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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.
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.
Abstract:
Introduction Overcrowding in emergency departments (EDs) is still a national and international issue. Among the variables contributing to this crisis are an increase in patient numbers and the severity of sickness. One significant issue that has not yet been addressed and is burdening healthcare facilities is the use of EDs by parents of children who have mild illnesses. Developing successful interventions requires an understanding of the factors that lead to nonurgent visits to pediatric EDs (PEDs). Our objective was to assess the variables that could influence parental visits to PEDs. Methodology In the Eastern Region of Saudi Arabia, between September and November 2023, a descriptive cross-sectional survey was conducted among parents who had previously visited a PED. The survey had 21 questions. Along with parental viewpoints and healthcare utilization, parents' evaluations of their child's emergency state were investigated. In addition to gathering and evaluating demographic data, the survey evaluated respondents' impressions of the severity of a disease or injury. Results A total of 776 participants were included in the study. The mean parental age was 32.1 ± 12.7 years, and approximately 32.1% of the participants' children were between the ages of 1 and 5. Nearly half of the children, 44.7%, visited the ED during the evening shift. The most common reasons for presenting were fever (50.5%) and upper respiratory tract symptoms (37.1%). Among these visits, parents perceived 48.5% as nonurgent and 30.2% as urgent. The majority of respondents (54.9%) had received advice before going to the ED. In most cases (47.9%), this was from a relative or a healthcare provider (16.7%). Conclusion This analysis identified some of the reasons parents bring their children to the ED for mild illnesses. The results emphasized the varied nature of the problem. Understanding the reasons for parental ED visits may help us better design targeted interventions to decrease unnecessary visits and lessen the burden on healthcare systems.
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