Anesthesia for the homeless.

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  • Author(s): Benedict S; Fehder WP
  • Source:
    AANA journal [AANA J] 1993 Jun; Vol. 61 (3), pp. 309-13.
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: American Association of Nurse Anesthetists Country of Publication: United States NLM ID: 0431420 Publication Model: Print Cited Medium: Print ISSN: 0094-6354 (Print) Linking ISSN: 00946354 NLM ISO Abbreviation: AANA J
    • Publication Information:
      Publication: Park Ridge, Ill. : American Association of Nurse Anesthetists
      Original Publication: Chicago.
    • Subject Terms:
      Emergencies* ; Ill-Housed Persons* ; Morbidity*; Anesthesia/*methods; Adolescent ; Adult ; Female ; HIV Infections/complications ; Humans ; Male ; Mental Disorders/complications ; Middle Aged ; New York City ; Retrospective Studies ; Substance-Related Disorders/complications
    • Abstract:
      Healthcare for the homeless is often crisis-oriented and fragmented. Homelessness may be associated with ongoing healthcare problems such as tuberculosis, human immunodeficiency virus (HIV), acquired immune deficiency syndrome (AIDS), and substance abuse. The purpose of this study was to identify the anesthesia services required by homeless individuals from an urban area. The anesthesia records of all individuals (N = 40) identified as being homeless and receiving care at one New York City medical center during a 12-month period were reviewed. Approximately one-half (47.5%) of the 40 patients in the study did not require general anesthesia but intubation only. Most of these intubations were for cardiac/respiratory arrests of unknown cause, drug/alcohol overdose, or multiple trauma. Of the 21 patients requiring surgery, 15 had emergency procedures such as splenectomy, appendectomy, exploratory laparotomy, incarcerated hernia repair, and reduction of fractures. The findings of this study support previous research which indicates that most homeless people enter into care for emergency rather than elective services.
    • Publication Date:
      Date Created: 19930601 Date Completed: 19940224 Latest Revision: 20221207
    • Publication Date:
      20231215
    • Accession Number:
      8291392