Hervé J-F, Wiorowski M, Schultz P, Chambres O, Lannoy L, Rakotobe H, Gentine A, Debry C
Service ORL et Chirurgie de la Face et du Cou - Stomatologie, CHT Gaston Bourret, Noumea, Nouvelle Calédonie.
Ann Otolaryngol Chir Cervicofac. 2004 Feb;121(1):33-40. doi: 10.1016/s0003-438x(04)95488-6.
We present an original study about ENT resident activity in an emergency ENT clinic.
The emergency unit's activity was analyzed over a seven-Month period from December 1, 1999 to June 30, 2000. ENT residents reported patient age, gender, duration of consultation, symptoms, and care delivered as well as the level of emergency and referral (general practitioner, emergency unit, other clinic, direct).
A total of 147 emergency days were analyzed. During the study period, 1237 patients were examined, representing 8.4 patients per day and 26.5% of the ENT clinic outpatient activity. Mean patient age was 31.8 Years; 58% of the patient were male. Most of the cases did not correspond to true emergencies (53%). Half of the patients were not referred by a general practitioner. Emergency care was more justified when the patients were referred by a general practitioner or another emergency unit. The predominant pathological situations managed were acute external and middle ear otitis, epistaxis, angina, vertigo, and facial injuries.
Over half of the patients came to the emergency clinic spontaneously, presenting minor problems. These data can be explained by the fact that residents are permanently present at the ENT emergency clinic. It would be interesting to conduct a similar study in ENT emergency care units where the resident is not permanently present.
我们展示了一项关于耳鼻喉科住院医师在耳鼻喉科急诊诊所活动的原创性研究。
对1999年12月1日至2000年6月30日这七个月期间急诊单元的活动进行了分析。耳鼻喉科住院医师报告了患者的年龄、性别、会诊时长、症状、所提供的护理以及紧急程度和转诊情况(全科医生、急诊单元、其他诊所、直接转诊)。
共分析了147个急诊日。在研究期间,检查了1237名患者,平均每天8.4名患者,占耳鼻喉科门诊活动的26.5%。患者平均年龄为31.8岁;58%为男性。大多数病例并非真正的紧急情况(53%)。一半的患者不是由全科医生转诊的。当患者由全科医生或另一个急诊单元转诊时,急诊护理更具合理性。处理的主要病理情况为急性外耳道和中耳中耳炎、鼻出血、咽痛、眩晕和面部损伤。
超过一半的患者自行前往急诊诊所,呈现出小问题。这些数据可以通过住院医师长期在耳鼻喉科急诊诊所坐诊这一事实来解释。在住院医师并非长期坐诊的耳鼻喉科急诊护理单元进行类似研究将会很有意思。