Laboratoire de Santé Publique, Faculté de Médecine, Equipe de recherche EA 3279 Evaluation hospitalière-Mesure de la santé perçue, 13005, Marseille, France.
Am J Emerg Med. 2011 Mar;29(3):333-45. doi: 10.1016/j.ajem.2010.01.003. Epub 2010 Apr 24.
Nonurgent visits to emergency departments (ED) are a controversial issue; they have been negatively associated with crowding and costs. We have conducted a critical review of the literature regarding methods for categorizing ED visits into urgent or nonurgent and analyzed the proportions of nonurgent ED visits. We found 51 methods of categorization. Seventeen categorizations conducted prospectively in triage areas were based on somatic complaint and/or vital sign collection. Categorizations conducted retrospectively (n = 34) were based on the diagnosis, the results of tests obtained during the ED visit, and hospital admission. The proportions of nonurgent ED visits varied considerably: 4.8% to 90%, with a median of 32%. Comparisons of methods of categorization in the same population showed variability in levels of agreement. Our review has highlighted the lack of reliability and reproducibility.
非紧急就诊到急诊部（ED）是一个有争议的问题；它与拥挤和成本呈负相关。我们对关于将 ED 就诊分为紧急或非紧急的文献进行了批判性回顾，并分析了非紧急 ED 就诊的比例。我们发现了 51 种分类方法。17 种在分诊区进行的前瞻性分类是基于躯体主诉和/或生命体征采集。回顾性（n=34）分类是基于诊断、ED 就诊期间获得的检查结果和住院。非紧急 ED 就诊的比例差异很大：4.8%至 90%，中位数为 32%。在同一人群中对分类方法的比较显示出一致性水平的差异。我们的综述强调了缺乏可靠性和可重复性。
