<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322017000500002</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[¿Es adecuada la utilización del Servicio de Urgencias en el periodo neonatal?]]></article-title>
<article-title xml:lang="en"><![CDATA[Is the use of the Emergency Service in neonatal period appropriate?]]></article-title>
<article-title xml:lang="en"><![CDATA[Is emergency department use appropriate during the neonatal period?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fornes Vivas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mustienes Bellot]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro Juanes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Robledo Díaz]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carvajal Roca]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Católico Universitario Casa de Salud Servicio de Urgencias de Pediatría ]]></institution>
<addr-line><![CDATA[ España]]></addr-line>
<country>Valencia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica San Vicente Mártir Facultad de Medicina y Odontología ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Marina Alta Servicio de Urgencias ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Departamento de Sociología y Antropología Social. Facultad de Ciencias Sociales. Universidad de Valencia. Departamento de Gestión. Hospital Católico Universitario Casa de Salud  ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Departamento de Pediatría, Ginecología y Obstetricia. Facultad de Enfermería, Medicina y Odontología. Universidad Católica San Vicente Mártir  ]]></institution>
<addr-line><![CDATA[ Valencia]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>19</volume>
<numero>76</numero>
<fpage>301</fpage>
<lpage>309</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322017000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322017000500002&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322017000500002&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  los Servicios de Urgencias son frecuentados, con un elevado índice, por neonatos con patología banal y dudas de puericultura. Nuestro objetivo es analizar, en neonatos, la adecuación del uso de Urgencias.  Material y métodos:  análisis de los informes de los neonatos que acudieron al Servicio de Urgencias del Hospital Marina Salud de Denia (Alicante, España) durante el año 2014 y de la adecuación del uso de Urgencias según los nuevos criterios establecidos: ingreso hospitalario, derivación, clasificación y exploraciones complementarias.  Resultados:  los Servicios de Urgencias son utilizados por neonatos con patología considerada no urgente, llanto, irritabilidad o malestar (32,08%), y vómitos o regurgitaciones del recién nacido (13,21%), siendo el diagnóstico de alta más frecuente el de normalidad (20%). Según los criterios de adecuación establecidos para el uso del Servicio de Urgencias neonatales, el 63,50% de los motivos de consulta neonatal no fueron adecuados.  Conclusiones:  la mayoría de las consultas de neonatos son catalogadas como uso no adecuado de los Servicios de Urgencias y deberían por tanto manejarse en Atención Primaria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  a high proportion of newborn visits to emergency departments correspond to non-urgent conditions and concerns regarding newborn care. Our aim was to assess the appropriate of emergency department use in newborns.  Materials and methods:  analysis of discharge summaries of newborns that attended the emergency department of the Hospital Marina Salud de Denia (Alicante, Spain) in year 2014 and the appropriateness of emergency department use based on newly established criteria: hospital admission, referral, triage and diagnostic testing.  Results:  emergency services were used by newborns for conditions considered non-urgent, crying, irritability or malaise (32.08%), and vomiting or regurgitation of the newborn (13.21%), and the most frequent discharge diagnosis was normal health (20%). Based on the appropriateness criteria established for the use of neonatal emergency services, 63.50% of the reasons for neonatal visits were inappropriate.  Conclusions:  most neonatal visits were categorised as inappropriate use of emergency services and should therefore have been managed in primary care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Uso excesivo de los servicios de salud]]></kwd>
<kwd lng="es"><![CDATA[Servicios médicos de urgencia]]></kwd>
<kwd lng="es"><![CDATA[Recién nacido]]></kwd>
<kwd lng="en"><![CDATA[Medical overuse]]></kwd>
<kwd lng="en"><![CDATA[Emergency medical services]]></kwd>
<kwd lng="en"><![CDATA[Infant, newborn]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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