Gago García C, Ania Lafuente B J, Luque Jiménez M, Asenjo González M, Poch Páez J
Las Palmas de Gran Canaria.
An Esp Pediatr. 1990 Feb;32(2):99-104.
Given the rise in hospital emergencies, a detailed study of the demand for emergency pediatric care is a must. We compiled 4,858 medical records elected at random and gathered data about global activity in the emergency department of pediatric hospital. The demand for emergency pediatric care grows faster than the corresponding population. The higher and lower patient influxes were on Sunday and Wednesday respectively. The peak rate of influx was attained at 8 pm, whereas the low happened at 6 am. Pediatric emergencies diminish with age and are less frequent in girls than in boys. Only 15.86% of the patients had been referred by a physician. Fever and accidents were the most frequent reason for consultation. Ear, nose and throat diseases are at the top and double in frequency the bronchopulmonary sickness. Analyses were done in 12% of the cases, radiographs were taken in 23% of the patients and 68.58% of the casualties were taken were care of without any of these means. The visit was finished in a mean of 1.99 hours, a swift performance. Of all the cases studied, 93.4% were discharged and 5.3% were admitted to the same hospital. Our data confirm and complete the one published fragmentarily in the Spanish literature. We emphasize that a primary pediatrician could have spared the emergency department a lot of work. We conclude that accessible continuous care must be offered in order to transcend patchwork in following growth and development through pediatric emergency rooms.
鉴于医院急诊数量的增加，对儿科急诊护理需求进行详细研究势在必行。我们随机收集了4858份病历，并收集了儿童医院急诊科全球活动的数据。儿科急诊护理的需求增长速度超过了相应的人口增长速度。患者流入量较高和较低的分别是周日和周三。流入量的峰值出现在晚上8点，而低谷出现在早上6点。儿科急诊随年龄增长而减少，女孩比男孩更不常见。只有15.86%的患者是由医生转诊的。发烧和事故是最常见的就诊原因。耳鼻喉疾病位居榜首，其发病率是支气管肺部疾病的两倍。12%的病例进行了分析，23%的患者进行了X光检查，68.58%的伤员在没有这些手段的情况下得到了护理。就诊平均用时1.99小时，效率很高。在所有研究的病例中，93.4%的患者出院，5.3%的患者被收治到同一家医院。我们的数据证实并完善了西班牙文献中零散发表的数据。我们强调，初级儿科医生本可以为急诊科省去很多工作。我们得出结论，必须提供可及的持续护理，以超越通过儿科急诊室跟踪生长发育的拼凑式做法。
