دورية أكاديمية
أعرض في EDS

Minor traumatic injuries in the emergency department pre- and post-implementation of an emergency care access point.

التفاصيل البيبلوغرافية
العنوان: Minor traumatic injuries in the emergency department pre- and post-implementation of an emergency care access point.
المؤلفون: van der Baaren R; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Barten DG; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., van Osch F; Department of Clinical Epidemiology, VieCuri Medical Center, Venlo, The Netherlands., van Barneveld KWY; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Janzing HMJ; Department of Trauma Surgery, VieCuri Medical Center, Venlo, The Netherlands., Cals JWL; Department of Family Medicine, Care and Public Health Research Institute CAPHRI, Maastricht University, Maastricht, The Netherlands.
المصدر: Journal of evaluation in clinical practice [J Eval Clin Pract] 2023 Feb; Vol. 29 (1), pp. 32-38. Date of Electronic Publication: 2022 May 22.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9609066 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2753 (Electronic) Linking ISSN: 13561294 NLM ISO Abbreviation: J Eval Clin Pract Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford, England : Wiley-Blackwell, c1995-
مواضيع طبية MeSH: Emergency Medical Services* , General Practice*, Humans ; Emergency Service, Hospital ; Netherlands/epidemiology ; Family Practice
مستخلص: Objective: In the Netherlands, out-of-hours General Practice Cooperatives (GPCs) increasingly collaborate with Emergency Departments (EDs) to form an Emergency Care Access Point (ECAP). ECAPs aim to decrease the number of low-urgent ED attendances, of which many compromise minor traumatic injuries. In this study, we evaluated the impact of ECAP implementation on the incidence of minor traumatic injuries in the ED.
Methods: We evaluated a total of 2772 ED patients who presented with a minor traumatic injury (categorized into traumatic wounds and isolated extremity injuries) 1 year before and 1 year after ECAP implementation. We compared patient characteristics, throughput, diagnosis, treatment and follow-up before and after ECAP implementation.
Results: ECAP implementation was associated with a reduction in ED volume for minor traumatic injuries: -12.4% for isolated extremity injuries (1249 vs. 1094) and -74.6% for traumatic wounds (342 vs. 87). Multivariable logistic regression analysis controlling for patient characteristics showed that ECAP implementation was associated with higher rates of substantial injuries in the ED (OR 1.20, 95% CI = 1.01-1.43), and more patients requiring outpatient follow-up.
Conclusion: Implementation of an ECAP was associated with a reduction of ED utilization by patients with minor traumatic injuries, traumatic wounds in particular. This healthcare intervention may therefore help to reduce ED utilization for low-urgent complaints.
(© 2022 John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: crowding; emergency care access point; emergency department
تواريخ الأحداث: Date Created: 20220523 Date Completed: 20230117 Latest Revision: 20230313
رمز التحديث: 20240628
DOI: 10.1111/jep.13705
PMID: 35599366
قاعدة البيانات: MEDLINE
الوصف
تدمد:1365-2753
DOI:10.1111/jep.13705