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106 Urgences KCE reports vol. 19B
AUTHOR, YEAR
COUNTRY
SHIPMAN C. ET AL, 1997
UK
SIDDIQUI S. ET AL, 2002
SAUDI ARABIA
SNOOKS, HA. ET AL,
2004
UK
SRAMEK M ET AL, 1994
THE NETHERLANDS
STEIN AT ET AL, 2002
BRAZIL
STUDY DESIGN
SAMPLE
SETTING
RESULT / CONCLUSION
Cross-sectional Audit 2 A&E and 21 practices more families with children aged under 10 contacted a GP, and whilst more digestive, respiratory
and viral/non-specific complaints were presented to GPs,
Cross-sectional 3 months
3928 patients
musculoskeletal problems at the A&E departments.
However, some usage relating to perceived and actual availability of services appeared to be
interchangeable in terms of site-of-help seeking
Description of the complaints.
The majority of the patients come with minor self-limiting complaints. Maximum rush was seen at
night time.
Review focusing on the: (1) profile and outcomes of patients attended but not conveyed by emergency
crews; (2) triage ability of crews; (3) effectiveness and safety of protocols that allow crews to
convey patients to alternative receiving units or to self care.
Prospective study 1386 calls about chest problems or
unconsciousness (not caused by injury)
Robust research evidence concerning alternatives to current emergency care models is needed
triage by dispatchers is not sufficiently accurate
Cross-sectional 553 patients randomly selected One strategy to reduce the number of non-urgent consultations at emergency rooms is to establish
a close out-patient relationship between patients and physician