A Cross-Sectional Study of Emergency Department Visits by Children After All-Terrain Vehicle Crashes, Motor Vehicle Crashes, and Sports Activities

2018 ◽  
Vol 34 (7) ◽  
pp. 479-483 ◽  
Author(s):  
Rosemary Nabaweesi ◽  
James M. Robbins ◽  
Anthony Goudie ◽  
Jennifer I. Onukwube ◽  
Stephen M. Bowman ◽  
...  
Author(s):  
Maram Mohammed Jaboua ◽  
Warif Jameel Abdulhaq ◽  
Nada Saeed Almuntashiri ◽  
Sarah Saud Almohammdi ◽  
Asayel Qeblan Aldajani ◽  
...  

Background: The COVID-19 pandemic has contributed to a devastating impact on emergency departments worldwide, resulting in a global crisis with various health consequences. We aimed to evaluate this impact on an emergency department (ED) visit of critical conditions such as Acute Coronary Syndrome (ACS), Cerebrovascular accident (CVA), Sepsis and Febrile neutropenia (FN), and to assess the quality of the ED after new adaptive measures were applied. Methods: This is a comparative cross-sectional study to assess the number of patients who presented to the ED of King Abdullah Medical city with the specified diagnosis. We collected data via the E-medical records. We compared the data over three periods pre-lockdown, lockdown and post lockdown in years 2019-2021. For quality measurement, Adaa (Ministry of Health's program) was used to calculate the percentage of patients who stayed 4 hours or less in the ED. Results: The total number of ED visits in the specified periods of study was 8387. The total numbers of patients for 2019, 2020, and 2020 respectively were 2011 (, ACS 70.4%, CVA 16.3%, sepsis and FN 13.3%.), 2733 (ACS 73.1%, CVA 9.9%, sepsis and FN 17.0%), and 3643 (ACS 64.0%, CVA 19.4%, sepsis and FN 16.7). The average percentage of patients who stayed 4 hours or less in the ED was 60% and 57.5% for 2020 and 2021, respectively. Conclusion: Although we expected reductions in ED visits during COVID-19 periods, we found that visits were rising through the years 2019-2021.


CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S94-S95
Author(s):  
R. Hossain ◽  
Z. Ma ◽  
J. Dai ◽  
S. Jamani ◽  
R. Hossain ◽  
...  

Introduction: Administrative data can aid in study and intervention design, incorporating hard-to-reach individuals who may otherwise be poorly represented. We aim to use administrative health data to examine emergency department visits by people experiencing homelessness and explore the application of this data for planning interventions. Methods: We conducted a serial cross-sectional study examining emergency department use by people experiencing homelessness and non-homeless individuals in the Niagara region of Ontario, Canada. The study period included administrative health data from April 1st, 2010 to March 31st, 2018. Outcomes included number of visits, number of unique patients; group proportions of Canadian Triage and Acuity Scale (CTAS) scores; time spent in emergency; and time to see an MD. Descriptive statistics were generated, and t-tests were performed for point estimates and a Mann-Whitney U test for distributional measures. Results: Our data included 1,486,699 emergency department visits. The number of unique people experiencing homelessness ranged from 91 in 2010 to 344 in 2017, trending higher over the study period compared to non-homeless patients. The rate of visits increased from 1.7 to 2.8 per person. People experiencing homelessness tend to present later in the day and with higher overall acuity as compared to the general population. Time in emergency department and time to see an MD were greater among people experiencing homelessness. Conclusion: Administrative health data allows researchers to enhance interventions and models of care to improve services for vulnerable populations. Given the challenging fiscal realities of research, our study provides insights to more effectively target interventions for vulnerable populations.


2017 ◽  
Vol 24 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Diana C Sanchez-Ramirez ◽  
Donald Voaklander

BackgroundEvidence supports the expectation that changes in time of alcohol sales associate with changes in alcohol-related harm in both directions. However, to the best of our knowledge, no comprehensive systematic reviews had examined the effect of policies restricting time of alcohol trading on specific alcohol-related harms.ObjectiveTo compile existing evidence related to the impact of policies regulating alcohol trading hours/days of on specific harm outcomes such as: assault/violence, motor vehicle crashes/fatalities, injury, visits to the emergency department/hospital, murder/homicides and crime.MethodsSystematic review of literature studying the impact of policies regulation alcohol trading times in alcohol-related harm, published between January 2000 and October 2016 in English language.ResultsResults support the premise that policies regulating times of alcohol trading and consumption can contribute to reduce injuries, alcohol-related hospitalisations/emergency department visits, homicides and crime. Although the impact of alcohol trading policies in assault/violence and motor vehicle crashes/fatalities is also positive, these associations seem to be more complex and require further study.ConclusionEvidence suggests a potential direct effect of policies that regulate alcohol trading times in the prevention of injuries, alcohol-related hospitalisations, homicides and crime. The impact of these alcohol trading policies in assault/violence and motor vehicle crashes/fatalities is less compelling.


2017 ◽  
Vol 24 (9) ◽  
pp. 1042-1050 ◽  
Author(s):  
Meenakshi P. Balakrishnan ◽  
Jill Boylston Herndon ◽  
Jingnan Zhang ◽  
Thomas Payton ◽  
Jonathan Shuster ◽  
...  

Author(s):  
Tahani M. Al-Shammari, Rawaby K. Alshammari, Nouf M. Al-Sham

Aim: To identify causes of trauma in pregnancy and it's outcomes over mother and fetus. Methodology: A cross-sectional study was  conducted Hail City that involved  830 pregnant  women from 2010 to 2015. By using a convenience sampling method a 830 pregnant women in Hail city in the KSA who are 18 to 45 years of age were involved in this study. Data were collected by a paper-based questionnaire and internet-based survey. Results: Traumatized women during pregnancy were 336 (40.5%) of 830 pregnant women involved (SD = 1.8, SE = 0.10038, Mean = 2.6071), and there were 218 (64.9%) got living births, while 118 (35.1%) their babies died. Many causes of trauma like falling and sliding 41.4%,  carrying heavy load 21,9%, motor vehicle crashes 11.1%, diseases 10.4%, domestic violence 4.5% and other 9.8%. Conclusion: Falling and sliding women during pregnancy are the most common cause of trauma followed by carrying heavy loads, motor vehicle crashes, diseases, and domestic violence, that associated with fetal birth defect or death.    


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