article-title":"Regulation (EU) 2016\/679 of the European Parliament and of the Council of 27 April 2016 on the Protection of Natural Persons With Regard to the Processing of Personal Data and on the Free Movement of Such Data, and Repealing Directive 95\/46\/EC (General Data Protection Regulation)","volume":"119","author":"European Union","year":"2016","journal-title":"OJL"},{"issue":"2","key":"e_1_2_11_15_1","article-title":"Characteristics of Patients Transported by Emergency Medical Services to a Referral Hospital in Phnom Penh, Cambodia","volume":"14","author":"Kobashi N.","year":"2019","journal-title":"PLoS One"},{"issue":"2","key":"e_1_2_11_16_1","first-page":"112","article-title":"Emergency Department Visits in Paediatric Infectious Cases: A Regional Retrospective Study","volume":"17","author":"Souraty M.","year":"2024","journal-title":"Journal of Medicine and Life"},{"issue":"10","key":"e_1_2_11_17_1","article-title":"Developing Emergency Triage Systems in Cambodia","volume":"12","author":"Khan A.","year":"2020","journal-title":"Cureus"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70319","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.70319","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.70319","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T13:56:15Z","timestamp":1775138175000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.70319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,13]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1111\/jpc.70319"],"URL":"https:\/\/doi.org\/10.1111\/jpc.70319","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"value":"1034-4810","type":"print"},{"value":"1440-1754","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,13]]},"assertion":[{"value":"2025-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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