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新泽西州综合急诊科儿科就诊的流行病学情况。

The epidemiology of pediatric visits to New Jersey general emergency departments.

作者信息

Zimmerman D R, Allegra J R, Cody R P

机构信息

Department of Pediatrics, UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.

出版信息

Pediatr Emerg Care. 1998 Apr;14(2):112-5. doi: 10.1097/00006565-199804000-00006.

DOI:10.1097/00006565-199804000-00006
PMID:9583391
Abstract

OBJECTIVE

To describe the epidemiology of pediatric visits to the emergency departments (EDs) of 10 general hospitals by age and gender.

DESIGN

Review of ICD-9 codes from the billing database of a practice of emergency physicians.

SETTING

Ten hospitals in north/central New Jersey.

PATIENTS

All children <18 years treated by group physicians in EDs of study hospitals.

INTERVENTIONS

None.

MAIN OUTCOME MEASURES

Diagnoses and visits.

RESULTS

There were 319,430 diagnoses recorded for 241,839 children (18.9% of the 1,277,233 total visits by all ages). The number of visits was highest in the <2 and >14 years age groups, with males predominating in all age groups. The number of visits from trauma increased with age. Otitis accounted for over 3% of all ED visits in this sample, over 7000 visits.

CONCLUSIONS

Children account for a significant portion of ED visits in general hospitals. EDs need to be equipped and staffed to handle this clientele.

摘要

目的

按年龄和性别描述10家综合医院急诊科儿科就诊的流行病学情况。

设计

回顾急诊医生业务计费数据库中的国际疾病分类第九版(ICD - 9)编码。

地点

新泽西州北部/中部的10家医院。

患者

研究医院急诊科由集体执业医生治疗的所有18岁以下儿童。

干预措施

无。

主要观察指标

诊断和就诊情况。

结果

共记录了241,839名儿童的319,430例诊断(占各年龄段总就诊人次1,277,233的18.9%)。就诊人次在2岁以下和14岁以上年龄组最高,各年龄组均以男性居多。因创伤就诊的人次随年龄增加。中耳炎占该样本中所有急诊科就诊人次的3%以上,超过7000人次。

结论

儿童占综合医院急诊科就诊人次的很大一部分。急诊科需要配备相应设备和人员以应对这类患者群体。

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