Inadecuación de la urgencia pediátrica hospitalaria y sus factores asociados

  1. Ángela María Ortega Benitez
  2. José Ángel Rodríguez Gómez 1
  3. Maria Mercedes Novo Muñoz 1
  4. Natalia Rodríguez Novo 1
  5. Yurena María Rodríguez Novo 1
  6. Armando Aguirre Jaime 2
  1. 1 Universidad de La Laguna
    info

    Universidad de La Laguna

    San Cristobal de La Laguna, España

    ROR https://ror.org/01r9z8p25

  2. 2 Universidad Europea de Canarias
    info

    Universidad Europea de Canarias

    Orotava, España

    ROR https://ror.org/051xcrt66

Journal:
ENE Revista de Enfermería

ISSN: 1988-348X

Year of publication: 2019

Issue: 13

Pages: 4

Type: Article

Author's full text: lock_openOpen access editor

Abstract

Study motivated by suspicion of improper use of pediatric emergencies. An operational definition of the inadequate visit to a hospital pediatric emergency service Is proposed. The objective is to check the consistency of this definition and to identify the factors associated with this inadequate demand. Descriptive transversal Study carried out in the Emergency Department of the University Hospital NS Candelaria of Tenerife with data extracted from the stories of the service and interview with the children's companions. In Order to Verify the consistency of the operational definition of inadequate visitation that is proposed, the sample is contrasted with the incomes and highs at home that occur among the children cared for, the diagnostic tests that were performed and the treatments that are subdued. The factors that are postulated as associated with the inadequacy of the visit are the socio-economic of the Companions of the minor, his perception of gravity.

Bibliographic References

  • De Tina A, Quattrin R, Montina L, Brusaferro S. Paediatric emergency department utilisation: is it necessary an educational intervention? Ig Sanita Pubbl. 2014 Mar-Apr;70(2):141-50.
  • Benahmed N, Laokri S, Zhang WH, Verhaeghe N, Trybou J, Cohen L, De Wever A, Alexander S. Determinants of nonurgent use of the emergency department for pediatric patients in 12 hospitals in Belgium. Eur J Pediatr. 2012 Dec;171(12):1829-37.
  • Kua PH, Wu L, Ong EL, Lim ZY, Yiew JL, Thia XH, Sung SC. Understanding decisions leading to nonurgent visits to the paediatric emergency department: caregivers' perspectives. Sing Med J. 2016 Jun;57(6):314-9. Epub 2016 Jan 25.
  • Gafforini S, Turbitt E, Freed GL. Lower urgency paediatric injuries: Parent preferences for emergency department or general practicioner care. Emerg Med Australas 2016 Oct;28(5):564-8. Epub 2016 Jul 31.
  • de Vos-Kerkhof E, Geurts DH, Wiggers M, Moll HA, Oostenbrink R. Tools for 'safety netting' in common paediatric illnesses: a systematic review in emergency care. Arch Dis Child 2016 Feb; 101(2):131-9. Epub 2015 Jul 10. doi: 10.1136/archdischild-2014-306953.
  • Singhal A, Caplan DJ, Jones MP, Kuthy RA, Momany ET, Buresh CT, Damiano PC. Parental perceptions of avoidability of their child's emergency department visit. Emerg Med J 2016 May; 33(5):313-8. Epub 2015 Aug 6. doi: 10.1136/ emermed-2015-204790.
  • Encuesta de Ingresos y Condiciones de Vida de los Hogares Canarios. ISTAC, 2015. http://www.- gobiernodecanarias.org/istac/temas_estadisticos/ (último acceso 24 julio 2017).
  • Guerrero Guerra J.L., Carrión Martinez A., Moreno Pardo F., Blanch González R., Vilches Arenas A. Adecuación de ingresos y estancias sucesivas en el área de observación de urgencias en un Hospital de Nivel I. Papeles Médicos 2010; 19(3).
  • Loría-Castellanos J, Flores-Maciel L, MárquezÁvila G, Valladares-Aranda MA. Frecuencia y factores asociados con el uso inadecuado de la consulta de urgencias de un hospital. Cirugía y Cirujanos 2010; 78:508-14.
  • Serrano Poveda ME, Vázquez Fernández ME, Núñez Jiménez C. ¿Si es urgente para tí, es urgente para mí? Curso de Actualización Pediatría. Lúa Ediciones: Madrid, 2015. p. 215-19.
  • Longhi R, Picchi R, Minasi D, DiCesare-Merlone A. Paediatric emergency room activities in Italy: A national survey. Ital J Paeditr 2015 Oct;41(10): 77-81.
  • Quizamán Martínez R, Neri Moreno MC. Padecimientos más frecuentemente atendidos en el Servicio de Urgencias Pediátricas en un hospital de tercer nivel. Rev Fac Med UNAM 2008; 51:5-10.
  • Fernández Castillo A, Vílchez-Lara MJ. La ansiedad y su asociación con elementos de funcionamiento familiar en los padres de niños atendidos en servicios de urgencias pediátricos andaluces. Emergencias 2016; 28:239-42.