Hernandez-Guedea Marco A, García-González Gabriel, Alipi-García José A, Kreitler-Mayer Francisco G, Rodríguez-Medina Betsaida, Ruiz-Badillo Roberto, López-Vidal Williams Luciano, Islas-Cisneros José F, Padilla-Rivas Gerardo R, García-Pérez Mauricio M
Emergency and Shock/Trauma Department, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.
Plastic and Reconstructive Surgery Department, Hospital Universitario Dr. José Eleuterio González, Universidad Autónoma de Nuevo León, Monterrey, MEX.
Cureus. 2025 Mar 25;17(3):e81204. doi: 10.7759/cureus.81204. eCollection 2025 Mar.
Objective This study aims to identify the most common emergencies among the population in the metropolitan area of Monterrey, Mexico - one of the largest cities in the country - and compare these emergencies and their characteristics with those in other countries and geographical regions. Methods This cross-sectional study included all patients (n = 14,744) treated in the emergency department of Hospital Universitario Dr. José Eleuterio González between September and December 2023. The analysis encompassed all patients registered in the triage census by nurses, excluding those with incomplete records. Since all patients with sufficient data were included, sample size calculation was not required. Statistical analyses included the chi-square test and logistic regression for categorical variables. Results A total of 14,744 emergency department patients were reviewed. Among them, 54.7% were women, with a mean age of 39.07 years (±19.62). Of the total, 92% were from the Monterrey metropolitan area. Traumatic emergencies accounted for 27.5%, with limb injuries being the most common (10.5%). Nontraumatic emergencies made up 72.5%, with abdominal/pelvic pain being the most frequent complaint (13%). The internal medicine department received the highest number of patients (36.1%). The busiest day was Saturday (15.2%), with peak hours at 1:00 p.m. (5.8%). Conclusions The majority of patients were women aged 21-30 years from the metropolitan area, primarily presenting with nontraumatic conditions such as abdominal pain. The highest patient influx occurred on Saturdays at 1:00 p.m., with most cases managed by the internal medicine department. These findings may help authorities and clinicians optimize emergency care resources by anticipating the most common emergencies and peak demand times.
目的 本研究旨在确定墨西哥最大城市之一蒙特雷大都市区人群中最常见的急诊情况，并将这些急诊情况及其特征与其他国家和地理区域的情况进行比较。方法 这项横断面研究纳入了2023年9月至12月期间在何塞·埃莱乌特里奥·冈萨雷斯大学医院急诊科接受治疗的所有患者（n = 14744）。分析涵盖了护士在分诊普查中登记的所有患者，不包括记录不完整的患者。由于纳入了所有有足够数据的患者，因此无需进行样本量计算。统计分析包括分类变量的卡方检验和逻辑回归。结果 共对14744名急诊科患者进行了审查。其中，54.7%为女性，平均年龄为39.07岁（±19.62）。总体而言，92%来自蒙特雷大都市区。创伤性急诊占27.5%，其中肢体损伤最为常见（10.5%）。非创伤性急诊占72.5%，最常见的主诉是腹部/盆腔疼痛（13%）。内科接收的患者数量最多（36.1%）。最繁忙的日子是周六（15.2%），高峰时段是下午1点（5.8%）。结论 大多数患者是来自大都市区的21至30岁女性，主要表现为腹痛等非创伤性疾病。患者流入量最高的时间是周六下午1点，大多数病例由内科处理。这些发现可能有助于当局和临床医生通过预测最常见的急诊情况和高峰需求时间来优化急诊护理资源。
