head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue1
Subject Area: Medicine
-
DOI: 10.5272/jimab.2024301.5401
Published online: 01 March 2024

Original article
J of IMAB. 2024 Jan-Mar;30(1):5401-5404
ANALYSIS OF PATIENTS - CHILDREN WHO PASSED THROUGH THE EMERGENCY DEPARTMENT OF ST. MARINA UNIVERSITY HOSPITAL - VARNA FOR A PERIOD OF SEVEN YEARS
Iliya KatrandzhievORCID logoCorresponding Autoremail,
Department of Anaesthesiology, Emergency, Intensive Medicine, Faculty "Medicine", Medical University - Varna, Bulgaria.

ABSTRACT:
Emergency medicine is a dynamically complex and well-coordinated specialty. However, paediatric emergency sub-specialty is not yet well developed in most low and middle income countries. The purpose of the present study is to analyze the pediatric patients who passed through the emergency department of the hospital.
Results: Total examined children - 44547. Hospitalized – 12 062 - 30.7% of the total. Boys predominate (54.0%). Children in the age group 1-10 years - 81.8%. The patient flow in the pediatric emergency department from other districts increased by 35.8%.
Conclusion: Children are a particularly vulnerable group of patients who go through the emergency department, which is related to the specifics of pediatric care. The results of the study show that the largest proportion of pediatric patients are children aged 1-10 years, males, who sought medical help in connection with respiratory infections.

Keywords: children, emergency department, analysis,

pdf - Download FULL TEXT /PDF 754 KB/
Please cite this article as: Katrandzhiev I. Analysis of patients - children who passed through the emergency department of St. Marina University Hospital - Varna for a period of seven years. J of IMAB. 2024 Jan-Mar;30(1):5401-5404. [Crossref - 10.5272/jimab.2024301.5401]

Corresponding AutorCorrespondence to: Iliya Katrandzhiev, Department of Anaesthesiology, Emergency, Intensive Medicine, Faculty of Medicine, Medical University – Varna; 1, Hristo Smirnenski Str. Varna, Bulgaria;
E-mail: katrandzhievcard@abv.bg

REFERENCES:
1. Lindner G, Woitok BK. Emergency department overcrowding : Analysis and strategies to manage an international phenomenon. Wien Klin Wochenschr. 2021 Mar;133(5-6):229-233. [PubMed]
2.  Moylan A, Maconochie I. Demand, overcrowding and the pediatric emergency department. CMAJ. 2019 Jun 10;191(23):E625-E626. [PubMed]
3. Doan Q, Wong H, Meckler G, Johnson D, Stang A, Dixon A, et al. The impact of pediatric emergency department crowding on patient and health care system outcomes: a multicentre cohort study. CMAJ. 2019 Jun 10;191(23):E627-E635. [PubMed]
4. Kennebeck SS, Timm NL, Kurowski EM, Byczkowski TL, Reeves SD. The association of emergency department crowding and time to antibiotics in febrile neonates. Acad Emerg Med. 2011 Dec;18(12):1380-5. [PubMed]
5. Shenoi R, Ma L, Syblik D, Yusuf S. Emergency department crowding and analgesic delay in pediatric sickle cell pain crises. Pediatr Emerg Care. 2011 Oct;27(10):911-7. [PubMed]
6. Sills MR, Fairclough D, Ranade D, Kahn MG. Emergency department crowding is associated with decreased quality of care for children with acute asthma. Ann Emerg Med. 2011 Mar;57(3):191-200.e1-7. [PubMed]
7. Jung HM, Kim MJ, Kim JH, Park YS, Chung HS, Chung SP, et al. The effect of overcrowding in emergency departments on the admission rate according to the emergency triage level. PLoS One. 2021 Feb 17;16(2):e0247042. [PubMed]
8. Chamberlain JM, Patel KM, Pollack MM. Association of emergency department care factors with admission and discharge decisions for pediatric patients. J Pediatr. 2006 Nov;149(5):644-649. [PubMed]
9. Knapp JF, Hall M, Sharma V. Benchmarks for the emergency department care of children with asthma, bronchiolitis, and croup. Pediatr Emerg Care. 2010 May;26(5):364-9. [PubMed]
10. Hampers LC, Trainor JL, Listernick R, Eddy JJ, Thompson DA, Sloan EP, et al. Setting-based practice variation in the management of simple febrile seizure. Acad Emerg Med. 2000 Jan;7(1):21-7. [PubMed]
11. Sun R, Karaca Z, Wong HS. Trends in Hospital Emergency Department Visits by Age and Payer, 2006–2015. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb. Statistical Brief #238. Mar. 2018. [PubMed]
12. Atiq H, Siddiqui E, Bano S, Feroze A, Kazi G, Fayyaz J, et al. The pediatric disease spectrum in emergency departments across Pakistan: data from a pilot surveillance system. BMC Emerg Med. 2015; 15 Suppl 2(Suppl 2):S11. [ PubMed ]
13. Yore MA, Strehlow MC, Yan LD, Pirrotta EA, Woods JL, Somontha K, et al. Characteristics and outcomes of pediatric patients presenting at Cambodian referral hospitals without appointments: an observational study. Int J Emerg Med. 2018 Mar 13;11(1):17. [PubMed]
14. Goh AY, Chan TL, Abdel-Latiff ME. Paediatric utilization of a general emergency department in a developing country. Acta Paediatr. 2003 Aug;92(8):965-9. [PubMed]
15. Ijaz N, Strehlow M, Ewen Wang N, Pirrotta E, Tariq A, Mahmood N, et al. Epidemiology of patients presenting to a pediatric emergency department in Karachi, Pakistan. BMC Emerg Med. 2018 Aug 3;18(1):22. [PubMed]
16. Singhi S, Jain V, Gupta G. Pediatric emergencies at a tertiary care hospital in India. J Trop Pediatr. 2003  Aug;49(4):207-11. [PubMed]

Received: 07 July 2023
Published online: 01 March 2024

back to Online Journal