{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T03:50:23Z","timestamp":1782359423831,"version":"3.54.5"},"reference-count":49,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T00:00:00Z","timestamp":1604448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"DOI":"10.1371\/journal.pone.0241209","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T18:52:24Z","timestamp":1604515944000},"page":"e0241209","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":21,"title":["Pediatric emergency care in a low-income country: Characteristics and outcomes of presentations to a tertiary-care emergency department in Mozambique"],"prefix":"10.1371","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4243-5307","authenticated-orcid":true,"given":"Valentina","family":"Brugnolaro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura Nai","family":"Fovino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Calgaro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Putoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlindo Rosario","family":"Muhelo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7906-0580","authenticated-orcid":true,"given":"Dario","family":"Gregori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danila","family":"Azzolina","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Bressan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liviana","family":"Da Dalt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"pone.0241209.ref001","article-title":"The Millennium Development Goals Report","volume":"72","author":"United Nations","year":"2015","journal-title":"United Nations"},{"key":"pone.0241209.ref002","doi-asserted-by":"crossref","first-page":"2206","DOI":"10.1016\/S0140-6736(12)60685-0","article-title":"From millennium development goals to sustainable development goals","volume":"379","author":"JD Sachs","year":"2012","journal-title":"Lancet"},{"key":"pone.0241209.ref003","doi-asserted-by":"crossref","first-page":"3027","DOI":"10.1016\/S0140-6736(16)31593-8","article-title":"Global, regional, and national causes of under-5 mortality in 2000\u201315: an updated systematic analysis with implications for the Sustainable Development Goals","volume":"388","author":"L Liu","year":"2016","journal-title":"Lancet"},{"key":"pone.0241209.ref004","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1016\/S0140-6736(15)00300-1","article-title":"From MDG to SDG: Good news for global child health?","volume":"386","author":"S Taylor","year":"2015","journal-title":"Lancet"},{"key":"pone.0241209.ref005","first-page":"121","article-title":"The Sustainable Development Goals.","author":"K. Willis","year":"2019","journal-title":"Routledge Handb Lat Am Dev"},{"key":"pone.0241209.ref006","unstructured":"UNICEF, WHO, The World Bank Group, UN Population Division. Levels and Trends in Child Mortality: Report 2017. United Nations Inter-gr Child Mortal Estim. 2017; 40. Available: https:\/\/childmortality.org\/wp-content\/uploads\/2018\/10\/UN-IGME-Child-Mortality-Report-2017.pdf"},{"key":"pone.0241209.ref007","unstructured":"UN IGME. Levels & Trends in Child Mortality: Estimates: Report 2018. Who\/Unicef\/World Bank\/Un. 2018; 1\u201348."},{"key":"pone.0241209.ref008","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/j.1460-9592.2008.02868.x","article-title":"Pediatric emergency and critical care in low-income countries.","volume":"19","author":"T. Baker","year":"2009","journal-title":"Paediatr Anaesth"},{"key":"pone.0241209.ref009","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.annemergmed.2010.01.013","article-title":"Placing emergency care on the global agenda","volume":"56","author":"R Hsia","year":"2010","journal-title":"Ann Emerg Med"},{"key":"pone.0241209.ref010","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/S0140-6736(12)61191-X","article-title":"Global paediatric advanced life support: Improving child survival in limited-resource settings","volume":"381","author":"ME Ralston","year":"2013","journal-title":"Lancet"},{"key":"pone.0241209.ref011","first-page":"900","article-title":"Emergency medical care in developing countries: Is it worthwhile?","volume":"80","author":"JA Razzak","year":"2002","journal-title":"Bull World Health Organ"},{"key":"pone.0241209.ref012","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/S0140-6736(00)03542-X","article-title":"Quality of hospital care for seriously ill children in less-developed countries","volume":"357","author":"T Nolan","year":"2001","journal-title":"Lancet"},{"key":"pone.0241209.ref013","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1179\/146532810X12703902516482","article-title":"Paediatric emergency care in resource-constrained health services is usually neglected: Time for change.","volume":"30","author":"EM Molyneux","year":"2010","journal-title":"Ann Trop Paediatr"},{"key":"pone.0241209.ref014","doi-asserted-by":"crossref","first-page":"S11","DOI":"10.1186\/1471-227X-15-S2-S11","article-title":"The pediatric disease spectrum in emergency departments across Pakistan: Data from a pilot surveillance system.","volume":"15","author":"H Atiq","year":"2015","journal-title":"BMC Emerg Med."},{"key":"pone.0241209.ref015","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1093\/heapol\/czr023","article-title":"Access to emergency and surgical care in sub-Saharan Africa: The infrastructure gap.","volume":"27","author":"RY Hsia","year":"2012","journal-title":"Health Policy Plan"},{"key":"pone.0241209.ref016","unstructured":"Institute for Health Metrics and Evaluation \u00a9 2019 University of Washington. Available: https:\/\/vizhub.healthdata.org\/lbd\/under5"},{"key":"pone.0241209.ref017","unstructured":"World Health Organization: Mozambique: Mozambique\u2019s Health System. [cited 25 Nov 2019]. Available: http:\/\/www.who.int\/countries\/moz\/areas\/health_system\/en\/index1.html"},{"key":"pone.0241209.ref018","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S2214-109X(14)70276-1","article-title":"Effects of health-system strengthening on under-5, infant, and neonatal mortality: 11-year provincial-level time-series analyses in Mozambique.","volume":"2","author":"QF Fernandes","year":"2014","journal-title":"Lancet Glob Heal"},{"key":"pone.0241209.ref019","unstructured":"World Health Organization (WHO). Mozambique Country Situation at a Glance. 2018; 1\u20132. Available: http:\/\/apps.who.int\/gho\/data\/node.cco"},{"key":"pone.0241209.ref020","unstructured":"Kassambara A. Machine learning essentials. 1st ed. STHDA, editor. Frankreich; 2018."},{"key":"pone.0241209.ref021","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2019"},{"key":"pone.0241209.ref022","article-title":"Building Predictive Models in R Using the caret Package.","author":"M. Kuhn","year":"2008","journal-title":"J Stat Softw."},{"key":"pone.0241209.ref023","first-page":"1","article-title":"Rms: Regression Modeling Strategies","author":"F. Harrell","year":"2014","journal-title":"R package version 4"},{"key":"pone.0241209.ref024","article-title":"mice: Multivariate Imputation by Chained Equations in R.","author":"S Van Buuren","year":"2011","journal-title":"J Stat Softw."},{"key":"pone.0241209.ref025","unstructured":"Inqu\u00e9rito de indicadores de imuniza\u00e7\u00e3o, mal\u00e1ria e HIV\/SIDA em Mo\u00e7ambique (IMASIDA) 2015: Relat\u00f3rio de Indicadores B\u00e1sicos de HIV. Instituto Nacional de Sa\u00fade and Instituto Nacional de Estat\u00edstica, 2017. 2015;1: 77\u201387."},{"key":"pone.0241209.ref026","unstructured":"UNICEF. For every child, every right. 2018."},{"key":"pone.0241209.ref027","doi-asserted-by":"crossref","first-page":"e1196","DOI":"10.1016\/S2214-109X(18)30386-3","article-title":"High-quality health systems in the Sustainable Development Goals era: time for a revolution","volume":"6","author":"ME Kruk","year":"2018","journal-title":"Lancet Glob Heal"},{"key":"pone.0241209.ref028","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/MEJ.0000000000000365","article-title":"Mortality in Spanish pediatric emergency departments: A 5-year multicenter survey.","volume":"24","author":"E Lopez","year":"2017","journal-title":"Eur J Emerg Med"},{"key":"pone.0241209.ref029","doi-asserted-by":"crossref","first-page":"577","DOI":"10.2471\/BLT.14.148338","article-title":"Emergency care in 59 low- and middle-income countries: a systematic review","volume":"93","author":"Z Obermeyer","year":"2015","journal-title":"Bull World Health Organ"},{"key":"pone.0241209.ref030","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1038\/jp.2016.27","article-title":"When do newborns die? A systematic review of timing of overall and cause-specific neonatal deaths in developing countries.","volume":"36","author":"MJ Sankar","year":"2016","journal-title":"J Perinatol."},{"key":"pone.0241209.ref031","doi-asserted-by":"crossref","first-page":"E603","DOI":"10.1097\/PCC.0000000000001705","article-title":"Epidemiology of disease and mortality from a PICU in Mozambique.","volume":"19","author":"M Punchak","year":"2018","journal-title":"Pediatr Crit Care Med"},{"key":"pone.0241209.ref032","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fped.2018.00155","article-title":"Pediatric trauma care in low resource settings: Challenges, opportunities, and solutions.","volume":"6","author":"AW Kiragu","year":"2018","journal-title":"Front Pediatr"},{"key":"pone.0241209.ref033","first-page":"18","article-title":"Burns in Tanzania: morbidity and mortality, causes and risk factors: a review.","volume":"3","author":"AH Outwater","year":"2013","journal-title":"Int J Burns Trauma"},{"key":"pone.0241209.ref034","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0202542","article-title":"Knowledge and practice of Essential Newborn Care among postnatal mothers in Mekelle City, North Ethiopia: A population-based survey.","volume":"13","author":"TA Berhea","year":"2018","journal-title":"PLoS One."},{"key":"pone.0241209.ref035","first-page":"443","article-title":"The effects of malnutrition on child mortality in developing countries","volume":"73","author":"DL Pelletier","year":"1995","journal-title":"Bull World Health Organ"},{"key":"pone.0241209.ref036","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1136\/emermed-2016-205720","article-title":"Profile and outcomes of critically ill children in a lower middle-income country.","volume":"35","author":"MI Habib","year":"2018","journal-title":"Emerg Med J"},{"key":"pone.0241209.ref037","doi-asserted-by":"crossref","first-page":"345","DOI":"10.2471\/BLT.08.055798","article-title":"Global childhood unintentional injury surveillance in four cities in developing countries: A pilot study","volume":"87","author":"AA Hyder","year":"2009","journal-title":"Bull World Health Organ"},{"key":"pone.0241209.ref038","doi-asserted-by":"crossref","first-page":"1861","DOI":"10.1016\/j.injury.2011.07.016","article-title":"Epidemiology and pattern of paediatric and adolescent trauma deaths in a level 1 trauma centre in Benin city, Nigeria.","volume":"43","author":"OD Osifo","year":"2012","journal-title":"Injury"},{"key":"pone.0241209.ref039","unstructured":"World Health Organization (WHO). World report on child injury prevention."},{"key":"pone.0241209.ref040","doi-asserted-by":"crossref","first-page":"331","DOI":"10.31729\/jnma.3096","article-title":"Patterns of injury and mortality in pediatric patients attending emergency department in a tertiary care center in Eastern Nepal.","volume":"56","author":"PP Gupta","year":"2017","journal-title":"J Nepal Med Assoc"},{"key":"pone.0241209.ref041","first-page":"131","article-title":"Childhood mortality in children emergency centre of the Lagos University Teaching hospital.","volume":"38","author":"I Fajolu","year":"2011","journal-title":"Niger J Paediatr"},{"key":"pone.0241209.ref042","first-page":"232","article-title":"Pattern and outcome of admissions as seen in the paediatric emergency ward of the Niger Delta University Teaching Hospital Bayelsa State, Nigeria.","volume":"40","author":"C Duru","year":"2013","journal-title":"Niger J Paediatr."},{"key":"pone.0241209.ref043","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1007\/s12245-010-0182-z","article-title":"The epidemiology of childhood injury in Maputo, Mozambique.","volume":"3","author":"D De Sousa Petersburgo","year":"2010","journal-title":"Int J Emerg Med"},{"key":"pone.0241209.ref044","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0173233","article-title":"Pediatric emergency care capacity in a low-resource setting: An assessment of district hospitals in Rwanda.","volume":"12","author":"C Hategeka","year":"2017","journal-title":"PLoS One"},{"key":"pone.0241209.ref045","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1136\/adc.81.6.478","article-title":"Evaluation of guidelines for emergency triage assessment and treatment in developing countries","volume":"81","author":"G Tamburlini","year":"1999","journal-title":"Arch Dis Child"},{"key":"pone.0241209.ref046","unstructured":"World Health Organization. Guideline: Updates on Paediatric Emergency Triage, Assessment and Treatment: Care of Critically-Ill Children. Guidel Updat Paediatr Emerg Triage, Assess Treat Care Crit Child. 2016."},{"key":"pone.0241209.ref047","doi-asserted-by":"crossref","first-page":"314","DOI":"10.2471\/BLT.04.019505","article-title":"Improved triage and emergency care for children reduces inpatient mortality in a resource-constrained setting","volume":"84","author":"E Molyneux","year":"2006","journal-title":"Bull World Health Organ"},{"key":"pone.0241209.ref048","doi-asserted-by":"crossref","first-page":"060","DOI":"10.1055\/s-0036-1584678","article-title":"Lessons from the Design and Implementation of a Pediatric Critical Care and Emergency Medicine Training Program in a Low Resource Country\u2014The South American Experience","volume":"06","author":"T Biskup","year":"2016","journal-title":"J Pediatr Intensive Care"},{"key":"pone.0241209.ref049","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1865-1380-6-26","article-title":"A review of published literature on emergency medicine training programs in low- and middle-income countries.","volume":"6","author":"AK Nowacki","year":"2013","journal-title":"Int J Emerg Med"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0241209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T18:52:56Z","timestamp":1604515976000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0241209"}},"subtitle":[],"editor":[{"given":"Itamar","family":"Ashkenazi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2020,11,4]]},"references-count":49,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,4]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0241209","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,4]]}}}