PEDIATRIC MEDICAL EMERGENCY CONSULTATIONS: WHO, WHY AND HOW? ABOUT MOROCCAN 1000 PATIENTS
DOI:
https://doi.org/10.53555/eijmhs.v2i1.104Abstract
The aim of our study is to draw up an inventory of the profile of the patients, attending the pediatric medical emergency department (PMD) at the Rabat hospital in Morocco, by studying the epidemiological aspects, the reasons, the circumstances, the relevance of the consultations, the reasons for the choice of PMD and the evolution after this consultation. The median age of our patients was 3 years. 69.8% were under 5 years of age, of whom 30.2% were less than 1 year old. The sex ratio was 1.1. Seventy-one percent of our patients came from a low socio-economic level. The most frequent reason for consultation was respiratory (28.6%), digestive signs (27.6%) and ORL (12%). Fever was associated with the reason for consultation in 29.2% of cases. 45.9% of the patients consulted between 24Hours and 72Hours after the beginning of the symptomatology. Only 16.6% of our patients were referred by a doctor. The choice to consult with the by the parents of our patients was justified by the request for a specialized opinion (42%) and the parent’s unsatisfaction with the primary health care structure (29.2%). 63% of patients required ambulatory treatment and only 21.4% required a specialized consultation.
References
D Devictor, M Conquer, j Saint-Martin. L'accueil des enfants aux urgences: résultats de deux enquêtes nationales « Un jour donné ». Arch Pédiatr 1997; 4:21-26.
M. Berthier, C. Martin-Robin. Archive de pédiatrie. 10 Suppl. l (2003) 61s-63s.
I. Claudet, L. Joly-Pedespan. Consultations de routine aux urgencies: faut-il gérer ou lutter? Archives de Pédiatrie 2008; 15:1733-1738.
C.Alfaro, M.Brodin, P.Lombrail. Motifs ET modalités de recours ambulatoire pédiatrique dans Dix hôpitaux de la région Ile-de-France. Arch Fr Pediatr 1992; 49:785–91.
C. Roustit, C.Vitoux-Brot. Profil des utilisateurs itératifs des urgences pédiatriques. JEUR 2004; 17(Suppl.1):37.
L. Maugeina, M. Lambertb, O. Richerb, C. Runel-Belliardb, S. Maurice-Tisonc, P. Pillet. Consultations itératives aux urgences pédiatriques. Archives de Pédiatrie 2011; 18:128-134.
A. Martinot, C.Boscher, C.Roustit, et al. Motifs de recours aux urgences pédiatriques: comment cette activité s’inscrit-elle dans le champ des soins ambulatoires. Arch Pediatr 1999; 6(Suppl.2):461–3.
C. Kouchea, J. Stagnarab, R. Assathianyc, H. Chappuya,d, R. Guedj. Enquête nationale sur les consultations non programmées en pédiatrie de ville. Archives de Pédiatrie 2015; 22:480-484.
Alfaro C, Brodin M, Lombrail P, Fontaine A, Oottot Set le groupe parisien des soins hospitaliers pédiatriques. Motifs ET modalités de recours ambulatoire pédiatrique dans Dix hôpitaux de la région ile-de-France. Arch Fr Pédiatr 1992;49.785—91
Kucharski C. Motivation de venue aux urgences pédiatriques médicales du CHU de Rouen. Rouen: Faculté de Rouen; 2006, [Thèse].
Agence régionale de santé d’Ile de France. Schéma d’organisation des soins- Le volet hospitalier. http://prs.sante- iledefrance.fr/les-schemas/organisation-des-soins/.
Lode N, Maury I, Boissinot C. Urgences vitales chez le moins de 1 mois. J Pediatr Puericult 2004; 17:143–50.
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