Skip navigation
Logo
User training | Reference and search service

Library catalog

Retrievo
EDS
b-on
More
resources
Content aggregators
Please use this identifier to cite or link to this item:

acessibilidade

http://hdl.handle.net/10071/13078
acessibilidade
Title: Utilização do serviço de urgência pediátrica: a experiência de um centro português
Authors: Rafael, M. S.
Portela, S.
Sousa, P.
Fernandes, A.
Keywords: Emergency medicine
Emergency health services
Pediatrics
Overutilization of health services
Issue Date: 2017
Publisher: EDIPUCRS
Citation: Rafael, M. S., Portela, S., Sousa, P. & Fernandes, A. (2017). Utilização do serviço de urgência pediátrica: a experiência de um centro português. Scientia Medica. 27 (1), 1-8
Abstract: Aims: The excess demand for pediatric emergency services has caused much concern among health professionals and hospital administrators. The aim of this study was to assess the utilization of a pediatric emergency department and to determine whether its use was injudicious. Methods: Retrospective cross-sectional analysis of all emergency cases treated throughout 2012 in a general hospital located in the metropolitan area of Lisbon, Portugal. The data were obtained from the hospital’s computer information system. Each patient was submitted at admission to the Manchester triage system adapted for Portugal, and the episodes were categorized into immediate, very urgent, urgent, standard, non-urgent, and not classified. All those episodes classified as standard and non-urgent were denoted as unjustified urgent episodes. The data were collected anonymously and analyzed by the IBM SPSS Statistics software using the chi-square test and one-way ANOVA at a 5% significance level (p<0.05). Results: We analyzed 37,099 pediatric emergency department episodes, of which 19,478 patients were male (53%), the median age was 4 years (interquartile range of 1-9 years), and 78.4% were up to 10 years old. Of all the episodes, 21,177 (57.1%) were classified as standard and 15,470 (41.6%) as urgent or very urgent. Of these patients, 27,294 (73.6%) used the emergency department during the week and 28,679 (77.3%) between 10 a.m. and 12 a.m. It was found that in 90.8% of very urgent, 97.1% of urgent, and 99.4% of standard episodes, patients were discharged without the need for hospitalization. Conclusions: More than half of the children who used the pediatric emergency department had standard or non-urgent needs, and almost all of them were discharged with follow-up recommendations by the attending physician. Most of the episodes occurred during opening hours of primary healthcare centers.
Description: WOS:398105600002 (Nº de Acesso Web of Science)
Peer reviewed: yes
URI: http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/24919
https://ciencia.iscte-iul.pt/id/ci-pub-33182
http://hdl.handle.net/10071/13078
ISSN: 1806-5562
Publisher version: The definitive version is available at: http://dx.doi.org/10.15448/1980-6108.2017.1.24919
Appears in Collections:BRU-RI - Artigo em revista científica internacional com arbitragem científica

Files in This Item:
acessibilidade
File Description SizeFormat 
24919_108085_1_PB.pdf1.12 MBAdobe PDFView/Open


FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Currículo DeGóis 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.