Document Detail


ED patients: how nonurgent are they? Systematic review of the emergency medicine literature.
MedLine Citation:
PMID:  20825838     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Nonurgent visits to emergency departments (ED) are a controversial issue; they have been negatively associated with crowding and costs. We have conducted a critical review of the literature regarding methods for categorizing ED visits into urgent or nonurgent and analyzed the proportions of nonurgent ED visits. We found 51 methods of categorization. Seventeen categorizations conducted prospectively in triage areas were based on somatic complaint and/or vital sign collection. Categorizations conducted retrospectively (n = 34) were based on the diagnosis, the results of tests obtained during the ED visit, and hospital admission. The proportions of nonurgent ED visits varied considerably: 4.8% to 90%, with a median of 32 %. Comparisons of methods of categorization in the same population showed variability in levels of agreement. Our review has highlighted the lack of reliability and reproducibility.
Authors:
Anne-Claire Durand; Stéphanie Gentile; Bénédicte Devictor; Sylvie Palazzolo; Pascal Vignally; Patrick Gerbeaux; Roland Sambuc
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Publication Detail:
Type:  Journal Article     Date:  2010-04-24
Journal Detail:
Title:  The American journal of emergency medicine     Volume:  29     ISSN:  1532-8171     ISO Abbreviation:  Am J Emerg Med     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309942     Medline TA:  Am J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  333-45     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Affiliation:
Laboratoire de Santé Publique, Faculté de Médecine, Equipe de recherche EA 3279 "Evaluation hospitalière-Mesure de la santé perçue"13005, Marseille, France.
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