ArticleBMJ paediatrics open2018
Emergency department use by paediatric patients in Lombardy Region, Italy: a population study.
Article in BMJ paediatrics open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characteristics of frequently attending children in hospital emergency departments: a systematic review.BMJ open · 2021Pooled it
- Appropriateness of Pediatric Surgical Consultations From the Emergency Department: A 2-Center Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Digital healthcare interventions to support parents with acutely ill children at home: A systematic review.PLOS digital health · 2025Article
- The Frequent Use of Emergency Departments Among the Pediatric Population: A Retrospective Analysis in Rome, Italy.Epidemiologia (Basel, Switzerland) · 2025Article
- Caregiver alignment with triage acuity levels and drivers for discrepancy between caregiver assessment and triage acuity levels: a cross-sectional questionnaire based study.BMC health services research · 2025Article
- Supporting infants and parents in the perinatal period (SIPP): Co-creating an improved journey.PloS one · 2025Article
- [Retrospective analysis of the resuscitation room management of nontraumatic critically ill children in a university emergency department (OBSERvE-DUS-PED study)].Die Anaesthesiologie · 2024Article
- Burden of the COVID-19 pandemic on adolescent mental health in the Lombardy Region, Italy: a retrospective database review.BMJ paediatrics open · 2024Article
- [Pediatric emergency patients in the emergency departments of a German metropolitan region : A retrospective cross-sectional study over a one-year period].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2024Article
- Evaluation of Parents' Use of a Child Health Care Information App and Their Health Literacy: Cross-Sectional Study.JMIR pediatrics and parenting · 2024Article
- One-year emergency department visits for children < 18 years of age, associated factors and frequency of primary general practitioner or pediatrician visits before: a French observational study (2018-19).BMC primary care · 2024Observational
- An analysis of the diagnoses and costs of pediatric emergency care visits: a single center study.BMC health services research · 2024Article
- Antimicrobial Stewardship in Pediatric Emergency Medicine: A Narrative Exploration of Antibiotic Overprescribing, Stewardship Interventions, and Performance Metrics.Children (Basel, Switzerland) · 2024Review
- Recommendations of the Netzwerk Kindersimulation for the Implementation of Simulation-Based Pediatric Team Trainings: A Delphi Process.Children (Basel, Switzerland) · 2023Article
- Development of the use of primary health care emergency departments after interventions aimed at decreasing overcrowding: a longitudinal follow-up study.BMC emergency medicine · 2022Observational
- Nonurgent Visits to the Pediatric Emergency Department before and during the First Peak of the COVID-19 Pandemic.International journal of pediatrics · 2022Article
- Why parents bring their children with minor health problems to their family practitioners: An unmatched case-control study.Journal of family medicine and primary care · 2021Article
- Impact of Digital Educational Interventions to Support Parents Caring for Acutely Ill Children at Home and Factors That Affect Their Use: Protocol for a Systematic Review.JMIR research protocols · 2021Article
- Common diagnoses among pediatric attendances at emergency departments.BMC pediatrics · 2021Article
- Characteristics of low-acuity paediatric emergency department consultations in two tertiary hospitals in Switzerland: a retrospective observational study.BMJ paediatrics open · 2021Observational
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo estimate the rate of paediatric attendance at emergency departments (EDs) in the Lombardy Region, Italy, and to determine the factors contributing to different patterns of use.
methodsBy analysing healthcare administrative databases, ED attendance by 1.6 million youths <18 years old during 2012 in the Lombardy Region was assessed. The pattern of use was categorised based on the number of ED visits and level of emergency, defined by triage code and outcome of the visit. Logistic regression analyses were performed to identify the characteristics of access for non-urgent reasons and those of patients with frequent non-urgent access (≥4 accesses for non-urgent reasons only). A case-control study was carried out to compare healthcare resource use by children 1-5 years old who were 'frequent non-urgent users' with that of randomly selected controls, matched by age, gender, nationality and primary care physician.
resultsDuring 2012, 440 284 (27%) of children and adolescents had at least one ED attendance, with trauma (26%) and respiratory tract infections (22%) as the most frequent diagnoses. In all, 533 037 (79%) accesses were for non-urgent reasons, and 12 533 (3% of the ED users) were frequent non-urgent users. Male gender (OR 1.12; 95% CI 1.08 to 1.17), preschool age (OR 3.14; 95% CI 2.98 to 3.31) and place of residence (OR 1.74; 95% CI 1.70 to 1.99) were associated with a higher risk of being a frequent non-urgent user. Moreover, a greater healthcare consumption was observed in this group.
conclusionsOne out of four children and adolescents attended the ED at least once per year, 3% of whom were frequent non-urgent users, with a high overall healthcare resource consumption.
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