The pattern of ambulance arrivals in the emergency department of an acute care hospital in Singapore
The pattern of ambulance arrivals in the emergency department of an acute care hospital in Singapore
复制标题
DOI：
10.1136/emj.18.4.297
复制
发表时间：
2001-07-01
影响因子：
3.1
通讯作者：
Phe, A
中科院分区：
文献类型：
--
作者：
Seow, E;Wong, HP;Phe, A
目的-(1)确定救护车抵达急诊科(ED)的模式；(2)根据这些数据审查资源分配情况。方法-研究1996年所有(13697例)救护车抵达丹东生医院急诊科的情况，并在相关情况下与同年到达急诊科的救护车人数和总抵达人数进行比较。(A)病人的人口统计资料；(B)救护车每小时到达的次数；(C)救护车按紧急或非紧急、创伤或非创伤的分类；(D)创伤个案的受伤原因；(E)出院情况。不同性别和种族的患者来急诊科就诊方式无差异。然而，有重要的证据表明，60岁的患者乘坐救护车的人数比12岁的患者多(p<0.01)。约98.5%的救护车抵达是紧急情况；40.7%的救护车抵达可归因于创伤，而步行抵达的救护车的比例为27.3%。救护车带来的大部分创伤病例是因为道路交通事故(15.3%)或家庭事故(7.4%)。救护车到达的高峰期为2100-2300小时，相比之下，步行到达的高峰期为1000-1200小时。超过一半的救护车抵达医院。结论：在规划资源分配和制定应急计划时，应考虑救护车病人的资源使用和抵达的模式。
Objectives-(1) To determine the pattern of ambulance arrivals in the emergency department (ED) and (2) to review resource allocation based on these data.Methods-All (13 697) ambulance arrivals in 1996 to the ED of Tan Tock Seng Hospital were studied and where relevant compared with the walk in and total arrivals of the same year. The following data were obtained from computer records: (a) patients' demographic data; (b) number of ambulance arrivals by hour; (c) the classification of the ambulance arrivals by emergency or non-emergency, trauma or non-trauma; (d) cause of injury for trauma cases; (e) discharge status.Results-The ambulance arrivals in 1996 constituted 12.4% of the patient load for this department. There was no difference in modes of patient arrival to the ED by sex and ethnic group. However, there was significant evidence to show that more patients age > 60 came by ambulance than those age < 12 (p much less than 0.01). Some 98.5% of the ambulance arrivals were emergencies; 40.7% of the ambulance arrivals were attributable to trauma versus 27.3% of th walk in arrivals. The majority of the trauma cases brought in by ambulance were because of road traffic accidents (15.3%) or home accidents (7.4%). The peak in ambulance arrivals was between 2100-2300 hours compared with 1000-1200 for the walk in arrivals. More than half of the ambulance arrivals were admitted.Conclusion-In planning resource allocation and in the development of contingency plans, the resource use of ambulance patients and the pattern of their arrivals should be taken into account.