Emergency medicine in Paarl, South Africa: a cross-sectional descriptive study
Emergency medicine in Paarl, South Africa: a cross-sectional descriptive study
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DOI：
10.1007/s12245-010-0185-9
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发表时间：
2010-01-01
影响因子：
3.2
通讯作者：
Mulligan, Terrence M.
中科院分区：
文献类型：
--
作者：
Hanewinckel, Rens;Jongman, Henri P.;Mulligan, Terrence M.
南非的急诊医学（EM）正处于发展的最早阶段。有一个关于急诊科（艾德）患者的人口统计学，流行病学，咨询和入院标准和其他characteristics.Aims的数据匮乏，这些信息是绝对必要的，以正确指导EM和适当的紧急护理系统的发展。为了提供这些信息，我们进行了一项研究，在农村医院Paarl，60公里以外的开普敦。方法所有患者谁是在艾德2008年1月1日至2008年5月31日之间看到有资格参加我们的研究。我们设计了一项横断面描述性研究，并使用40分问卷（见附录1）从这一时期看到的所有连续患者图表的随机样本中检索信息。结果我们调查了2，446个图表，其中2，134个适合我们的研究。这些患者中的大多数（88.2%）是自我推荐的。在我们的样本中，24.1%是12岁以下的儿童。几乎20%的患者有严重的病理状况或生理不稳定; 36.0%的所有表现与创伤有关。除了创伤相关的问题，胃肠道-（21.9%）和呼吸道-相关问题以艾德最多见（12.4%）; 16.5%的患者入住病房。结论这项描述性流行病学研究提供了必要的数据，将用于进一步的需求评估和未来的EM发展在帕尔，并且可以用作其他ED和医院的模板，以提供初始EM开发策略所需的类似数据。
Background Emergency Medicine (EM) in South Africa is in its earliest stages of development. There is a paucity of data about emergency department (ED) patient demographics, epidemiology, consultation and admission criteria and other characteristics.Aims This information is absolutely necessary to properly guide the development of EM and appropriate emergency care systems. In order to provide this information, we performed a study in a rural hospital in Paarl, 60 km outside Cape Town.Methods All patients who were seen in the ED between 1 January 2008 and 31 May 2008 were eligible for our research. We designed a cross-sectional descriptive study and retrieved information from a randomized sample of all consecutive patient charts seen during this period using a 40-point questionnaire (see Appendix 1).Results We investigated 2,446 charts, of which 2,134 were suitable for our research The majority (88.2%) of these patients were self-referred. In our sample, 24.1% were children under 12 years old. Almost 20% of patients had a serious pathological condition or were physiologically unstable; 36.0% of all presentations were trauma related. Besides trauma-related problems, gastrointestinal- (21.9%) and respiratory tract- (12.4%) related problems were most common in the ED; 16.5% of the patients were admitted to a ward.Conclusion This descriptive epidemiological study provides necessary data that will be used for further needs assessments and for future EM development in Paarl, and can be used as a template in other EDs and hospitals to provide similar data necessary for initial EM development strategy.