Factors Influencing Visits to the Pediatric Emergency Department

Hussain A Al Ghadeer1, Jalal K Aldandan1, Jawad S Alnajjar2

  • 1Pediatrics, Maternity and Children Hospital, Al-Mubarraz, SAU.

Cureus
|February 12, 2024
PubMed

Insights

Parents frequently visit pediatric emergency departments (PEDs) for nonurgent reasons like fever. Understanding these factors is key to reducing healthcare burdens.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Management
  • Public Health

Background:

  • Emergency departments (EDs) face overcrowding due to increased patient numbers and illness severity.
  • Nonurgent visits to pediatric emergency departments (PEDs) by parents for mild childhood illnesses are a significant, unaddressed issue.
  • Understanding the drivers of these visits is crucial for developing effective interventions.

Purpose of the Study:

  • To assess the variables influencing parental visits to pediatric emergency departments (PEDs).
  • To identify factors contributing to nonurgent visits to PEDs.

Main Methods:

  • A descriptive cross-sectional survey was conducted among 776 parents who had previously visited a PED in Saudi Arabia's Eastern Region.
  • The survey, administered between September and November 2023, included 21 questions covering parental viewpoints, healthcare utilization, and perceived illness severity.
  • Data on demographics, reasons for visit, and prior advice sought were collected and analyzed.

Main Results:

  • Fever (50.5%) and upper respiratory tract symptoms (37.1%) were the most common reasons for PED visits.
  • Parents perceived 48.5% of visits as nonurgent and 30.2% as urgent.
  • Over half of respondents (54.9%) received prior advice, often from relatives (47.9%) or healthcare providers (16.7%).

Conclusions:

  • This study identified key reasons behind parental decisions to seek emergency care for mild childhood illnesses.
  • The findings highlight the multifaceted nature of nonurgent PED visits.
  • Understanding these parental motivations can inform targeted interventions to reduce unnecessary ED utilization and alleviate healthcare system strain.

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