全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...

Number of Siblings, Parental Age, and Return Visit to Pediatrics Emergency Department Security Forces Hospital-Riyadh-Saudi Arabia

DOI: 10.4236/ojped.2025.153039, PP. 414-424

Keywords: Revisit, Return Visit, Pediatrics, Emergency, Siblings, Parenteral Age

Full-Text   Cite this paper   Add to My Lib

Abstract:

Overcrowding in the emergency department (ED) affects the quality of care and impaired decision-making, which results in poor outcomes and increased patient morbidity and mortality. EDs in Saudi Arabia face the problems above, and the literature suggests that nonemergent patients can contribute to significant delays in Eds. This is a one-center, retrospective, cross-sectional study aimed at understanding the factors influencing revisits of children, aged one year and below to the emergency department. The study was conducted in Pediatrics Emergency at the Security Forces Hospital in Riyadh from February 2024 to August 2024. A total of 380 patients were seen in pediatrics Emergency as a revisiting visit. The mean age of the study population was 6.0211 (Std.Deviation 3.43951). In the study group, males comprised 201 (52.9%) patients, and females comprised 179 (47.1%) patients. Age distribution showed patients less than three months old were 88 (23.2%), and 3 to 12 months old were 292 (76.8%). Mothers of age less than 25 years old were 38 (10%) mothers, 25 to 35 years old were 207 (54.5%) mothers and more than 35 years old were 88 (23.2%) mothers. There is missing data regarding the mother’s age in 47 (12.4%). Fathers of age less than 25 years old were 9 (2.4%) fathers, 25 to 35 years old were 178 (46.8%) fathers and more than 35 years old were 156 (41.1%) fathers. The father’s age was missing in 37 (9.7%). Regarding sibling distribution, results showed zero to one sibling in 220 (57.9%) families, 2 to 5 siblings in 135 (35.5%), and more than five siblings in 25 (6.6%) families. In conclusion, our study showed that small families and younger parents had more frequent return visits to the emergency department despite the statistically insignificant p-value.

References

[1]  Lee, I., Chen, C., Lee, Y., Hsu, Y., Lu, C., Huang, H., et al. (2017) A New Strategy for Emergency Department Crowding: High-Turnover Utility Bed Intervention. Journal of the Chinese Medical Association, 80, 297-302.
https://doi.org/10.1016/j.jcma.2016.11.002
[2]  George, F. and Evridiki, K. (2015) The Effect of Emergency Department Crowding on Patient Outcomes. Health Science Journal, 9, 1.‏
[3]  Abolfotouh, M.A., Al-Assiri, M.H., Alshahrani, R.T., Almutairi, Z.M., Hijazi, R.A. and Alaskar, A.S. (2016) Predictors of Patient Satisfaction in an Emergency Care Centre in Central Saudi Arabia: A Prospective Study. Emergency Medicine Journal, 34, 27-33.
https://doi.org/10.1136/emermed-2015-204954
[4]  Mirhaghi, A., Heydari, A., Ebrahimi, M. and Noghani Dokht Bahmani, M. (2016) Nonemergent Patients in the Emergency Department: An Ethnographic Study. Trauma Monthly, 21, e23260.
https://doi.org/10.5812/traumamon.23260
[5]  de Vos-Kerkhof, E., Geurts, D.H.F., Steyerberg, E.W., Lakhanpaul, M., Moll, H.A. and Oostenbrink, R. (2018) Characteristics of Revisits of Children at Risk for Serious Infections in Pediatric Emergency Care. European Journal of Pediatrics, 177, 617-624.
https://doi.org/10.1007/s00431-018-3095-0
[6]  Kilicaslan, O. (2017) Short Term Unscheduled Revisits to Paediatric Emergency Department—A Six Year Data. Journal of Clinical and Diagnostic Research, 11, SC12.
https://doi.org/10.7860/jcdr/2017/25098.9484
[7]  Goh, G., Huang, P., Kong, M., Chew, S. and Ganapathy, S. (2015) Unplanned Reattendances at the Paediatric Emergency Department within 72 Hours: A One-Year Experience in KKH. Singapore Medical Journal, 57, 307-313.
https://doi.org/10.11622/smedj.2016105
[8]  Van den Bruel, A., Haj-Hassan, T., Thompson, M., Buntinx, F. and Mant, D. (2010) Diagnostic Value of Clinical Features at Presentation to Identify Serious Infection in Children in Developed Countries: A Systematic Review. The Lancet, 375, 834-845.
https://doi.org/10.1016/s0140-6736(09)62000-6
[9]  Hutchinson, C.L., McCloughen, A. and Curtis, K. (2019) Incidence, Characteristics and Outcomes of Patients That Return to Emergency Departments. An Integrative Review. Australasian Emergency Care, 22, 47-68.
https://doi.org/10.1016/j.auec.2018.12.003
[10]  Erenler, A.K., Akbulut, S., Guzel, M., Cetinkaya, H., Karaca, A., Turkoz, B., et al. (2014) Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Turkish Journal of Emergency Medicine, 14, 59-63.
https://doi.org/10.5505/1304.7361.2014.48802
[11]  Kilicaslan, O., et al. (2017) Short Term Unscheduled Revisits to Paediatric Emergency Department—A Six Year Data. Journal of Clinical and Diagnostic Research, 11, sc12-sc5.
https://doi.org/10.7860/jcdr/2017/25098.9484
[12]  Bardach, N.S., Vittinghoff, E., Asteria-Peñaloza, R., Edwards, J.D., Yazdany, J., Lee, H.C., et al. (2013) Measuring Hospital Quality Using Pediatric Readmission and Revisit Rates. Pediatrics, 132, 429-436.
https://doi.org/10.1542/peds.2012-3527
[13]  Abualenain, J., Frohna, W.J., Smith, M., Pipkin, M., Webb, C., Milzman, D., et al. (2013) The Prevalence of Quality Issues and Adverse Outcomes among 72-Hour Return Admissions in the Emergency Department. The Journal of Emergency Medicine, 45, 281-288.
https://doi.org/10.1016/j.jemermed.2012.11.012
[14]  Wu, C., Wang, F., Chiang, Y., Chiu, Y., Lin, T., Fu, L., et al. (2010) Unplanned Emergency Department Revisits within 72 Hours to a Secondary Teaching Referral Hospital in Taiwan Region. The Journal of Emergency Medicine, 38, 512-517.
https://doi.org/10.1016/j.jemermed.2008.03.039
[15]  Ahmed, A.E., AlBuraikan, D.A., Almazroa, H.R., Alrajhi, M.N., ALMuqbil, B.I., Albaijan, M.A., et al. (2018) Seventy-Two-Hour Emergency Department Revisits among Adults with Chronic Diseases: A Saudi Arabian Study. Therapeutics and Clinical Risk Management, 14, 1423.
[16]  White, D., Kaplan, L. and Eddy, L. (2011) Characteristics of Patients Who Return to the Emergency Department within 72 Hours in One Community Hospital. Advanced Emergency Nursing Journal, 33, 344-353.
https://doi.org/10.1097/tme.0b013e31823438d6
[17]  Cheng, S., Wang, H., Lee, C., Tsai, T., Hung, C. and Wu, K. (2013) The Characteristics and Prognostic Predictors of Unplanned Hospital Admission within 72 Hours after ED Discharge. The American Journal of Emergency Medicine, 31, 1490-1494.
https://doi.org/10.1016/j.ajem.2013.08.004
[18]  Rising, K.L., Padrez, K.A., O’Brien, M., Hollander, J.E., Carr, B.G. and Shea, J.A. (2015) Return Visits to the Emergency Department: The Patient Perspective. Annals of Emergency Medicine, 65, 377-386.e3.
https://doi.org/10.1016/j.annemergmed.2014.07.015
[19]  Morris, S.D., et al. (2020) Patterns of Pediatric Emergency Visits: A Comprehensive Review. Pediatric Emergency Care, 36, 412-417.
[20]  Borland, M.L., Dunne, N. and Jones, J. (2019) Gender Differences in Pediatric Emergency Visits. Emergency Medicine Journal, 36, 625-629.
[21]  Tsai, Y.-H., et al. (2021) Impact of Age on Pediatric Emergency Department Utilization. World Journal of Pediatrics, 17, 567-577.
[22]  Eksi, M.A. and Tekin, D. (2021) Unscheduled Revisits within 24 Hours to the Pediatric Emergency Department: A First Single-Center Prospective Study in Turkey. Anatolian Journal of Emergency Medicine, 4, 49-54.
[23]  Williams, S. and Chen, C. (2022) The Influence of Maternal Age on Pediatric Health Outcomes. Maternal and Child Health Journal, 26, 559-565.
[24]  Woods, B., et al. (2020) Validity of Pediatric Emergency Visits: Assessing the Need for Improvement. Journal of Pediatric Health Care, 34, 435-440.
[25]  Ahmed, K. and Smith, J. (2023) Improving Data Collection in Pediatric Health Research. Journal of Pediatrics, 198, 456-464.
[26]  Kirk, S.A. and Morrison, H. (2023) The Role of Siblings in Child Health: A Review. Child: Care, Health and Development, 49, 151-158.
[27]  El-Ghoroury, N.H., et al. (2021) Follow-Up after Emergency Department Visits: Importance and Challenges. Annals of Emergency Medicine, 77, 734-742.
[28]  Levine, D.A., et al. (2019) Factors Associated with Pediatric Emergency Department Visits: A National Study. Pediatrics, 143, e20182536.
[29]  National Center for Health Statistics (2022) Births: Final Data for 2021. National Vital Statistics Reports, 71(1).
[30]  Jamjoom, M., Milibari, B.B., Altirkistani, B.A., Alharbi, A.M., Shesha, F.S., Alqurashi, A.S.A., et al. (2025) Why Come Back? 72 Hours Revisits in a Tertiary Care Emergency Department in Saudi Arabia.
https://doi.org/10.21203/rs.3.rs-6195483/v1
[31]  Hoffman, H.D., et al. (2018) Understanding Parental Decision-Making for Pediatric Emergency Care. Pediatrics, 142, e20172770.
[32]  Hsia, R.Y., Mannix, R.C., Guo, J., Kornblith, A.E., Lin, F., Sokolove, P.E. and Manley, G.T. (2020) Revisits, Readmissions, and Outcomes for Pediatric Traumatic Brain Injury in California, 2005-2014. PLOS ONE, 15, e0227981.
https://doi.org/10.1371/journal.pone.0227981

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133