Télécharger le rapport (152 p.) - KCE
Télécharger le rapport (152 p.) - KCE
Télécharger le rapport (152 p.) - KCE
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<strong>KCE</strong> reports vol. 19B Urgences 99<br />
AUTHOR, YEAR<br />
COUNTRY<br />
ABDALLAT AM ET AL,<br />
2000<br />
JORDAN<br />
BECK CM, 1998<br />
USA<br />
BELAND F ET AL, 1998<br />
CANADA<br />
BERGERON S. ET AL,<br />
2002<br />
CANADA<br />
BIANCO A ET AL, 2003<br />
ITALY<br />
BROWNE GJ ET AL, 2001<br />
AUSTRALIA<br />
BURY G ET AL, 2000<br />
IRELAND<br />
STUDY DESIGN<br />
SAMPLE<br />
SETTING<br />
Cross-sectional 1 month<br />
Retrospective chart<br />
review<br />
2841 patients<br />
18 month period<br />
192 charts<br />
Cross-sectional Mai<strong>le</strong>d questionnaire<br />
Cross-sectional 541 Ed patients<br />
Paediatric emergency physicians and registered<br />
nurses<br />
15 year-old and more<br />
RESULT / CONCLUSION<br />
4 classes of urgency: life-threatening, urgent, non-urgent, trivial<br />
children 91% non-urgent cases<br />
Nearly all patients who e<strong>le</strong>ct to be seen in this paediatric ED after being denied by their Medicaid<br />
managed care providers do not pay their bills.<br />
patient health status is not uniformly related to the use of emergency rooms for non-urgent<br />
reasons in all units. This association is particularly weak in socio-economically deprived units and<br />
more significant at higher socio-economic <strong>le</strong>vels.<br />
Triage sca<strong>le</strong>: resuscitation/emergent urgent <strong>le</strong>ss urgent non-urgent<br />
The <strong>le</strong>vel of agreement and accuracy of triage assignment was only moderate for both RNs and<br />
PEPs.<br />
Triage requires improved measurement<br />
Younger and fema<strong>le</strong> are more likely to use ED for non-urgent reason<br />
Patients without medical referral, prob<strong>le</strong>ms with long duration<br />
Felling that the prob<strong>le</strong>m is an emergency<br />
Prospective study 1037 walk-out patients (ChildrenÊs hospital ED) Paediatric patients who walk-out of the ED without seeing a medical officer have simp<strong>le</strong> illnesses<br />
that resolve without medical intervention or adverse events<br />
Cross-sectional All 43 Irish A&E departments Most hospital want GPs to work in their A&E departments
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