Abstract
Amaç: Yenidoğan bebekler silik yakınmaları nedeniyle hastalıkları gözden kaçabilen bazense hasta olmadıkları halde çeşitli yakınmaları nedeniyle hasta sanılabilen hassas bir popülasyondur. Uygun koşullarda ve uzman hekim tarafından muayenesi gereken bu grubun çocuk acil servisine başvurmaları tercih edilmemekle beraber bu durumla sık karşılaşılmaktadır. Bu çalışmadayenidoğanların çocuk acil servise başvuru şekillerinin incelenmesi amaçlanmıştır. Başvuru yakınmaları, alınan tetkikler ve taburculuk
bilgileri değerlendirilmiştir.
Gereç ve Yöntem: Ocak 2020 ile Eylül 2023 arasında Çocuk Acil Servisi’ne herhangi bir yakınma ile getirilen 0-28 günlük bebekler hastane veritabanından retrospektif olarak incelenmiştir.
Bulgular: Çalışma süresince çocuk acil servise başvuran toplam 228 yenidoğan bebek incelenmiştir. Bunların içinde en sık başvuruyu 4-7 günlük bebekler oluşturmaktadır. En sık başvuru yakınması sarılık olarak saptanmış, bunu huzursuzluk ve göbek ilişkili yakınmalar takip etmiştir. Bebeklerin çoğunluğundan kan tetkiki istenmiş ve en sık kan istenme endikasyonu sarılık olarak belirlenmiştir. Acile başvuran bebeklerin 198’i (%86,8) taburcu edilirken 30’una (%13,2) yatış gerekmiştir. Bebeklerin yaklaşık onda birinde acil servise tekrarlayan başvuru saptanmıştır.
Sonuç: Yenidoğanların acil servise en sık başvuru şikayetlerini sarılık, huzursuzluk, göbek ilişkili yakınmalar, uyanmama, ateş, kusma, öksürük ve burun tıkanıklığı oluşturmaktadır. 17 hastaya 1.basamak yenidoğan yoğun bakım ünitesine yatış verilmiş, 13 hastaise ileri tetkik ve tedavi amacıyla tam teşekküllü hastaneye
yönlendirilmiştir.
Keywords
References
- American Academy of Pediatrics Textbook of Pediatric Care. McInerny TK, Adam HM, Campbell DE, DeWitt TG, Foy JM, Kamat DM, et al.,editors: American Academy of Pediatrics; 2016.
- Scott E, Downs S, Pottenger A, Saysana M. Quality improvement learning collaborative improves timely newborn follow-up appointments. The Joint Commission Journal on Quality and Patient Safety. 2019;45(12):808-13.
- Feinberg AN, McAllister DG, Majumdar S. Does making newborn follow-up appointments from the hospital improve compliance? Journal of perinatology. 2004;24(10):645-9.
- Harrold J, Langevin M, Barrowman N, Sprague AE, Fell DB, Moreau KA, et al. Parental characteristics and perspectives pertaining to neonatal visits to the emergency department: a multicentre survey. Canadian Medical Association Open Access Journal. 2018;6(3):E423-E9.
- 5. Millar KR, Gloor JE, Wellington N, Joubert GI. Early neonatal presentations to the pediatric emergency department. Pediatr EmergCare 2000;16(3):145-150.
- Perry AM, Caviness AC, Allen JY. Characteristics and diagnoses of neonates who revisit a pediatric emergency center. Pediatric Emergency Care. 2013;29(1):58-62.
- Roca G, MI MR, MI PC, editors. Satisfaction survey on hospital care after birth and follow-up at discharge of the healthy newborn. Anales de Pediatria; 2021.
- Ferreira H, Ferreira C, Tavares C, Aguiar I. Why are newborns brought to the emergency department? Pediatric Emergency Care. 2018;34(12):883-7.
- Turan C, Keskin G, Turan B, Yurtseven A, Saz EU. A Prospective Investigation of Factors Influencing Neonatal Visits to a Tertiary Emergency Department. Turkish Archives of Pediatrics. 2021;56(4):386.
- Batu ED, Yeni S, Teksam O. The factors affecting neonatal presentations to the pediatric emergency department. The Journal of emergency medicine. 2015;48(5):542-7.
- Bozlu G, Sağcan MF, Çelik Y, Kuyucu N. Çocuk acil servisine getirilen 624 yenidoğanın geriye dönük olarak değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2018;11(1):7-12.
- Güneş S, Şahin S, Koyuncu Arslan M, Karaca Dağ Ö, Anıl M. Acil Servise Başvuran Yenidoğan Bebekler: Ne Kadarı Gerçekten Acil? Forbes Journal of Medicine. 2022;3(3).
- Droz N, Chaleard J, Laurent M, Mandelbrot L, Cojocaru B. Newborn in paediatric emergency departments. Soins Pediatrie, Puericulture. 2018;39(303):32-7
- Kirkpatrick LA. A simple guide to IBM SPSS Statistics-Version 23.0: Cengage Learning; 2015.
- Danielsen B, Castles AG, Damberg CL, Gould JB. Newborndischargetimingandreadmissions: California, 1992-1995. Pediatrics 2000;106(1 Pt 1):31-39.
- Blakey S, Lyttle MD, Magnus D. Neonatal presentations to the children’s emergency department. medRxiv. 2020:2020.09. 07.20190140.
- Ung S, Woolfenden S, Holdgate A, Lee M, Leung M. Neonatal presentations to a mixed emergency department. Journal of paediatrics and child health. 2007;43(1‐2):25-28.
- Schulman J, Braun D, Lee HC, et al. Association between neonatal intensive care unit admission rates and illness acuity. JAMA pediatrics. 2018;172(1):17-23.
Abstract
Aim: Newborn babies are a sensitive population whose diseases may be overlooked due to their faint complaints and sometimes they may be thought to be sick due to various complaints although they are not sick. Although it is not preferred that this group, which should be examined under appropriate conditions and by a specialist physician, present to the pediatric emergency department, this situation is frequently encountered. The aim of this study was to investigate the presentation patterns of newborns to the pediatric emergency department. Presenting complaints, investigations and discharge information were evaluated.
Material and Methods: Infants aged 0-28 days who were brought to the Pediatric Emergency Department with any complaint between January 2020 and September 2023 were retrospectively analyzed from the hospital database.
Results: A total of 228 newborn babies admitted to the pediatric emergency department during the study period were examined. Among these, 4-7 days old infants were the most frequently admitted infants. The most common presenting complaint was jaundice, followed by restlessness and umbilical complaints. Blood tests were requested from the majority of the babies and the most common indication for blood tests was jaundice. While 198 (86.8%) of the babies admitted to the emergency department were discharged, 30 (13.2%) required hospitalization. Repeated admission to the emergency department was found in approximately one tenth of the infants.
Conclusion: The most common complaints of neonates admitted to the emergency department were jaundice, restlessness, umbilical complaints, not waking up, fever, vomiting, cough and nasal congestion. 17 patients were admitted to the first level neonatal intensive care unit and 13 patients were referred to a full-fledged hospital for further investigation and treatment.
References
- American Academy of Pediatrics Textbook of Pediatric Care. McInerny TK, Adam HM, Campbell DE, DeWitt TG, Foy JM, Kamat DM, et al.,editors: American Academy of Pediatrics; 2016.
- Scott E, Downs S, Pottenger A, Saysana M. Quality improvement learning collaborative improves timely newborn follow-up appointments. The Joint Commission Journal on Quality and Patient Safety. 2019;45(12):808-13.
- Feinberg AN, McAllister DG, Majumdar S. Does making newborn follow-up appointments from the hospital improve compliance? Journal of perinatology. 2004;24(10):645-9.
- Harrold J, Langevin M, Barrowman N, Sprague AE, Fell DB, Moreau KA, et al. Parental characteristics and perspectives pertaining to neonatal visits to the emergency department: a multicentre survey. Canadian Medical Association Open Access Journal. 2018;6(3):E423-E9.
- 5. Millar KR, Gloor JE, Wellington N, Joubert GI. Early neonatal presentations to the pediatric emergency department. Pediatr EmergCare 2000;16(3):145-150.
- Perry AM, Caviness AC, Allen JY. Characteristics and diagnoses of neonates who revisit a pediatric emergency center. Pediatric Emergency Care. 2013;29(1):58-62.
- Roca G, MI MR, MI PC, editors. Satisfaction survey on hospital care after birth and follow-up at discharge of the healthy newborn. Anales de Pediatria; 2021.
- Ferreira H, Ferreira C, Tavares C, Aguiar I. Why are newborns brought to the emergency department? Pediatric Emergency Care. 2018;34(12):883-7.
- Turan C, Keskin G, Turan B, Yurtseven A, Saz EU. A Prospective Investigation of Factors Influencing Neonatal Visits to a Tertiary Emergency Department. Turkish Archives of Pediatrics. 2021;56(4):386.
- Batu ED, Yeni S, Teksam O. The factors affecting neonatal presentations to the pediatric emergency department. The Journal of emergency medicine. 2015;48(5):542-7.
- Bozlu G, Sağcan MF, Çelik Y, Kuyucu N. Çocuk acil servisine getirilen 624 yenidoğanın geriye dönük olarak değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2018;11(1):7-12.
- Güneş S, Şahin S, Koyuncu Arslan M, Karaca Dağ Ö, Anıl M. Acil Servise Başvuran Yenidoğan Bebekler: Ne Kadarı Gerçekten Acil? Forbes Journal of Medicine. 2022;3(3).
- Droz N, Chaleard J, Laurent M, Mandelbrot L, Cojocaru B. Newborn in paediatric emergency departments. Soins Pediatrie, Puericulture. 2018;39(303):32-7
- Kirkpatrick LA. A simple guide to IBM SPSS Statistics-Version 23.0: Cengage Learning; 2015.
- Danielsen B, Castles AG, Damberg CL, Gould JB. Newborndischargetimingandreadmissions: California, 1992-1995. Pediatrics 2000;106(1 Pt 1):31-39.
- Blakey S, Lyttle MD, Magnus D. Neonatal presentations to the children’s emergency department. medRxiv. 2020:2020.09. 07.20190140.
- Ung S, Woolfenden S, Holdgate A, Lee M, Leung M. Neonatal presentations to a mixed emergency department. Journal of paediatrics and child health. 2007;43(1‐2):25-28.
- Schulman J, Braun D, Lee HC, et al. Association between neonatal intensive care unit admission rates and illness acuity. JAMA pediatrics. 2018;172(1):17-23.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Emergency Medicine |
| Journal Section | Original Articles |
| Authors | |
| Early Pub Date | April 3, 2024 |
| Publication Date | March 31, 2024 |
| Submission Date | November 26, 2023 |
| Acceptance Date | March 14, 2024 |
| Published in Issue | Year 2024 Volume: 7 Issue: 1 |
