Barr Ronald G, Rajabali Fahra, Aragon Melissa, Colbourne Marg, Brant Rollin
*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.
J Dev Behav Pediatr. 2015 May;36(4):252-7. doi: 10.1097/DBP.0000000000000156.
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.
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.
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.
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.
本研究的主要目的是确定在全省实施一项向新父母传授正常婴儿早期啼哭特点的公共卫生预防项目后，一家大都市儿科医院0至5个月大婴儿到急诊室就诊的情况是否有任何变化。
利用电子急诊室门诊病历中关于主诉和最终诊断的自由文本描述，将婴儿归类为非疾病引起的啼哭病例。在预防项目引入前后，分析每年啼哭病例就诊数占急诊室就诊总数的百分比。
在该项目实施前，啼哭病例就诊数占20394次急诊室就诊总数的724例（3.5%）。因啼哭到急诊室就诊的年龄特异性模式在6周时达到峰值，与之前报道的社区中啼哭次数的年龄特异性模式相似。项目实施后，啼哭病例减少了29.5%（p<0.001）。减少最为显著的是出生后第一至第三个月因啼哭的就诊次数。
研究结果表明，通过公共卫生项目提高父母对正常啼哭特征的认识，可能会减少生命早期因啼哭问题到急诊室就诊的情况。
