Fréquentation des urgences pédiatriques par les nouveau-nés

Claudet, I.; Montis, P. De; Debuisson, C.; Maréchal, Christophe; Honorat, R.; Grouteau, E.

doi:10.1016/j.arcped.2012.06.016

Cited by 18 publications

(10 citation statements)

References 20 publications

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“…Thus, Claudet reported that digestive reasons were the majority (25%) followed by respiratory reasons (21%) while fever and jaundice represented only 11% and 1.7%. 21 The trend is different for Canada and the United States, where jaundice and feeding difficulties are the first reasons for consultation. 23,24 Our results agree with those of Mabiala-Babela, who found fever (40%) to be the main reason for consultation in the emergency room.…”

Section: Discussionmentioning

confidence: 99%

Neonatal readmissions at Saint-Pierre hospital, epidemiology and risk factors

Rambeloson

Rabevazaha

Rasamoelison

et al. 2022

Int J Contemp Pediatr

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Background: Newborn attendance at pediatric emergency departments has sharply increased in France since the early 2000s. Early discharge from maternity is the main risk factor. The purpose of this study was to describe the demographic and perinatal factors involved in the readmission to hospital of newborn babies in Southern reunion Island.Methods: This was a 13-month, single-center, case-control retrospective study (December 2015 to December 2016) carried out in the neonatal and pediatric intensive care units of the Saint-Pierre university hospital. Cases were represented by any newborn released from the maternity hospital and having been re-hospitalized. Controls were represented by newborns born during the same study period and not readmitted during their first month of life. One case was matched with a control.Results: We included 109 newborns. The re-hospitalization rate was 2.08%. The most common presentation were: fever (35.7%), and neurological symptoms (34.8%). The main etiologies were infections (33.9%), respiratory pathologies (24.7%), and breastfeeding difficulties (11.9%). Breastfeeding OR=0.53; 95% CI [0.30-0.92] (p=0.03) and neonatal pathologies during the stay in the maternity hospital OR=0.49; 95% CI [0.28-0.45] (p=0.016) were protective factors.Conclusions: The lack of identification of a risk factor encourages us to expand our study population and to look for other factors such as the medical and paramedical supervision of the mother-child couple during the postpartum period and the follow-up of the new born after leaving the maternity ward.

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Section: Discussionmentioning

confidence: 99%

Neonatal readmissions at Saint-Pierre hospital, epidemiology and risk factors

Rambeloson

Rabevazaha

Rasamoelison

et al. 2022

Int J Contemp Pediatr

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“…Hospitalization time is considered as an indicator of severity in preterm infants, and it is probably reflected as weight gain [22]. for the teenagers and the older women (aged 35 yr and more) has been observed in several studies.…”

Section: Discussionmentioning

confidence: 99%

Maternal Anthropometric Study of Low Birth Weight Newborns in Saudi Arabia: A Hospital-Based Case-Control Study

Al-Kushi¹,

Sawy²

2016

ARSci

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Background: The aim of the study is to investigate the role of socio-demographic, lifestyle and clinical risk factors of low birth weight (LBW) among pregnant women in Saudi Arabia. It is a hospital-based, case-control study of mothers of 135 LBW and 65 normal birth weight neonates at the Obstetrics and Gynecology Unit of the Maternity and Children Hospital, KSA. Methods: On comparison by Duncan's test, the gestational age of three LBW groups was found to be significantly different (P = 0.0026). The mean duration of hospital stay of the infants also increased for the LBW, very LBW and extreme LBW groups, and their difference was statistically significant (P = 0.0012). Results: A statistically significant, progressive decline was observed in the weight, length and circumference of the head of infants in the LBW to VLBW to ELBW groups. Conclusion: The present study has assessed the state of this significant public health problem of LBW in KSA, and identified several maternal modifiable risk factors. There is an urgent need for the development of reference charts using current data for the Middle Eastern population.

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“…Nos résultats corroborent les données d'autres études [2,[7][8][9] avec cependant quelques différences illustrant toute la difficulté à apprécier les motifs exacts de consultation qui ne sont pas toujours explicites. Certains auteurs ont rajouté une classe « absence de pathologie apparente » qui varie de 11 à 26 % selon les études.…”

Section: Discussionunclassified

“…Certains auteurs ont rajouté une classe « absence de pathologie apparente » qui varie de 11 à 26 % selon les études. La proportion de nouveau-nés adressés aux SAU pédiatriques via un autre service, une autre structure du réseau « urgence » ou un médecin de ville était très basse (18,6 %), comparable aux données de Pérez Solis et al [2] ou de Claudet et al [9] variant de 9,4 à 24,5 %. Plus de 80 % des consultations de nouveau-nés sont donc sollicitées directement par les parents, proportion également observée par Williams et al [10].…”

Section: Discussionunclassified