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[四年的儿科急诊。急诊数量增加与补充检查及住院方面个人举措之间的关系]

[Four years of pediatric emergencies. Relationship between the increase in their number and personal initiatives in complementary examinations as well as hospital admissions].

作者信息

Paricio Talayero J M, Tomás Vila M, Collar del Castillo J I, Silgo Gauche E, Muñoz del Barrio M J, Genoves Gimeno A, Oltra Benaven M

机构信息

Servicio de Pediatría, Hospital Francese de Borja, Gandía.

出版信息

An Esp Pediatr. 1991 Oct;35(4):229-31.

PMID:1763847
Abstract

In 16,848 paediatric emergencies taken care of from 1986 to 1989 in a regional hospital which had started work in 1985, we have confirmed an initial increase of over 20& per year in the number of paediatric emergencies that have become stable as we have reached full coverage of the total paediatric population in area. We have also stated that the volume of personal initiative emergencies has been increasing rather meaningluffly every year, going up from an initial 55% to a 75% in four years. On opposite the number of complementary checkups has decreased significantly from 38% to 35% and children hospital entries including those that required urgency observation have also gone down from a 21,69 in 1986 to a 15,8 in 1989. The growing tendency to overuse paediatric emergencies indiscriminately on the part of the population, leads us to make a serious proposal towards the adaptation and suitabilisation of emergency service in hospitals in order to be prepared to deal with non-urgent pathology.

摘要

在一家于1985年开始运营的地区医院,1986年至1989年期间共处理了16848起儿科急诊病例。我们证实,随着我们实现了对该地区全部儿科人口的全面覆盖,病情稳定的儿科急诊病例数量最初每年增长超过20%。我们还指出,个人主动前来就诊的急诊病例数量每年都有相当显著的增长,从最初的55%上升到四年后的75%。相反,补充检查的比例从38%显著下降到35%,包括那些需要紧急观察的患儿住院人数也从1986年的21.69人下降到1989年的15.8人。民众不加区分地过度使用儿科急诊的趋势日益明显,这促使我们就医院急诊服务的调整和优化提出一项严肃建议 ,以便做好应对非紧急病症的准备。

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An Esp Pediatr. 1991 Oct;35(4):229-31.
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