{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T11:02:09Z","timestamp":1791198129385,"version":"4.1.0"},"reference-count":12,"publisher":"FapUNIFESP (SciELO)","issue":"9","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: This study aimed to assess the reasons for admission, demographic and clinical characteristics, diagnostic procedures, hospitalization rates, and repeat visits among infants aged 0\u201312 months transported to the pediatric emergency department by 112 Emergency Medical Services ambulances in 2023, with a focus on. The study further evaluated the urgency of visits and sought to identify potentially preventable hospital admissions, while also examining the clinical decision-making processes involved.  METHODS: This retrospective investigation involved infants brought to the Pediatric Emergency Department of Batman Training and Research Hospital from January 1 to December 31, 2023. Hospital records were examined for demographic reasons for admission, laboratory and imaging evaluations, hospitalization or referral outcomes, and repeat visits. Patients were grouped as neonates (0\u201328 days) or post-neonatal infants (29 days\u201312 months). Statistical analyses were conducted using Statistical Package for the Social Sciences 26.  RESULTS: Of 3,950 ambulance transports, 957 (24.2%) involved infants aged 0\u201312 months; 55.6% were male. The leading causes for admission were respiratory distress (38.8%), jaundice (21.8%), and fever (8.3%). Hospitalization was needed in 60.6% of cases, and 20.0% were admitted to neonatal intensive care. Approximately 37.2% were discharged after clinical examination and limited diagnostic workup. Repeat presentations were seen in 11.3% of patients. Most admissions occurred on weekends and during off-hours periods.  CONCLUSION: Many ambulance transports of infants involved non-urgent conditions, yet hospitalization rates remained high, especially among neonates. Improving parental education, scheduled follow-up for high-risk infants, and primary care access could reduce unnecessary visits.<\/jats:p>","DOI":"10.1590\/1806-9282.20260588","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:39:07Z","timestamp":1791196747000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of infants aged 0\u201312 months admitted to the pediatric emergency department: the example of Batman Training And Research Hospital"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2471-3211","authenticated-orcid":false,"given":"Semih","family":"Canpolat","sequence":"first","affiliation":[{"name":"Ankara Kahramankazan State Hospital","place":["Ankara, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5894-1374","authenticated-orcid":false,"given":"Mehmet Kenan","family":"Nahya","sequence":"additional","affiliation":[{"name":"\u015eanl\u0131urfa Training and Research Hospital","place":["\u015eanl\u0131urfa, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1721-8448","authenticated-orcid":false,"given":"Ertu\u011frul","family":"Dedeo\u011flu","sequence":"additional","affiliation":[{"name":"\u015eanl\u0131urfa Training and Research Hospital","place":["\u015eanl\u0131urfa, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4644-2759","authenticated-orcid":false,"given":"Mesut","family":"Saka","sequence":"additional","affiliation":[{"name":"U\u015fak University","place":["U\u015fak, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9703-7947","authenticated-orcid":false,"given":"Mehmet Emin","family":"Parlak","sequence":"additional","affiliation":[{"name":"University of Health Sciences","place":["Mersin, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4964-5830","authenticated-orcid":false,"given":"Aylin","family":"Akt\u0131","sequence":"additional","affiliation":[{"name":"Istanbul University","place":["Istanbul, Turkey"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1542\/hpeds.2015-0254","article-title":"Hospital admission and emergency department utilization in an infant medicaid population","volume":"6","author":"Paul DA","year":"2016","journal-title":"Hosp Pediatr"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1071\/AH10922","article-title":"What is a health emergency? The difference in definition and understanding between patients and health professionals","volume":"35","author":"Morgans A","year":"2011","journal-title":"Aust Health Rev"},{"issue":"S 01","key":"ref3","doi-asserted-by":"crossref","first-page":"e494","DOI":"10.1055\/a-1905-5245","article-title":"Trends in procedures in the neonatal intensive care unit","volume":"41","author":"Sammour I","year":"2024","journal-title":"Am J Perinatol"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1007\/s12519-017-0101-y","article-title":"Trend and causes of neonatal mortality in a level III children\u2019s hospital in Shanghai: a 15-year retrospective study","volume":"14","author":"Wang XL","year":"2018","journal-title":"World J Pediatr"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1097\/01.pec.0000236830.39194.c0","article-title":"Epidemiology of a pediatric emergency medicine research network: the PECARN Core Data Project","volume":"22","author":"Alpern ER","year":"2006","journal-title":"Pediatr Emerg Care"},{"issue":"2","key":"ref6","first-page":"49","article-title":"Problems of neonates admitted to the emergency department","volume":"5","author":"Atici A","year":"1996","journal-title":"Turkiye Klinikleri J Pediatr"},{"issue":"1","key":"ref7","first-page":"7","article-title":"Retrospective evaluation of 624 neonates admitted to the pediatric emergency department","volume":"11","author":"Bozlu G","year":"2018","journal-title":"Mersin Univ Saglik Bilim Derg"},{"issue":"1","key":"ref8","first-page":"32","article-title":"Evaluation of neonatal profile presenting to the pediatric emergency department","volume":"7","author":"Simsek Pervane S","year":"2024","journal-title":"Anatolian J Emerg Med"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ajem.2024.10.041","article-title":"Neonatal presentations in the pediatric emergency department: a decade-long retrospective analysis","volume":"87","author":"Rhinehart B","year":"2025","journal-title":"Am J Emerg Med"},{"issue":"3","key":"ref10","doi-asserted-by":"crossref","first-page":"291","DOI":"10.4274\/forbes.galenos.2022.73644","article-title":"Emergency room admission for newborns: how many are really urgent?","volume":"3","author":"Gunes S","year":"2022","journal-title":"Forbes J Med"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"e000687","DOI":"10.1136\/bmjpo-2020-000687","article-title":"Management of children visiting the emergency department during out-of-office hours: an observational study","volume":"4","author":"Schinkelshoek G","year":"2020","journal-title":"BMJ Paediatr Open"},{"issue":"3","key":"ref12","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","author":"Millar KR","year":"2000","journal-title":"Pediatr Emerg Care"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302026000902213&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:39:10Z","timestamp":1791196750000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302026000902213&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026]]}},"alternative-id":["S0104-42302026000902213"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20260588","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e20260588"}}