{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T12:45:37Z","timestamp":1794314737300,"version":"4.9.0"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T00:00:00Z","timestamp":1618358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric patients present to Emergency Departments (EDs) with a variety of medical conditions. An appreciation of the common presenting conditions can aid EDs in the provision of pediatric emergency care. In this study, we established the common pediatric diagnoses seen at the general EDs, with reference to a pediatric ED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of medical records was performed for patients less than 16\u2009years old at a pediatric ED and two general EDs from 1 January to 31 December 2018. Information including patient demographics, triage category, case type and diagnoses were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 159,040 pediatric attendances, of which 3477 (2.2%) were seen at the general EDs. Non-traumatic conditions were most prevalent at both general (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u20091933, 55.6%) and pediatric (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u2009128,415, 82.5%) EDs. There was a higher proportion of trauma related conditions seen at the general EDs (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u20091544, 44.4%) compared to the pediatric ED (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u200927,148, 17.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.01). Across all EDs, upper respiratory tract infection, unspecified musculoskeletal pain and gastroenteritis were the three most common non-trauma related diagnoses, while fracture, wound and contusion were the three most common trauma related diagnoses. There was a greater proportion of emergent (P1) cases seen at the general EDs (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u2009233, 6.7%) than the pediatric ED (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u20093821, 2.5%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.01). Respiratory conditions including bronchiolitis, asthma and bronchitis were the most common emergent (P1) diagnoses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The common diagnoses among pediatric attendances varied between pediatric and general EDs. Therefore, general EDs should focus their efforts on these common diagnoses, especially the emergent (P1) ones, so that they can enhance their preparedness and work towards providing quality pediatric emergency care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12887-021-02646-8","type":"journal-article","created":{"date-parts":[[2021,4,14]],"date-time":"2021-04-14T07:03:37Z","timestamp":1618383817000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["Common diagnoses among pediatric attendances at emergency departments"],"prefix":"10.1186","volume":"21","author":[{"given":"Shuen Yin Celine","family":"Yoong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peck Har","family":"Ang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Ling","family":"Chong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong-Kwang Gene","family":"Ong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nur Diana Bte","family":"Zakaria","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khai Pin","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen Heng","family":"Pek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,14]]},"reference":[{"key":"2646_CR1","doi-asserted-by":"publisher","first-page":"e000247","DOI":"10.1136\/bmjpo-2017-000247","volume":"2","author":"B Riva","year":"2018","unstructured":"Riva B, Clavenna A, Cartabia M, et al. Emergency department use by pediatric patients in Lombardy region, Italy: a population study. BMJ Pediatrics Open. 2018;2:e000247.","journal-title":"BMJ Pediatrics Open"},{"issue":"3","key":"2646_CR2","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1542\/hpeds.2018-0133","volume":"9","author":"PN Jain","year":"2019","unstructured":"Jain PN, Choi J, Katyal C. Pediatric care in the non-pediatric emergency department: provider perspectives. Hosp Pediatr. 2019;9(3):216\u20139. https:\/\/doi.org\/10.1542\/hpeds.2018-0133.","journal-title":"Hosp Pediatr"},{"key":"2646_CR3","doi-asserted-by":"publisher","unstructured":"Remick K, Gausche-Hill M, Joseph MM, Brown K, Snow SK, Wright JL, et al. Pediatric readiness in the emergency department. Ann Emerg Med. 2018;72(6):e123\u201336. https:\/\/doi.org\/10.1016\/j.annemergmed.2018.08.431.","DOI":"10.1016\/j.annemergmed.2018.08.431"},{"issue":"3","key":"2646_CR4","doi-asserted-by":"publisher","first-page":"e20190568","DOI":"10.1542\/peds.2019-0568","volume":"144","author":"SG Ames","year":"2019","unstructured":"Ames SG, Davis BS, Marin JR, et al. Emergency department pediatric readiness and mortality in critically ill children. Pediatrics. 2019;144(3):e20190568.","journal-title":"Pediatrics"},{"issue":"5","key":"2646_CR5","doi-asserted-by":"publisher","first-page":"803","DOI":"10.1097\/TA.0000000000002172","volume":"86","author":"K Remick","year":"2019","unstructured":"Remick K, Gaines B, Ely M, Richards R, Fendya D, Edgerton EA. Pediatric emergency department readiness among US trauma hospitals. J Trauma Acute Care Surg. 2019;86(5):803\u20139. https:\/\/doi.org\/10.1097\/TA.0000000000002172.","journal-title":"J Trauma Acute Care Surg"},{"issue":"3","key":"2646_CR6","doi-asserted-by":"publisher","first-page":"320","DOI":"10.1016\/j.annemergmed.2015.07.500","volume":"67","author":"K Remick","year":"2016","unstructured":"Remick K, Kaji AH, Olson L, et al. Pediatric readiness and facility verification. Ann Emerg Med. 2016;67(3):320\u2013328.e1.","journal-title":"Ann Emerg Med"},{"key":"2646_CR7","doi-asserted-by":"publisher","unstructured":"Gausche-Hill M, Ely M, Schmuhl P, Telford R, Remick KE, Edgerton EA, et al. A national assessment of pediatric readiness of emergency departments. JAMA Pediatr. 2015;169(6):527\u201334. https:\/\/doi.org\/10.1001\/jamapediatrics.2015.138.","DOI":"10.1001\/jamapediatrics.2015.138"},{"key":"2646_CR8","volume-title":"Getting it right for children and young people. Overcoming Cultural Barriers in the NHS so as to Meet their Need","author":"I Kennedy","year":"2010","unstructured":"Kennedy I. Getting it right for children and young people. Overcoming Cultural Barriers in the NHS so as to Meet their Need. London: Department of Health; 2010."},{"issue":"2","key":"2646_CR9","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1097\/PEC.0b013e3180302c22","volume":"23","author":"FT Bourgeois","year":"2007","unstructured":"Bourgeois FT, Shannon MW. Emergency care for children in pediatric and general emergency departments. Pediatr Emerg Care. 2007;23(2):94\u2013102. https:\/\/doi.org\/10.1097\/PEC.0b013e3180302c22.","journal-title":"Pediatr Emerg Care"},{"issue":"4","key":"2646_CR10","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1097\/PEC.0000000000000557","volume":"33","author":"NO Chime","year":"2007","unstructured":"Chime NO, Katznelson J, Gangadharan S, et al. Comparing practice patterns between pediatric and general emergency medicine physicians. Pediatr Emerg Care. 2007;33(4):278\u201386.","journal-title":"Pediatr Emerg Care"},{"key":"2646_CR11","doi-asserted-by":"publisher","first-page":"305","DOI":"10.3389\/fped.2019.00305","volume":"7","author":"G Casimir","year":"2019","unstructured":"Casimir G. Why children\u2019s hospitals are unique and so essential. Front Pediatr. 2019;7:305. https:\/\/doi.org\/10.3389\/fped.2019.00305.","journal-title":"Front Pediatr"},{"key":"2646_CR12","unstructured":"Department of Statistics, Singapore. Population and population structure. Available from: https:\/\/www.singstat.gov.sg\/find-data\/search-by-theme\/population\/population-and-population-structure\/latest-data. Accessed 12 Feb 2021."},{"issue":"5","key":"2646_CR13","doi-asserted-by":"publisher","first-page":"379","DOI":"10.1136\/emj.2010.106229","volume":"29","author":"R Sands","year":"2012","unstructured":"Sands R, Shanmugavadivel D, Stephenson T, Wood D. Medical problems presenting to pediatric emergency departments: 10 years on. Emerg Med J. 2012;29(5):379\u201382. https:\/\/doi.org\/10.1136\/emj.2010.106229.","journal-title":"Emerg Med J"},{"key":"2646_CR14","doi-asserted-by":"publisher","unstructured":"Armon K, Stephenson T, Gabriel V, MacFaul R, Eccleston P, Werneke U, et al. Determining the common medical presenting problems to an accident and emergency department. Arch Dis Child. 2001;84(5):390\u20132. https:\/\/doi.org\/10.1136\/adc.84.5.390.","DOI":"10.1136\/adc.84.5.390"},{"key":"2646_CR15","volume-title":"Healthcare Cost and Utilization Project (HCUP) statistical briefs","author":"AJ Weiss","year":"2006","unstructured":"Weiss AJ, Wier LM, Stocks C, et al. Overview of emergency department visits in the United States, 2011: statistical brief #174. 2014 Jun. In: Healthcare Cost and Utilization Project (HCUP) statistical briefs. Rockville: Agency for Healthcare Research and Quality (US); 2006. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK235856\/. Accessed 6 Aug 2020."},{"issue":"2","key":"2646_CR16","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1542\/peds.114.2.356","volume":"114","author":"T Maldonado","year":"2004","unstructured":"Maldonado T, Avner JR. Triage of the pediatric patient in the emergency department: are we all in agreement? Pediatrics. 2004;114(2):356\u201360. https:\/\/doi.org\/10.1542\/peds.114.2.356.","journal-title":"Pediatrics"},{"issue":"1","key":"2646_CR17","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1186\/s13584-018-0207-2","volume":"7","author":"R Madar","year":"2018","unstructured":"Madar R, Adini B, Greenberg D, Waisman Y, Goldberg A. Perspectives of health professionals on the best care settings for pediatric trauma casualties: a qualitative study. Isr J Health Policy Res. 2018;7(1):12. https:\/\/doi.org\/10.1186\/s13584-018-0207-2.","journal-title":"Isr J Health Policy Res"},{"key":"2646_CR18","doi-asserted-by":"publisher","unstructured":"Kua PHJ, Wu L, Ong ET, Lim ZY, Yiew JL, Thia XH, et al. Understanding decisions leading to nonurgent visits to the pediatric emergency department: caregivers\u2019 perspectives. Singap Med J. 2016;57(06):314\u20139. https:\/\/doi.org\/10.11622\/smedj.2016023.","DOI":"10.11622\/smedj.2016023"},{"key":"2646_CR19","volume-title":"Not just a phase \u2013 a guide to the participation of children and young people in health services","author":"RCPCH","year":"2010","unstructured":"RCPCH, Not just a phase \u2013 a guide to the participation of children and young people in health services, 2010."},{"issue":"7","key":"2646_CR20","doi-asserted-by":"crossref","first-page":"269","DOI":"10.47102\/annals-acadmedsg.V44N7p269","volume":"44","author":"S Ganapathy","year":"2015","unstructured":"Ganapathy S, Lim SY, Kua JP, et al. Non-urgent pediatric emergency department visits: why are they so common? A Singapore perspective. Ann Acad Med Singap. 2015;44(7):269\u201371.","journal-title":"Ann Acad Med Singap"},{"issue":"4","key":"2646_CR21","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1097\/PEC.0b013e31819e350e","volume":"25","author":"SO Zandieh","year":"2009","unstructured":"Zandieh SO, Gershel JC, Briggs WM, Mancuso CA, Kuder JM. Revisiting predictors of parental health care-seeking behaviors for nonurgent conditions at one inner-city hospital. Pediatr Emerg Care. 2009;25(4):238\u201343. https:\/\/doi.org\/10.1097\/PEC.0b013e31819e350e.","journal-title":"Pediatr Emerg Care"},{"issue":"1","key":"2646_CR22","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1186\/1472-6963-7-131","volume":"7","author":"ML Carret","year":"2007","unstructured":"Carret ML, Fassa A, Karachi I. Demand for emergency health service: factors associated with inappropriate use. BMC Health Serv Res. 2007;7(1):131. https:\/\/doi.org\/10.1186\/1472-6963-7-131.","journal-title":"BMC Health Serv Res"},{"issue":"8","key":"2646_CR23","doi-asserted-by":"publisher","first-page":"723","DOI":"10.1197\/j.aem.2005.03.530","volume":"12","author":"MH Gorelick","year":"2005","unstructured":"Gorelick MH, Alpern ER, Alessandrini EA. A system for grouping presenting complaints: the pediatric emergency reason for visit clusters. Acad Emerg Med. 2005;12(8):723\u201331. https:\/\/doi.org\/10.1197\/j.aem.2005.03.530.","journal-title":"Acad Emerg Med"}],"container-title":["BMC Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-021-02646-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12887-021-02646-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-021-02646-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T02:58:48Z","timestamp":1671850728000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpediatr.biomedcentral.com\/articles\/10.1186\/s12887-021-02646-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,14]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["2646"],"URL":"https:\/\/doi.org\/10.1186\/s12887-021-02646-8","relation":{},"ISSN":["1471-2431"],"issn-type":[{"value":"1471-2431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,14]]},"assertion":[{"value":"12 December 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 April 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by Institutional Review Board at SingHealth, Singapore (CIRB reference 2019\/2360), with waiver of informed consent. All methods were carried out in accordance with relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"172"}}