Stussman B J
Division of Health Care Statistics, U.S. National Center for Health Statistics, USA.
Adv Data. 1997 Apr 15(285):1-19.
This report describes ambulatory care visits to hospital emergency departments in the United States. Statistics are presented on selected patient and visit characteristics.
The data presented in this report were collected from the 1995 National Hospital Ambulatory Medical Care Survey (NHAMCS). NHAMCS is part of the ambulatory care component of the National Health Care Survey, which measures health care utilization across various types of providers. NHAMCS is a national probability survey of visits to hospital emergency and outpatient departments of non-Federal, short-stay, and general hospitals in the United States. Sample data were weighted to produce annual estimates.
During 1995, an estimated 96.5 million visits were made to hospital emergency departments (ED's) in the United States, about 36.9 visits per 100 persons. Persons 75 years and over the highest rate of emergency department visits. There were an estimated 37.2 million injury-related emergency department visits during 1995, or 14.2 visits per 100 persons. There were 225 thousand visits related to injuries caused by firearms, including 144 thousand visits for gunshot wounds. One-fifth of the injury visits were work-related for persons 18-64 years of age. Four-fifths of the ED visits involved medication therapy with pain relief drugs accounting for 30 percent of the medications mentioned. Acute upper respiratory infection was the leading illness-related diagnosis for ED visits.
本报告描述了美国医院急诊科的门诊护理就诊情况。呈现了有关选定患者和就诊特征的统计数据。
本报告中的数据来自1995年全国医院门诊医疗护理调查(NHAMCS)。NHAMCS是全国医疗护理调查门诊护理部分的一部分,该调查衡量各类医疗服务提供者的医疗护理利用情况。NHAMCS是对美国非联邦、短期住院和综合医院急诊科和门诊部就诊情况的全国概率调查。样本数据经过加权以得出年度估计值。
1995年期间,美国医院急诊科估计有9650万次就诊,约每100人中有36.9次就诊。75岁及以上人群的急诊科就诊率最高。1995年估计有3720万次与受伤相关的急诊科就诊,即每100人中有14.2次就诊。有22.5万次就诊与枪支造成的伤害有关,其中包括14.4万次枪伤就诊。18至64岁人群中五分之一的受伤就诊与工作有关。五分之四的急诊科就诊涉及药物治疗,其中缓解疼痛药物占提及药物的30%。急性上呼吸道感染是急诊科就诊最主要的与疾病相关的诊断。