Alele Faith O, Emeto Theophilus I, Callander Emily J, Watt Kerrianne
Public Health and Tropical Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia.
J Paediatr Child Health. 2019 Mar;55(3):271-277. doi: 10.1111/jpc.14352. Epub 2018 Dec 20.
There has been an increase in the use of the emergency department (ED) for non-urgent presentations. The aim of this systematic review was to identify the proportion, criteria and predictors of non-urgent ED presentations in paediatric populations. A search of multiple databases was conducted for articles published from inception of the databases to 20 August 2018, which reported the proportion, criteria and predictors of non-urgent ED presentation in paediatric populations. Thirty-one articles met the inclusion criteria. The mean proportion of non-urgent paediatric ED presentations was 41.06 ± 15.16%. There appears to be a weak association between predisposing, enabling and needs factors and non-urgent ED use in paediatric populations. The findings of this review suggest that non-urgent ED use in paediatric populations is high. However, non-urgent ED use and the reasons for the visits in paediatric populations remain understudied.
因非紧急情况前往急诊科（ED）就诊的人数有所增加。本系统评价的目的是确定儿科人群中非紧急急诊科就诊的比例、标准和预测因素。对多个数据库进行了检索，以查找从数据库建立之初至2018年8月20日发表的、报告儿科人群中非紧急急诊科就诊比例、标准和预测因素的文章。31篇文章符合纳入标准。儿科非紧急急诊科就诊的平均比例为41.06±15.16%。在儿科人群中，易患因素、促成因素和需求因素与非紧急急诊科就诊之间似乎存在微弱关联。本评价结果表明，儿科人群中非紧急急诊科就诊率较高。然而，儿科人群中非紧急急诊科就诊情况及其就诊原因仍未得到充分研究。
