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Wando Mount Pleasant Library
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Village Library
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St. Paul's/Hollywood Library
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Hurd/St. Andrews Library
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Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.
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- Author(s): Kusters, Renske W. J.; Peters, Nathalie A. L. R.; van Osch, Frits H. M.; Simons, Petra C. G.; Hulsbosch, Mark H. H. M.; Janzing, Heinrich M. J.; Barten, Dennis G.
- Source:
Journal of Evaluation in Clinical Practice. Feb2023, Vol. 29 Issue 1, p101-107. 7p. 1 Color Photograph, 4 Charts. - Source:
- Additional Information
- Subject Terms: LEG injuries; ARM injuries; LENGTH of stay in hospitals; HEALTH services accessibility; HOSPITAL emergency services; SCIENTIFIC observation; CROWDS; PATIENTS; RETROSPECTIVE studies; PRIMARY health care; EMERGENCY medical services; MEDICAL referrals; DESCRIPTIVE statistics; HOSPITAL radiological services; WOUNDS & injuries; DISCHARGE planning
- Subject Terms:
- Abstract: Rationale, Aims and Objectives: Low‐urgent Emergency Department (ED) attendances are a known contributing factor to ED crowding. In the Netherlands, general practitioners (GPs) have direct access to radiology facilities during office hours. Patients with radiographically confirmed traumatic injuries are subsequently referred to the ED. We analysed these ED trauma patients' characteristics, provided treatments and ED discharge diagnoses to identify the possibility of alternative care pathways. Methods: Single‐centre retrospective observational study of trauma patients referred to the ED by the radiology department during office hours (January 2017–December 2017). Data were obtained from patient records. Descriptive statistics were used to analyse the extracted data. Results: A total of 662 patients were included. The median age was 42 years (range: 1–100, interquartile range (IQR): 15–63) and patients presented to the ED with a median delay of 1 day (range: 0–112 days, IQR: 0–5). Most patients were referred for injuries involving the upper extremities (61.5%) and lower extremities (30%). A total of 48 additional diagnoses were made in the ED. The majority of injuries was classified as 'minor' (29.5%) or 'moderate' (68.3%) on the Abbreviated Injury Scale (AIS). The median length of stay in the ED was 65 min (range: 7–297 min, IQR: 43–102). Conclusion: Most patients presented with low acuity injuries and often with a notable delay to the ED. This suggests that the majority of these patients do not necessarily need ED treatment, which may provide an opportunity to counter ED crowding. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Evaluation in Clinical Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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