Investigation of Causes of Emergency Service Admission and Triage of the Newborn

Esra Çevik; Gamze Erdoğan

Article Details

Investigation of Causes of Emergency Service Admission and Triage of the Newborn

Authors:

Esra Çevik | Gamze Erdoğan

Publisher:

Balıkesir University

Main Topics:

Ebelik (Diğer)

Journal:

Balıkesir Sağlık Bilimleri Dergisi Vol.13 Issue 3, pp.595-603

Document Type:

Article

Publication Date:

12/2024

Document Language:

English

Document ID (Org No.):

2001335254

pISSN:

2146-9601

Keywords:

Abstract:

 Objective: This study aimed to investigate the reasons for the emergency admission of the newborn. Materials and Methods: This study was conducted on the records of newborns aged 0-28 days n4212 admitted to the pediatric emergency department of a public hospital between 01.01.2020-31.12.2022. The analyses were performed using the SPSS 26.0 program. Descriptive data were presented as numbers, percentages, and mean, and categorical data were evaluated using the chi-square test. Significance level p0.05 was accepted. Results: 28.9 n1217 of the applications were in 2020, 36.7 n1545 in 2021, and 34.4 n1450 in 2022. The number of applications increased in the fall months, and the most common diagnoses were healthy baby examinations and jaundice. Looking at the number of admissions over the years, it was determined that the number of 1-7-day admissions was higher in 2021 χ210.470, p0.005, healthy infant examination showed a significant difference, jaundice was low in 2020, and admissions with restlessness and agitation increased in 2022 χ2222.467, p0.000. According to triage levels, it is seen that there are generally T3 applicants who receive a yellow area. In 2022, yellow area T2 applications increased, green area decreased in 2021, yellow area T3 increased in 2021 χ294.526; p0.000, hospitalizations increased χ250.029, p0.000, and deaths were high in 2020 χ27.388, p0.025. Conclusion: Newborns use pediatric emergency departments significantly, and admissions increase, especially in the fall season. Admissions are generally more frequent due to healthy baby examinations and jaundice.

 Objective: This study aimed to investigate the reasons for the emergency admission of the newborn. Materials and Methods: This study was conducted on the records of newborns aged 0-28 days n4212 admitted to the pediatric emergency department of a public hospital between 01.01.2020-31.12.2022. The analyses were performed using the SPSS 26.0 program. Descriptive data were presented as numbers, percentages, and mean, and categorical data were evaluated using the chi-square test. Significance level p0.05 was accepted. Results: 28.9 n1217 of the applications were in 2020, 36.7 n1545 in 2021, and 34.4 n1450 in 2022. The number of applications increased in the fall months, and the most common diagnoses were healthy baby examinations and jaundice. Looking at the number of admissions over the years, it was determined that the number of 1-7-day admissions was higher in 2021 χ210.470, p0.005, healthy infant examination showed a significant difference, jaundice was low in 2020, and admissions with restlessness and agitation increased in 2022 χ2222.467, p0.000. According to triage levels, it is seen that there are generally T3 applicants who receive a yellow area. In 2022, yellow area T2 applications increased, green area decreased in 2021, yellow area T3 increased in 2021 χ294.526; p0.000, hospitalizations increased χ250.029, p0.000, and deaths were high in 2020 χ27.388, p0.025. Conclusion: Newborns use pediatric emergency departments significantly, and admissions increase, especially in the fall season. Admissions are generally more frequent due to healthy baby examinations and jaundice.

 Objective: This study aimed to investigate the reasons for the emergency admission of the newborn. Materials and Methods: This study was conducted on the records of newborns aged 0-28 days n4212 admitted to the pediatric emergency department of a public hospital between 01.01.2020-31.12.2022. The analyses were performed using the SPSS 26.0 program. Descriptive data were presented as numbers, percentages, and mean, and categorical data were evaluated using the chi-square test. Significance level p0.05 was accepted. Results: 28.9 n1217 of the applications were in 2020, 36.7 n1545 in 2021, and 34.4 n1450 in 2022. The number of applications increased in the fall months, and the most common diagnoses were healthy baby examinations and jaundice. Looking at the number of admissions over the years, it was determined that the number of 1-7-day admissions was higher in 2021 χ210.470, p0.005, healthy infant examination showed a significant difference, jaundice was low in 2020, and admissions with restlessness and agitation increased in 2022 χ2222.467, p0.000. According to triage levels, it is seen that there are generally T3 applicants who receive a yellow area. In 2022, yellow area T2 applications increased, green area decreased in 2021, yellow area T3 increased in 2021 χ294.526; p0.000, hospitalizations increased χ250.029, p0.000, and deaths were high in 2020 χ27.388, p0.025. Conclusion: Newborns use pediatric emergency departments significantly, and admissions increase, especially in the fall season. Admissions are generally more frequent due to healthy baby examinations and jaundice.

 Amaç: Bu çalışmanın amacı yenidoğanın acil başvuru nedenlerinin incelenmesidir. Gereç ve Yöntem: Bu çalışma bir kamu hastanesi çocuk acil servisine 01.01.2020-31.12.2022 tarihleri arasında başvuran 0-28 günlük n4212 yenidoğanların kayıtları üzerinden gerçekleştirilmiştir. Analizler SPSS 26.0 programı kullanılarak, tanımlayıcı veriler sayı, yüzde ortalama ile sunulmuş, kategorik veriler ki kare testi kullanılarak değerlendirilmiştir. Anlamlılık düzeyi p0.05 kabul edilmiştir. Bulgular: Başvuruların 28.9u n1217 2020 yılında, 36.7si n1545 2021 yılında, 34.4ü n1450 2022 yılında olmuştur. Başvurular sonbahar aylarında artış göstermekte, en sık görülen tanıların sağlıklı bebek muayenesi ve sarılık olduğu görülmektedir. Yıllar içinde başvurusu sayısına bakıldığında 2021 yılında 1-7 günlük başvuruların daha fazla olduğu χ210.470, p0.005, sağlıklı bebek muayenesinin anlamlı farklılık gösterdiği, sarılığın ise 2020 yılında düşük olduğu, huzursuzluk, ajitasyon ile başvuruların 2022 yılında arttığı χ2222.467, p0.000 belirlenmiştir. Triyaj düzeylerine göre genellikle Sarı alan T3 başvurusunun olduğu görülmektedir. 2022 yılında sarı alan T2 başvuruların arttığı, yeşil alanın 2021 yılında düştüğü, 2021 yılında sarı alan T3 arttığı χ294.526; p0.000 hastaneye yatışların arttığı χ250.029, p0.000, 2020 yılında ölümlerin yüksek olduğu χ27.388, p0.025, görülmektedir. Sonuç: Yenidoğanlar çocuk acil servislerini önemli ölçüde kullanmakta olup özellikle sonbahar mevsiminde başvurular artmaktadır. Başvurular sağlıklı bebek muayenesi ve sarılık nedeniyle başvurular daha sık olmaktadır.

Article Details

Investigation of Causes of Emergency Service Admission and Triage of the Newborn

Authors:

Esra Çevik | Gamze Erdoğan

Publisher:

Balıkesir University

Main Topics:

Ebelik (Diğer)

Journal:

Balıkesir Sağlık Bilimleri Dergisi Vol.13 Issue 3, pp.595-603

Document Type:

Article

Publication Date:

12/2024

Document Language:

English

Document ID (Org No.):

2001335254

pISSN:

2146-9601

Newborn

Emergency Service

Triage

HospitalizationYenidoğan

Acil Servis

Triyaj

Hastaneye Yatış.

Issues

Article Details

Authors: Esra Çevik | Gamze Erdoğan

Publisher: Balıkesir University

Main Topics: Ebelik (Diğer)

Journal: Balıkesir Sağlık Bilimleri Dergisi Vol.13 Issue 3, pp.595-603

Document Type: Article

Publication Date: 12/2024

Document Language: English

Document ID (Org No.): 2001335254

pISSN: 2146-9601

Issues

Authors:

Esra Çevik | Gamze Erdoğan

Publisher:

Balıkesir University

Main Topics:

Ebelik (Diğer)

Journal:

Balıkesir Sağlık Bilimleri Dergisi Vol.13 Issue 3, pp.595-603

Document Type:

Article

Publication Date:

12/2024

Document Language:

English

Document ID (Org No.):

2001335254

pISSN:

2146-9601