UTILIZATION OF A PEDIATRIC EMERGENCY DEPARTMENT BY PATIENTS WITH SICKLE-CELL DISEASE

被引：9

作者：

KUNKEL, N

RACKOFF, WR

KATOLIK, L

OHENEFREMPONG, K

机构：

[1] Department of Pediatrics, University of Pennsylvania School of Medicine, The Children’s Hospital of Philadelphia

来源：

PEDIATRIC EMERGENCY CARE | 1994年 / 10卷 / 02期

关键词：

PEDIATRIC ED UTILIZATION; SICKLE CELL DISEASE;

D O I：

10.1097/00006565-199404000-00004

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

When considering an alternative site to the emergency department (ED) for the care of acutely ill patients with sickle cell disease, it is necessary first to determine utilization of and satisfaction with ED care. Such data serve as guidelines for the planning and evaluation of alternative treatment facilities. We reviewed 137 consecutive ED visits by 98 patients with sickle cell disease at The Children's Hospital of Philadelphia over a three-month period to determine ED utilization and waiting times. A follow-up telephone survey determined reasons for coming to the ED, duration of symptoms, and patient satisfaction with the ED visit. Our results reveal that an alternative facility open only during regular working hours would not serve the majority of patients with sickle cell disease. We describe the services provided to acutely ill sickle cell disease patients, and identify areas for improved service delivery within our ED or an alternative facility.

引用

页码：79 / 82

页数：4

共 5 条

[1]

Benjamin L.I., Nagel R.L., The Comprehensive Sickle Cell Center Day Hospital: An Alternative to the Emergency Room for Management of Acute Sickle Pain, (1991)

[2]

Sapien R., Hodge I., D. Equipping and preparing the office for emergencies, Ped Ann, 19, pp. 659-667, (1990)

[3]

Ware R.E., Frush K., Kinney T.R., Emergency Department Visits by Children with Sickle Cell Disease: Factors Associated with Hospital Admission, (1992)

[4]

Pachter L.M., Ludwig S., Groves A., Night people: Utilization of a pediatric emergency department during the late night, Pediatr Emerg Care, 7, pp. 12-14, (1991)

[5]

Saunders C.E., Makens P.K., Leblanc L.I., Modeling emergency department operations using advanced computer simulation systems, Ann Emerg Med, 18, pp. 134-140, (1989)

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