Kiberd B, Sinclair H
Department of Community Health and General Practice, Trinity College Dublin, Ireland.
Ir J Med Sci. 1994 Jun;163(6):282-6. doi: 10.1007/BF02942127.
A prospective study of one week's new attendances (sampled over three consecutive weeks) at the A&E Department of the National Children's Hospital (NCH) was undertaken. A total of 310 children attended over the composite week. Of these, 307 took part in the study, all but three of which were accompanied by an adult. Almost three-quarters (72%) of the children attended without medical referral. Most children (80%) resided within two miles of the hospital. While 46% of respondents claimed they had used the hospital at least once during the previous twelve months, frequent attendance did not appear to be a problem. The majority of children (83%) were seen by a casualty officer within one hour of arrival. Injuries accounted for over half (53%) of the conditions presented. A fifth (21%) of the attenders were admitted, half (54%) of whom were discharged within 24 hours. The study provides baseline data on paediatric A&E services in Dublin and should assist planning of future services.
对国家儿童医院（NCH）急诊科连续三周抽样的一周新就诊患者进行了一项前瞻性研究。在这综合的一周里，共有310名儿童前来就诊。其中，307名儿童参与了研究，除3名儿童外，其余均有成人陪同。近四分之三（72%）的儿童就诊时没有医生转诊。大多数儿童（80%）居住在医院两英里范围内。虽然46%的受访者称他们在过去十二个月里至少使用过该医院一次，但频繁就诊似乎不是一个问题。大多数儿童（83%）在到达后一小时内就由急诊医生诊治。受伤占就诊情况的一半以上（53%）。五分之一（21%）的就诊者被收治，其中一半（54%）在24小时内出院。该研究提供了都柏林儿科急诊服务的基线数据，应有助于未来服务的规划。
