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[三级医院耳鼻喉科服务中急诊住院的适宜性]

[Appropriateness emergency hospital admissions at an ORL service of a third level hospital].

作者信息

López Amado M, García Sarandeses A, Herranz González-Botas J, López Blanco G, Martínez Vidal J

机构信息

Servicio de Otorrinolaringología, Hospital Juan Canalejo, La Coruña.

出版信息

Acta Otorrinolaringol Esp. 1993 Jan-Feb;44(1):31-4.

PMID:8471282
Abstract

We present a retrospective epidemiological study about an analysis of the emergencies hospital admissions in an ENT service of a tertiary hospital with high assistencial pressure, during one year. We study the parameters: date, sex, age, complementary examinations, diagnosis and appropriateness of the admission following the AEP (Appropriateness Evaluation Protocol) criteria. A remarkable finding is the high incidence (31.74%) of emergency admissions in the total admission in the ENT service. There was a low frequency of inadequate admission of patients. The appropriateness of admissions was highest for foreign bodies and respiratory distress; the lowest was for cancer patients. The most frequent appropriateness criteria was the need of drugs and/or intravenous fluids.

摘要

我们开展了一项回顾性流行病学研究,分析了一家承受着巨大医疗压力的三级医院耳鼻喉科一年内的急诊入院情况。我们研究了以下参数:日期、性别、年龄、辅助检查、诊断以及依据AEP(适宜性评估方案)标准评估的入院适宜性。一个显著发现是,耳鼻喉科急诊入院在总入院人数中占比很高(31.74%)。患者入院不当的情况发生率较低。异物和呼吸窘迫患者入院的适宜性最高;癌症患者的最低。最常见的适宜性标准是需要药物和/或静脉输液。

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