埃塞俄比亚亚的斯亚贝巴三级医院急诊外科病人转诊。

Q3 Medicine
Ethiopian Medical Journal Pub Date : 2016-10-01
Engida Abebe, Henok Teshome, Mahteme Bekele
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引用次数: 0

摘要

介绍:转诊是患者护理的一部分,如果做得适当。转诊的常见原因包括寻求专家建议、技术检查和/或干预、超出设施能力的护理。目的:了解2015年5月至7月在SPHMMC外科急诊室就诊的患者的转诊率、原因和病例类型。患者和方法:横断面研究在圣保罗医院千禧医学院急诊室进行,包括三个月内就诊的所有手术患者。数据收集自每位患者的医疗记录、急诊室和联络处的记录以及实习生的晨间报告。数据分析采用SPSS version 20。结果:共观察2492例患者。平均每天有27.7名患者就诊,范围从13到51。外伤占所有病例的70%(1746例)。需要入院的病例占30.1%(755例),但入院率仅为49.5%(374例)。总转诊率为15.3%。需要治疗的患者转诊率为50.5%(381例)。创伤占转诊病例的77.4%(295例),主要是骨科,占54.6%(161例),神经创伤占38%(112例)。在非创伤病例中,急性腹部疾病占75%(56例)。缺少住院床位是转诊的主要原因(65.6%,250例)。在34.5%(131)的病例中,专科护理需求是转诊的原因。在转诊的患者中,只有14.4%(55人)在转诊时出院。4%(13)的住院病人在等待转诊的过程中死亡。结论:圣保罗医院千禧医学院急诊室转诊率高。它在创伤病例中更高,特别是骨科和神经创伤。转诊的主要原因是缺少床位。需要评估医院和其他AA医院吸收创伤的能力,特别是骨科和神经创伤,并实施必要的政策调整。在每个医院和整个城市的进一步研究可以更好地了解亚的斯亚贝巴医院之间的转诊情况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REFERRAL OF EMERGENCY SURGICAL PATIENTS IN A TERTIARY HOSPITAL, ADDIS ABABA, ETHIOPIA.

Introduction: Referral is part of patient care when done appropriately. Common reasons for referral include seeking expert advice, technical examination and/or intervention, care beyond the facility’s capacity. Objectives: Determine the rate, reason for and type of cases referred among patients seen at surgical Emergency Room of SPHMMC during May to July 2015.

Patients and methods: Cross sectional study was done at St. Paul’s Hospital Millennium Medical College Emergency Room, including all surgical patients seen in three months period. Data was collected from the individual patient’s medical records, records of the ER and the liaison office and Interns morning reporting book. Data was analyzed with SPSS version 20.

Results: Total of 2,492 patients were seen. The mean number of patients seen per day was 27.7 with a range from 13 to 51. Trauma made 70% (1746) of all cases seen. Cases that needed admission made 30.1% (755), but only 49.5 % (374) of them were admitted. The overall referral rate was 15.3%. The referral rate in patients who needed admission was 50.5 % (381). Trauma made 77.4% (295) of the referrals, mainly orthopedic, 54.6% (161) and neuro-traumas, 38% (112). Among non trauma cases acute abdominal conditions tops, 75% (56). Lack of inpatient beds was the main reason for referral 65.6% (250). Specialist care need was the reason for referral in 34.5% (131) of cases. Among patients referred only 14.4% (55) left the hospital at the time of referrals. Four percent (13) of the kept patients died in the ER waiting for referrals.

Conclusions: The rate of referral from St. Paul’s Hospital Millennium Medical College Emergency Room is high. It is higher in trauma cases, specifically orthopedic and neuro-traumas. Main reason for referrals was lack of bed. The capacity of the hospital and other hospitals in AA in absorbing traumas, specifically orthopedic and neurotraumas need to be evaluated and necessary policy adjustments should be implemented. Further study at each hospital and the whole city gives better picture of referrals among hospitals in Addis Ababa.

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来源期刊
Ethiopian Medical Journal
Ethiopian Medical Journal Medicine-Medicine (all)
CiteScore
0.40
自引率
0.00%
发文量
0
期刊介绍: The Ethiopian Medical Journal (EMJ) is the official Journal of the Ethiopian Medical Association (EMA) and devoted to the advancement and dissemination of knowledge pertaining to the broad field of medicine in Ethiopia and other developing countries. Prospective contributors to the Journal should take note of the instructions of Manuscript preparation and submission to EMJ as outlined below.
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