Epidemiology of patients presenting to the emergency centre of Princess Marina Hospital in Gaborone, Botswana
Epidemiology of patients presenting to the emergency centre of Princess Marina Hospital in Gaborone, Botswana
复制标题
DOI：
10.1016/j.afjem.2013.12.004
复制
发表时间：
2014-09-01
影响因子：
1.3
通讯作者：
Kestler, Andrew
中科院分区：
文献类型：
--
作者：
Chandra, Amit;Mullan, Paul;Kestler, Andrew
简介：急诊医学是博茨瓦纳新承认的专业，该国于2011年1月启动了急诊医学实习生。关于博茨瓦纳急诊医疗实践的数据有限。这项研究回顾了位于首都哈博罗内的该国主要转诊医院玛丽娜公主医院急救中心一年来的患者报告。方法：将2010年5月至2011年4月期间所有到急救中心就诊的患者的流行病学数据提取到数据库中。使用ICD-10的临床分类软件(CCS)概述的类别对患者陈述的随机样本的诊断进行编码。为了便于分析，将几个CCS类别分组在一起进行后续分析。结果：在研究期间记录了24,905例患者就诊。很大一部分患者的年龄在25岁到50岁之间。20%的患者表现为创伤性损伤。所有年龄段最常见的诊断包括创伤、妊娠并发症、胃肠道疾病和肺炎。结论：这些结果可以为博茨瓦纳急诊医学教育和急性护理系统的发展提供参考。
Introduction: Emergency medicine is a newly recognized specialty in Botswana and the country launched an emergency medicine residency in January 2011. Data regarding the practice of emergency medicine in Botswana are limited. This study reviewed 1 year of patient presentations to the emergency centre of Princess Marina Hospital, the country's main referral hospital located in the capital city, Gaborone.Methods: Epidemiologic data of all patients presenting to the emergency centre between May 2010 and April 2011 were extracted into a database. The diagnoses of a random sample of patient presentations were coded using the categories outlined by the Clinical Classifications Software (CCS) for ICD-10. For ease of analysis, several CCS categories were grouped together for subsequent analysis.Results: 24,905 patient encounters were recorded during the study period. A large proportion of patients were aged between 25 and 50 years old. 20% of patients presented with a traumatic injury. The most common diagnoses across all ages included trauma, pregnancy complications, gastrointestinal disorders, and pneumonia.Conclusion: These results can inform the development of emergency medicine education and acute care systems in Botswana.