耳鼻喉科的急诊工作量
Emergency workload in otolaryngology.
作者信息
Bleach N R, Williamson P A, Mady S M
机构信息
Department of ENT Surgery, Charing Cross Hospital, London.
出版信息
Ann R Coll Surg Engl. 1994 Sep;76(5):335-8.
A 6-month prospective audit of the otolaryngology emergency workload in a district general hospital was undertaken. A total of 742 cases was referred of whom 193 (26%) were children (< 16 years). The male to female ratio was equal, and 69% of cases were referred from the accident and emergency department. Although most conditions were minor enough to be managed in the ward treatment room and either discharged (40%) or followed up as outpatients (27%), more than one-quarter of patients (28%) needed management by a post-fellowship ENT surgeon. Of the patients, 31% (230/742) were admitted, of whom 107 (46%) required an operation under general anaesthesia. The consequent ENT emergency workload represented 24% of all new patient referrals, 20% of ENT ward admissions and 10% of ENT surgical procedures.
对一家地区综合医院的耳鼻喉科急诊工作量进行了为期6个月的前瞻性审计。共转诊742例，其中193例（26%）为儿童（<16岁）。男女比例相等，69%的病例来自急诊科。尽管大多数病情较轻，可在病房治疗室处理，要么出院（40%），要么作为门诊患者随访（27%），但超过四分之一的患者（28%）需要由获得专科医师资格后的耳鼻喉科外科医生处理。在这些患者中，31%（230/742）住院，其中107例（46%）需要全身麻醉下进行手术。由此产生的耳鼻喉科急诊工作量占所有新患者转诊的24%、耳鼻喉科病房住院患者的20%和耳鼻喉科手术的10%。
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