Articles: emergency-services.
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A case-control study was carried out in Nottingham Health District, to establish whether children under five years of age admitted to hospital after a accidental injury were more likely to have previously attended the accident and emergency (A & E) department than community controls. The subjects were 342 case-control pairs matched on sex and date of birth, consisting of children under five years resident in the Health District, and the main exposure measures were attendance at the A & E department before the case's first admission, type of injury and number of earlier attendances. ⋯ It is concluded that accidental injuries in pre-school children that require attendance at the A & E department predict accidental injuries requiring admission. Making attendances at A & E departments notifiable to health visitors would facilitate the undertaking of accident prevention work.
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Revista médica de Chile · Jun 1993
Comparative Study[Prevalence of mental disorders at emergency service].
Aiming to know the frequency of mental disorders among patients consulting a general hospital emergency ward, 2834 medical records of such patients were retrospectively reviewed. 8.4% of consultations were due to mental disorders. Sixty four percent of patients consulting for mental disorders were women. ⋯ A low percent of these patients were referred to psychiatry. The low frequency of psychiatric referrals and the importance of psychiatric advice in emergency rooms is discussed.
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Comparative Study
Comparison of attendance and emergency admission patterns at accident and emergency departments in and out of London.
To compare the sociodemographic characteristics, diagnoses, and mode of referral of people and emergency admissions between an accident and emergency department in inner London and one in a town outside London. ⋯ Differences in sociodemographic characteristics were more important than general practice referral patterns in determining the differences in people attending at accident and emergency departments inside and outside London. Many of these characteristics are likely to be found in other inner city populations. A strategy to improve acute care in inner London should take account of the needs of these sociodemographically different groups.
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1) To determine whether the frequencies of panic disorder (PD) and depression (DEP) in an emergency department (ED) population were comparable to those in other primary care groups; 2) to evaluate whether patients without the clinical diagnosis of acute cardiac ischemia (ACI) had higher frequencies of these disorders; and 3) to identify characteristic clinical findings in patients with PD or DEP. ⋯ This study suggests that approximately one in three patients presenting to the ED with acute pain has symptoms consistent with a psychiatric disorder. These disorders occur frequently in both those with and those without acute cardiac ischemia, and clinical variables may help identify these frequent ED utilizers.