Dataset Information

Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.

ABSTRACT:

Rationale, aims and objectives

Low-urgent Emergency Department (ED) attendances are a known contributing factor to ED crowding. In the Netherlands, general practitioners (GPs) have direct access to radiology facilities during office hours. Patients with radiographically confirmed traumatic injuries are subsequently referred to the ED. We analysed these ED trauma patients' characteristics, provided treatments and ED discharge diagnoses to identify the possibility of alternative care pathways.

Methods

Single-centre retrospective observational study of trauma patients referred to the ED by the radiology department during office hours (January 2017-December 2017). Data were obtained from patient records. Descriptive statistics were used to analyse the extracted data.

Results

A total of 662 patients were included. The median age was 42 years (range: 1-100, interquartile range (IQR): 15-63) and patients presented to the ED with a median delay of 1 day (range: 0-112 days, IQR: 0-5). Most patients were referred for injuries involving the upper extremities (61.5%) and lower extremities (30%). A total of 48 additional diagnoses were made in the ED. The majority of injuries was classified as 'minor' (29.5%) or 'moderate' (68.3%) on the Abbreviated Injury Scale (AIS). The median length of stay in the ED was 65 min (range: 7-297 min, IQR: 43-102).

Conclusion

Most patients presented with low acuity injuries and often with a notable delay to the ED. This suggests that the majority of these patients do not necessarily need ED treatment, which may provide an opportunity to counter ED crowding.

SUBMITTER: Kusters RWJ

PROVIDER: S-EPMC10084186 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.

Kusters Renske W J RWJ Peters Nathalie A L R NALR van Osch Frits H M FHM Simons Petra C G PCG Hulsbosch Mark H H M MHHM Janzing Heinrich M J HMJ Barten Dennis G DG

Journal of evaluation in clinical practice 20220718 1

<h4>Rationale, aims and objectives</h4>Low-urgent Emergency Department (ED) attendances are a known contributing factor to ED crowding. In the Netherlands, general practitioners (GPs) have direct access to radiology facilities during office hours. Patients with radiographically confirmed traumatic injuries are subsequently referred to the ED. We analysed these ED trauma patients' characteristics, provided treatments and ED discharge diagnoses to identify the possibility of alternative care pathw ...[more]

PMID: 35851516

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Dataset Information

Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.

Rationale, aims and objectives

Methods

Results

Conclusion

Publications

Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.

Similar Datasets

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