Using an electronic medical record system to describe injury epidemiology and health care utilization at an inner-city hospital in Indiana.
Using an electronic medical record system to describe injury epidemiology and health care utilization at an inner-city hospital in Indiana.
复制标题
使用电子病历系统来描述印第安纳州一家市中心医院的伤害流行病学和医疗保健利用情况。
DOI：
10.1080/156609704/233/289616
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Mungai,Simon
中科院分区：
文献类型：
--
作者：
Odero,WilsonW;Tierney,WilliamM;Einterz,RobertM;Mungai,Simon
伤害是世界范围内的一个主要公共卫生问题。在美国，伤害每年导致146,400人死亡，急诊科就诊的非致命性伤害有3100万人次。因此，EDS是伤害数据的重要来源。目前这项研究的主要目的是描述伤害相关急诊的流行病学，并使用存储在计算机医疗记录系统中的数据来评估印第安纳州一家市中心医院与伤害相关的医疗资源的利用。它包括对3年期间急诊室的受伤就诊记录和受伤入院记录的回顾。提取和分析的变量包括患者的人口统计、损伤的外部原因、诊断、住院时间、急救和住院费用。总共进行了60,470次与伤害相关的急诊，大多数患者是男性(61.6%)，未参保(63.1%)，在急诊室接受治疗并出院(98.4%)。伤害原因前五位依次为跌倒(18.8%)、机动车碰撞(18.4%)、撞击(17.6%)、被撞(11.2%)和劳累过度(10.6%)。枪支造成的伤害死亡最多(32.4%；n=314)；机动车撞车是住院的主要原因(26.6%；n=642)，也是住院治疗费用最高的(平均费用为19,190美元)。每名接受治疗及出院的病人的平均收费为150元，而入院的病人则为11,116元。这些发现证明了计算机化的医疗记录在捕获和存储E编码的伤害数据方面的价值。该系统生成的数据可用于地方一级的流行病学监测和伤害预防，以及评估特定伤害对卫生保健资源的影响。
Injuries are a major public health problem worldwide. In the USA, injuries cause 146, 400 deaths annually, with 31 million non-fatal injury visits to emergency departments (EDs). EDs thus represent an important source of injury data. The primary objective of the current study was to describe the epidemiology of injury-related ED visits and assess injury-related utilization of health care resources in an innercity hospital in Indiana, using data stored in a computerized medical record system. It involved a retrospective review of the records for injury visits to EDs and injury admissions over a 3-year period. The variables extracted and analysed included patients’ demographics, external cause of injury, diagnosis, length of stay, ED and hospital charges. A total of 60,470 injury-related ED visits were made, the majority of patients were male (61.6%), uninsured (63.1%), treated in ED and discharged (98.4%). The leading causes of injury were falls (18.8%), motor vehicle crashes (18.4%), assaults (17.6%), being struck (11.2%) and overexertion (10.6). Firearms caused most injury deaths (32.4%; n= 314); motor vehicle crashes were the leading cause of hospitalization (26.6%; n= 642) and also the most expensive to treat as inpatients (mean charge $19,190). The mean charge per patient treated and discharged was $150 compared to $11,116 for patients admitted. These findings demonstrate the value of computerized medical records in capturing and storing E-coded injury data. The system generates data that can be used for epidemiological surveillance and injury prevention at the local level, and for assessment of impact of specific injuries on health care resources.