Neonatal presentations to the paediatric emergency department in Singapore
Introduction: This study aimed to characterise neonatal paediatric emergency department (PED) visits, analyse the main paediatric illnesses and establish associations of these demographics with the readmission rates and severity of their presentation. Methods: A retrospective analysis of neonates (a...
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| Format: | Journal Article |
| Jezik: | English |
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2023
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| Online pristup: | https://hdl.handle.net/10356/169410 |
| _version_ | 1826126401340702720 |
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| author | Lim, Vanessa Jia Mei James, Vigil Yeo, Edwin Yong Jie Low, Yi Mei Chew, Yi Rong Ganapathy, Sashikumar |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Lim, Vanessa Jia Mei James, Vigil Yeo, Edwin Yong Jie Low, Yi Mei Chew, Yi Rong Ganapathy, Sashikumar |
| author_sort | Lim, Vanessa Jia Mei |
| collection | NTU |
| description | Introduction: This study aimed to characterise neonatal paediatric emergency department (PED) visits, analyse the main paediatric illnesses and establish associations of these demographics with the readmission rates and severity of their presentation. Methods: A retrospective analysis of neonates (aged <28 days) presenting to the PEDs of our hospital over seven months was performed. Associations between the clinical and demographic data of admissions to the PED and inpatient admissions were analysed. Results: In total, 1,200 neonates presented during the study period, 79.4% of whom presented at less than 15 days since birth. Length of stay in the PED was less than four hours for 94.0% of the neonates. Predominant triage categories comprised non-P1 cases (97.5%). The main diagnoses at the PED were neonatal jaundice (NNJ; 66.8%) and neonatal pyrexia (NNP; 14.6%), which corresponded to the main diagnoses upon discharge from the hospital: NNJ (68.4%) and NNP (19.6%). 48.2% of neonates were referred from polyclinics or other clinics. 57.7% of the neonates were admitted. Interestingly, 87.0% of the well babies who presented to the emergency department were brought in owing to parental concerns by the parents themselves, without prior consultation with the doctor. Conclusion: Outpatient management of NNJ can be considered. Caregivers should be provided better education regarding normal physiological characteristics of newborns through standardised educational materials. Other potential avenues for parents to seek medical advice, for example hotlines and ChatBots such as the recently piloted 'Urgent Paediatric Advice Line' online service, should be considered. |
| first_indexed | 2024-10-01T06:52:04Z |
| format | Journal Article |
| id | ntu-10356/169410 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T06:52:04Z |
| publishDate | 2023 |
| record_format | dspace |
| spelling | ntu-10356/1694102023-07-23T15:37:57Z Neonatal presentations to the paediatric emergency department in Singapore Lim, Vanessa Jia Mei James, Vigil Yeo, Edwin Yong Jie Low, Yi Mei Chew, Yi Rong Ganapathy, Sashikumar Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Emergency Neonates Introduction: This study aimed to characterise neonatal paediatric emergency department (PED) visits, analyse the main paediatric illnesses and establish associations of these demographics with the readmission rates and severity of their presentation. Methods: A retrospective analysis of neonates (aged <28 days) presenting to the PEDs of our hospital over seven months was performed. Associations between the clinical and demographic data of admissions to the PED and inpatient admissions were analysed. Results: In total, 1,200 neonates presented during the study period, 79.4% of whom presented at less than 15 days since birth. Length of stay in the PED was less than four hours for 94.0% of the neonates. Predominant triage categories comprised non-P1 cases (97.5%). The main diagnoses at the PED were neonatal jaundice (NNJ; 66.8%) and neonatal pyrexia (NNP; 14.6%), which corresponded to the main diagnoses upon discharge from the hospital: NNJ (68.4%) and NNP (19.6%). 48.2% of neonates were referred from polyclinics or other clinics. 57.7% of the neonates were admitted. Interestingly, 87.0% of the well babies who presented to the emergency department were brought in owing to parental concerns by the parents themselves, without prior consultation with the doctor. Conclusion: Outpatient management of NNJ can be considered. Caregivers should be provided better education regarding normal physiological characteristics of newborns through standardised educational materials. Other potential avenues for parents to seek medical advice, for example hotlines and ChatBots such as the recently piloted 'Urgent Paediatric Advice Line' online service, should be considered. Published version 2023-07-18T02:05:06Z 2023-07-18T02:05:06Z 2022 Journal Article Lim, V. J. M., James, V., Yeo, E. Y. J., Low, Y. M., Chew, Y. R. & Ganapathy, S. (2022). Neonatal presentations to the paediatric emergency department in Singapore. Singapore Medical Journal, 63(11), 667-673. https://dx.doi.org/10.11622/smedj.2021160 0037-5675 https://hdl.handle.net/10356/169410 10.11622/smedj.2021160 34628784 2-s2.0-85144635774 11 63 667 673 en Singapore Medical Journal © 2022 Singapore Medical Journal. Published by Wolters Kluwer - Medknow. This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. application/pdf |
| spellingShingle | Science::Medicine Emergency Neonates Lim, Vanessa Jia Mei James, Vigil Yeo, Edwin Yong Jie Low, Yi Mei Chew, Yi Rong Ganapathy, Sashikumar Neonatal presentations to the paediatric emergency department in Singapore |
| title | Neonatal presentations to the paediatric emergency department in Singapore |
| title_full | Neonatal presentations to the paediatric emergency department in Singapore |
| title_fullStr | Neonatal presentations to the paediatric emergency department in Singapore |
| title_full_unstemmed | Neonatal presentations to the paediatric emergency department in Singapore |
| title_short | Neonatal presentations to the paediatric emergency department in Singapore |
| title_sort | neonatal presentations to the paediatric emergency department in singapore |
| topic | Science::Medicine Emergency Neonates |
| url | https://hdl.handle.net/10356/169410 |
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