Balanzó Fernández X, Pujol Farriols R
Med Clin (Barc). 1989 Jan 28;92(3):86-90.
The demand of the hospital emergency services was evaluated by the analysis of 11650 emergencies seen during one week in 22 county hospitals. A modified ICHPPC-2 was used for the codification of diagnoses. The mean age of the patients was 30.6 years. The distribution through the days of the week was homogeneous and the duration of the hospital stay was lower than 2 hours in 85%. 80% of the patients went to the hospital by their own decision. The emergency cases were considered as non-justified in 22.4%, mild emergencies in 56.5%, and severe emergencies in 17%. 75.9% of patients were sent back to their homes, and 11.8% were admitted to the hospital. The predominant groups of emergencies were trauma (33.9%), respiratory diseases (11.8%), ill-defined signs and symptoms (9.3%), and osteomuscular (6.7%), digestive (5.8%) and infective (4.7%) diseases. The indispensable requirements to be collected for a better knowledge of emergency services are evaluated.
通过对22家县级医院一周内接诊的11650例急诊病例进行分析，评估了医院急诊服务的需求情况。采用改良的国际初级卫生保健分类法第二版（ICHPPC - 2）对诊断进行编码。患者的平均年龄为30.6岁。一周内各天的分布情况均匀，85%的患者住院时间低于2小时。80%的患者是自行决定前往医院的。22.4%的急诊病例被认为是非必要的，56.5%为轻度急诊，17%为重度急诊。75.9%的患者被送回家，11.8%的患者被收治入院。主要的急诊类型为创伤（33.9%）、呼吸系统疾病（11.8%）、症状体征不明确（9.3%）以及骨肌肉疾病（6.7%）、消化系统疾病（5.8%）和感染性疾病（4.7%）。对为更好了解急诊服务而需收集的必要信息进行了评估。
