Herranz Jordán B, Hernández Merino R, Cáceres González R, Castaños Jover L, Rodríguez Valdés C
Centro de Salud de Las Rozas, Madrid.
An Esp Pediatr. 1997 Dec;47(6):591-4.
The excess of pediatric emergencies going to hospitals has been the subject of many studies in Spain and, on some occasions, this problem has attributed to the inefficiency of pediatric primary care. Our main objective was to evaluate whether or not our community health center is an efficient filter for hospital emergencies.
We conducted a prospective one year long study of all pediatric emergency demands within our normal office hours (workdays, from 08:00 to 21:00 hours).
The total number of emergencies amounted to 1,294, with an average of 5.78 per day. The largest inflow occurred in September and the lowest in August. Most of the emergencies were between 16:00 and 19:00 hours. Fifty percent of the patients were under 4 years of age. We made 86 different diagnoses according to the WONCA classification. Only 10 diagnoses came with a frequency superior to 3%, and 60% of the emergencies were related to one of these 10 diagnoses. Of all pediatric emergencies, 94.7% were completely resolved by us. Only 60 patients (4.6%) were sent-on to hospital emergency services. Among these patients, 40 required traumatological or surgical attention, 5 ophthalmological care, 3 otorhinolaryngological care, and only 12 exclusively needed pediatric attention. In 55.7% of the cases there was no reason to use the emergency channel.
During our office hours, our community health center is an efficient filter for hospital pediatric emergencies.
在西班牙，儿科急诊患者数量过多一直是许多研究的主题，在某些情况下，这个问题被归咎于儿科初级保健的低效。我们的主要目的是评估我们的社区卫生中心是否是医院急诊的有效过滤器。
我们对正常办公时间（工作日，08:00至21:00）内所有儿科急诊需求进行了为期一年的前瞻性研究。
急诊总数达1294例，平均每天5.78例。9月急诊量最大，8月最低。大多数急诊发生在16:00至19:00之间。50%的患者年龄在4岁以下。根据世界家庭医生组织（WONCA）分类，我们做出了86种不同诊断。只有10种诊断的出现频率超过3%，60%的急诊与这10种诊断中的一种有关。在所有儿科急诊中，94.7%由我们完全解决。只有60名患者（4.6%）被转送至医院急诊服务部门。在这些患者中，40人需要创伤或手术治疗，5人需要眼科护理，3人需要耳鼻喉科护理，只有12人仅需要儿科护理。在55.7%的病例中，没有理由使用急诊通道。
在我们的办公时间内，我们的社区卫生中心是医院儿科急诊的有效过滤器。
