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Education about crying in normal infants is associated with a reduction in pediatric emergency room visits for crying
Ronald G Barr1, Fahra Rajabali, Melissa Aragon
1*Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada; †Child and Brain Development, Canadian Institute for Advanced Research, Toronto, ON, Canada; ‡Developmental Neurosciences and Child Health, Child and Family Research Institute, BC Children's Hospital, Vancouver, BC, Canada; §Department of Statistics, University of British Columbia, Vancouver, BC, Canada.
Insights
A public health program educating parents about infant crying significantly reduced emergency room visits for non-illness related crying in infants. This intervention improved parental knowledge, leading to fewer medical emergency room (MER) visits for infant crying.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Infant crying is a common concern for new parents.
- Uncertainty about normal infant crying can lead to unnecessary medical emergency room (MER) visits.
- A public health program was implemented to educate parents on infant crying characteristics.
Purpose of the Study:
- To evaluate the impact of a public health program on infant medical emergency room (MER) visits.
- To determine if parental education about infant crying affects healthcare utilization.
Main Methods:
- Retrospective analysis of electronic medical emergency room (MER) visit data.
- Classification of visits for infant crying not related to disease.
- Comparison of crying-related MER visits before and after program implementation.
Main Results:
- Infant crying visits constituted 3.5% of total MER visits pre-program.
- A 29.5% reduction in crying-related MER visits was observed post-program (p < .001).
- The most substantial decrease in visits occurred in infants aged one to three months.
Conclusions:
- Enhanced parental knowledge regarding normal infant crying can decrease medical emergency room (MER) use.
- Public health initiatives effectively address parental concerns about infant crying.
- Early intervention through education can optimize healthcare resource allocation for infant care.
Objective:
The primary aim of this study was to determine whether there was any change in visits of 0- to 5-month old infants to the medical emergency room (MER) of a metropolitan pediatric hospital after province-wide implementation of a public health prevention program that teaches new parents about the properties of early crying in normal infants.
Methods:
Free-text descriptions of Presenting Complaint and Final Diagnosis on electronic MER clinic visit files were used to classify infants as cases of infant crying not due to disease. Annual crying case visits as a percent of MER visits were analyzed pre- and post-introduction of the prevention program.
Results:
Before the program, crying case visits represented 724 of 20,394 MER visits (3.5%). The age-specific pattern of MER visits for crying peaked at 6 weeks and was similar to the previously reported age-specific pattern of amounts of crying in the community. After program implementation, crying cases were reduced by 29.5% (p < .001). The most significant reductions were for crying visits in the first to third months of life.
Conclusion:
The findings imply that improved parental knowledge of the characteristics of normal crying secondary to a public health program may reduce MER use for crying complaints in the early months of life.
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