Robinson G C, Klonoff H
Can Med Assoc J. 1967 May 13;96(19):1304-8.
The records of visits of children and adolescents to the emergency department of the Vancouver General Hospital were reviewed during the period July 1, 1965, to June 30, 1966, and the diagnostic and disposal data recorded. One-quarter of all visits were made by children and adolescents. Three-quarters of the visits were made for surgical conditions. There were more males than females in both surgical and medical groups, and the peaks in attendance were of those in the early preschool and late adolescent age groups. Three-quarters of the patients were referred to the family doctor and approximately one-sixth were admitted to the hospital. These findings suggested that while prompt medical attention was usually indicated, the majority of problems were not urgent and that the emergency department was becoming a substitute for the office of the family physician.
对1965年7月1日至1966年6月30日期间儿童和青少年到温哥华总医院急诊科就诊的记录进行了审查，并记录了诊断和处置数据。所有就诊者中有四分之一是儿童和青少年。四分之三的就诊是因外科疾病。外科和内科组中男性均多于女性，就诊高峰出现在学龄前早期和青少年晚期年龄组。四分之三的患者被转诊给家庭医生，约六分之一的患者被收治入院。这些发现表明，虽然通常需要及时就医，但大多数问题并不紧急，而且急诊科正逐渐成为家庭医生诊所的替代场所。
