scholarly journals An Evaluation of a Modified CTAS at an Accident and Emergency Department in a Developing Country

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Shalini Pooransingh ◽  
L. K. Teja Boppana ◽  
Isaac Dialsingh
Keyword(s):  
Emergency Department ◽  
Admission Rate ◽  
Cross Sectional Study ◽  
Structural Factors ◽  
Cross Sectional ◽  
Admission Rates ◽  
Accident And Emergency ◽  
Triage Category ◽  
Accident And Emergency Department ◽  
Design And Methods

Objectives. To review the modified Canadian Triage and Acuity Scale used in an accident and emergency department in Trinidad and Tobago. Design and Methods. A cross-sectional study was carried out. Times from assignment of triage category to being seen by a physician were collected from the patient notes on the days of presentation and compared to the reference standards. Times from decision to admit to obtaining a bed were also recorded. Results. 200 patients were included in the study. The median waiting time for patients in the immediate/blue category was 3 minutes (range = 3); for the red category, it was 31.2 minutes (range = 121.8); in the yellow category, it was 61.8 minutes (range = 805.2). The overall admission rate was 30.5%, with an admission rate of 25% for the blue category; 20% of patients in the red category waited more than 4 hours for a hospital bed. Conclusion. The patients assigned to the blue category were being seen almost immediately. Less critical persons wait longer than the reference times and this may be due to structural factors such as staffing. The admission rates per category highlighted a low admission rate for the blue category (25%), which is unusual. This study highlights the need for a further study to review clinical presentation, assignment to triage category, and outcomes.

Study of Seasonal Varaiations In Presentation Of Medicolgegal Cases Of Burns In A Tertiary Care Hosptial

2021 ◽  
Vol 15 (9) ◽  
pp. 2311-2313
Author(s):  
Zulfiqar Ali Buzdar ◽  
Kanwal Zahra ◽  
Maryam Shahid ◽  
Muhammad Anwar Sibtain Fazli ◽  
Javaid Munir ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Seasonal Effects ◽  
Sectional Study ◽  
Cross Sectional ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Medical University

Background: The burns resulting from heating mechanisms or hot sources are inevitable as such a scheme is an integral part of human’s life. It though benefits on one hand but unfortunately it harms as well especially if due care is not rendered in this regard. Aim: To assess the seasonal effects on presentation of victims of burns. Methods: An analytical cross-sectional study was conducted on the medicolegal cases of burns filtered at medicolegal clinic of Mayo Hospital Lahore, Accident and Emergency Department from December 2017 to August 2018. A total of 250 cases were studied presenting in the above setting. Result: The study revealed the seasonality as a quiet common and impressive factor in reporting of victims of burns in the medicolegal clinic of Mayo Hospital/King Edward Medical University Lahore. The winter months of December, January and February were the most common reporting months of study showing maximum peaks. Keywords: Burns, Season, Variation, Factors

scholarly journals The Effect of the COVID-19 Pandemic on the Pediatric Emergency Department Flow

2021 ◽  
pp. 1-25
Author(s):  
Andrea Rivera-Sepulveda ◽  
Timothy Maul ◽  
Katherine Dong ◽  
Kylee Crate ◽  
Talia Helman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
Admission Rate ◽  
Severity Index ◽  
Pediatric Emergency ◽  
Cross Sectional Study ◽  
P Value ◽  
Pediatric Emergency Department ◽  
Cross Sectional ◽  
Chief Complaints

ABSTRACT Objective: To determine how the early stages of the COVID-19 pandemic affected the utilization of the Pediatric Emergency Department (PED). Methods: Cross-sectional study of PED visits during January through April, 2016-2020. Data included: total PED visits, emergency severity index (ESI), disposition, chief complaint, age (months), time from first Provider to Disposition (PTD), and PED length of stay (PED-LOS). P-value <0.01 was statistically significant. Results: In total, 67,499 visits were reported. There was a significant decrease in PED visits of 24-71% from March to April 2020. Chief complaints for fever and cough were highest in March 2020; while April 2020 had a shorter mean PED-LOS (from 158 to 123 minutes), an increase of admissions (from 8% to 14%), a decrease in ESI 4 (10%), and an increase in ESI 3 (8%) (p<0.001). There was no difference in mean monthly PTD time. Conclusions: Patient flow in the PED was negatively affected by a decrease in PED visits and increase in admission rate that may be related to higher acuity. By understanding the interaction between hospital processes on PEDs and patient factors during a pandemic, we are able to anticipate and better allocate future resources.

scholarly journals Health care provided to asylum-seeking and non-asylum-seeking paediatric patients at a Swiss tertiary hospital

2019 ◽  
Author(s):  
Julia Regina Brandenberger ◽  
Christian Pohl ◽  
Florian Vogt ◽  
Thorkild Tylleskär ◽  
Nicole Ritz
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Cross Sectional ◽  
Admission Rates ◽  
Number Of Visits

Abstract Background & Methods To compare health care provided to asylum-seeking and non-asylum-seeking children, we performed a cross-sectional study in a paediatric tertiary care hospital in Switzerland. Patients were identified using administrative and medical electronic health records from January 2016 - December 2017. Results A total of 202’316 visits by 55’789 patients were included, of which asylum-seeking patients accounted for 1674 (1%) visits by 439 (1%) patients. The emergency department had the highest number of visits in both groups with a lower proportion in asylum-seeking compared to non-asylum-seeking children: 19% (317/1674) and 32% (64’315/200’642) respectively. Hospital admissions were more common in asylum-seeking patients 11% (184/1674) and 7% (14’692/200’642). Frequent visits accounted for 48% (807/1674) of total visits in asylum-seeking and 25% (49’886/200’642) of total visits in non-asylum-seeking patients. Conclusions Hospital visits by asylum-seeking children represented a small proportion of all visits. The emergency department had the highest number of visits in all patients and was less frequently used in asylum-seeking children. Higher admission rates and a larger proportion of visits from frequently visiting patients suggest that asylum-seeking patients may present with more complex diseases.

scholarly journals Injury patterns in patients with QINGQI motorcycle rickshaw related road traffic accidents presenting at accident and emergency department of Mayo Hospital, Lahore.

2020 ◽  
Vol 27 (07) ◽  
pp. 1476-1481
Author(s):  
Waseem Sadiq Awan ◽  
Arslan Ahmed ◽  
Umme Bilqees ◽  
Unaiza Malik ◽  
M. Kashaf Naseer ◽  
...  
Keyword(s):  
Emergency Department ◽  
Upper Limb ◽  
Lower Limb ◽  
Soft Tissues ◽  
Road Traffic ◽  
Trauma Patients ◽  
Cross Sectional ◽  
Accident And Emergency ◽  
Limb Injuries ◽  
Accident And Emergency Department

Objectives: The objective of this study was to determine the patterns of the injuries in patients of Qingqi rickshaw related accidents. Study Design: Descriptive Cross-Sectional study. Setting: Accident and Emergency Department of Mayo Hospital, Lahore. Period: Six months from 1st of March, 2019 to 31st of August, 2019. Material & Methods: Non-probability consecutive sampling technique was used and all tri-wheeler Qingqi related trauma patients fulfilling the inclusion and exclusion criteria were included. Frequency and percentages were calculated for patterns of injuries and presented as tables. Results: A total of 356 Qingqi rickshaw related injured patients presented in six months study period. There were 243 (68.3%) males and 113 (31.7%) females and a mean age of 32.5 +2.5 years. Soft tissues injuries like subcutaneous edema, abrasions and lacerations were noticed in 206 patients (57.9%). Most common region involved was lower limb in 98 (27.5%) cases followed by upper limb trauma in 65 (18.2%) cases. Ploy trauma was present in 58 (16.3%) and head and spinal injuries were noticed in 27 (7.6%) and13 (3.7%) cases, respectively. The turning over of the rickshaw due to different reasons (47.2%) and head on collision (38.4%) were the leading cause of serious injuries. None of the Qingqi rickshaw drivers (0%) were wearing helmet. A total of 46 (12.9%) cases were pedestrians. Three patients had to undergo amputation for mangled limb injuries. Conclusion: The common pattern of injuries related to Qingqi accidents include lower limb injuries followed by upper limb and poly trauma comprising of head injuries. Males in their younger age group are most commonly injured. These accidents can result in serious morbidity and even mortality. It is now time to consider measures for safety of three-wheelers to reduce such incidents.

scholarly journals Older patients' utilisation of emergency department resources: a cross-sectional study

2001 ◽  
Vol 24 (3) ◽  
pp. 44 ◽  
Author(s):  
Kevin Chu ◽  
Anthony Brown
Keyword(s):  
Emergency Department ◽  
Hospital Admission ◽  
Older Patients ◽  
Admission Rate ◽  
Cross Sectional Study ◽  
Resource Utilisation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hospital Admission Rate ◽  
After Hours

A cross-sectional study was conducted to investigate older patients' utilisation of emergency department resources.Patients aged >65 years, compared with adults <65 years, were more likely to be triaged to higher clinical urgency categories. They have a higher hospital admission rate and longer length-of-stay even after adjusting for triage category.Patients >80 years, compared with 65-79 years, were more likely to be triaged to higher urgency categories. These groups had similar hospital admission rates and lengths-of-stay. Patients �65 years presented in similar numbers during office-hours and after-hours, but after-hours attendances were more likely to be triaged to higher urgency categories. The greater emergency department resource utilisation by older people has implications for the provision of health services in an aging population.

scholarly journals A Study of Patients who leave the Accident & Emergency Department against Medical Advice: An Eastern Nigeria Tertiary Institution Experience

2019 ◽  
Vol 2 (2) ◽  
pp. 121-125
Author(s):  
GC Oguzie ◽  
O A Lasebikan ◽  
DOC Chukwumam ◽  
DC Oparaocha ◽  
CJ Onyempka ◽  
...  
Keyword(s):  
Emergency Department ◽  
Medical Center ◽  
Distinct Group ◽  
Healthcare Services ◽  
Cross Sectional Study ◽  
Medical Advice ◽  
Tertiary Institution ◽  
Cross Sectional ◽  
Against Medical Advice ◽  
Accident And Emergency

The concept of patients leaving the Accident & Emergency Department against medical advice, Discharging Against Medical Advice (DAMA) or Signing Against Medical Advice (SAMA) is a common occurrence in our sub-region. These groups of patients are often considered high-risk, as they are prone to complications from seeking alternative healthcare services, which might be detrimental to their health. The objective was to determine the characteristics of patients signing against medical advice and the subspecialty with the highest prevalence of patients leaving the hospital against medical advice. A quantitative cross-sectional study design was chosen to accomplish the objectives of the study. A retrospective study was carried out in the Accident & Emergency Department (A & ED) of Federal Medical Center, Owerri (FMCO), to determine the characteristics of this distinct group of patients who left the hospital against medical advice. A review of the records of all patients who left against medical advice between 1st of August 2012 and 31st of July 2014 was done. There were 137 DAMA cases during the study period. The mean age of the DAMA study group was 32.3 years +/- 15.9. The major subspecialty involved was Orthopedics and Trauma with 51.8% (n = 71). The modal age group was between 21 – 30 years with 41.6% (n = 57) while 77.4% were males. In conclusion younger males with orthopedics and trauma cases were the most involved in DAMA and so this group of patients should be counseled as soon as they arrive the Accident and Emergency Department. A further study is needed to find out where they go and their outcome.

scholarly journals Mode of arrival to the emergency department - a national, cross-sectional study in Sweden

2021 ◽  
Author(s):  
Joakim HENRICSON ◽  
Ulf EKELUND ◽  
Jens HARTMAN ◽  
Bruno ZIEGLER ◽  
Lisa KURLAND ◽  
...  
Keyword(s):  
Admission Rate ◽  
Cross Sectional Study ◽  
Adult Patients ◽  
Sectional Study ◽  
Telephone Triage ◽  
Descriptive Data ◽  
Cross Sectional ◽  
Common Mode ◽  
Admission Rates ◽  
Chief Complaints

Abstract Background: Swedish Emergency Departments (EDs) see 2.6 million visits annually. Sweden has a strong tradition of health care databases, but mode of arrival to the ED is not documented in any registry. The situation is similar in most of Europe.The aim of the study was to provide a national overview of the mode of arrival, medical acuity according to triage, chief complaints, and hospital admission rates for adult patients (≥18 years) visiting Swedish EDs during 24h.Methods: A national cross-sectional study including all patients at 43 of Sweden’s 72 EDs during 24 hours on April 25th, 2018. Mode of arrival, medical acuity at triage, admission and basic demographics were registered by dedicated assessors present at every ED for the duration of the study. Descriptive data are reported.Results: A total of 3875 adult patients (median age 59; range 18 to 107; 50% men) were included in the study. Complete data for mode of arrival was reported for 3693 patients (98%). The most common mode of arrival was self-referred walk-in (n=1310; 34%), followed by ambulance (n=920; 24%), referral from a general practitioner (n=497; 13%), and telephone triage referral by the national healthcare guide service “Healthcare Guide 1177” (n=409; 10%). In patients 18 to 64 years, self-referred walk-in was most common, whereas transport by ambulance dominated in patients >64 years.Of the 3365 patients that received an acuity level at triage, 4% were classified as Red (Immediate), 18% as Orange (very urgent), 47% as Yellow (Urgent), 26% as Green (Standard), and 5% as Blue (Non-Urgent).Patients presented with very diverse complaints but about a quarter had abdominal or chest pain. Overall, the admission rate was 27%. Arrival by ambulance was associated with the highest rate of admission (486 of 920; 53%), self-referred walk-in and telephone triage referrals were less often admitted. Conclusion: Self-referred walk-in was the overall most common mode of arrival followed by ambulance. Patients arriving by ambulance were often elderly, critically ill and were often admitted to in-patient care, whereas arrival by self-referred walk-in was more common in younger patients.

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