Floorball Injuries Presenting to a Swiss Adult Emergency Department: A Retrospective Study (2013–2019)

Background: The popularity of floorball has surged throughout Switzerland in the last 20 years. However, epidemiological studies are still scarce. Objective: To collect information on floorball-related injuries, their severity and approximate cost in adults who presented to our emergency department from 2013–2019. Moreover, to use this information to suggest possible strategies to prevent injuries. Materials and Methods: The study population includes all patients who suffered injuries related to floorball and were then seen at the University Hospital in Bern during a 7-year period. Bern University Hospital, Switzerland, has a comprehensive management system (Ecare) that was used to generate the data for this study. The data were then used to create an injury profile of all cases presented during the said period. Results: A total of 263 injures were recorded from 2013 to 2019. The most common locations for injuries were to the eyes (43.73%), followed by the lower extremities (25.48%). The mean cost per case was CHF 1191.43. However, the vast majority of admissions could be sent home (93.16%) and did not cost more than 500 CHF/case (57.41%). Of the 22 cases that cost more than CHF 2000, 10 were located around the torso and 6 affected one or both eyes. Significant differences were observed between the age groups and treatment area (p = 0.008), costs (p = 0.008), route of discharge (p = 0.023) and type of trauma (p = 0.020). Conclusion: Although floorball is still a relatively minor sport, its impact on sport-related injuries must not be underestimated. Injuries to the eyes are particularly common. In our opinion, our findings provide strong evidence that all floorball players (not only children and adolescents) should wear protective eyewear. We conclude that the Swiss Floorball Association (Swiss Unihockey) should mandate the use of protective eyewear.

Download Full-text

Who Consult an Adult Psychiatric Emergency Department? Pertinence of Admissions and Opportunities for Telepsychiatry

Medicina ◽

10.3390/medicina56060295 ◽

2020 ◽

Vol 56 (6) ◽

pp. 295 ◽

Cited By ~ 3

Author(s):

Alessandra Costanza ◽

Viridiana Mazzola ◽

Michalina Radomska ◽

Andrea Amerio ◽

Andrea Aguglia ◽

...

Keyword(s):

Emergency Department ◽

Age Groups ◽

Primary Diagnosis ◽

University Hospital ◽

Psychotic Episode ◽

Medical Evaluation ◽

Younger Age ◽

Diagnostic Characteristics ◽

The University ◽

Hypomanic Episode

Background and Objectives: Psychiatric disorders constitute frequent causes of emergency department (ED) admissions and these rates are increasing. However, referring to ED a whole range of conditions that could or should be dealt with elsewhere is imposing itself as a problematic situation. We aimed: (1) to provide a descriptive picture of the socio-demographic and diagnostic characteristics of the visits among adults at the psychiatric ED; (2) to estimate the clinical pertinence of these visits. Materials and Methods: Retrospective analysis of diagnostic/socio-demographic characteristics and clinical trajectories of patients admitted for a psychiatric condition at the adult psychiatric ED of the University Hospital of Geneva (HUG), Switzerland, during a 6-week timespan. Results: In our sample (n = 763 total admissions for psychiatric conditions; n = 702 for inclusion of patients having received a medical evaluation), depression/anxiety, suicidal behavior (SB), psychotic episode, and substance use disorder (SUD), in descending order, were the most common diagnoses for referral. Patients belonged to younger age groups (≤65 years), had a familial status other than married/in couple, and did not present an unfavorable socio-demographic profile. Concerning the pertinence for a psychiatric ED, primary diagnosis of depression/anxiety is the only variable significantly associated with different grade of degree. By the examination of the patients’ trajectory from admission to discharge, the clinical pertinence for a psychiatric ED admission existed for cases assigned to the Echelle Suisse du Tri (EST®) scale degree 1 (corresponding to most urgent and severe conditions), particularly for diagnoses of depression/anxiety associated with SB, SB as primary or comorbid diagnosis, and psychotic and manic/hypomanic episode. However, diagnoses of depression/anxiety without urgent and severe features (degrees 2, 3, 4) constituted the most frequent mode of presentation. Conclusions: Ambulatory and community-integrated settings could be more appropriate for the majority of patients admitted to adult psychiatric EDs. Moreover, the implementation of telepsychiatry strategies represents a very promising opportunity to offer these patients care continuity, reduce costs and filter the demand for psychiatric ED.

Download Full-text

THE RECOGNITION AND MANAGEMENT OF PAEDIATRIC SEPSIS IN THE UNIVERSITY HOSPITAL OF WALES (UHW) EMERGENCY DEPARTMENT (ED)

10.26226/morressier.57d034d0d462b80292383477 ◽

2016 ◽

Author(s):

Stephen Mullen

Keyword(s):

Emergency Department ◽

University Hospital ◽

The University

Download Full-text

A machine learning approach for identification of gastrointestinal predictors for the risk of COVID-19 related hospitalization

10.1101/2021.08.27.21262728 ◽

2021 ◽

Author(s):

Peter Liptak ◽

Peter Banovcin ◽

Robert Rosolanka ◽

Michal Prokopic ◽

Ivan Kocan ◽

...

Keyword(s):

Machine Learning ◽

Emergency Department ◽

Random Forest ◽

Gastrointestinal Symptoms ◽

Machine Learning Algorithms ◽

Important Predictor ◽

University Hospital ◽

Home Based ◽

Severity Of The Disease ◽

The University

Background and aim: COVID-19 can be presented with various gastrointestinal symptoms. Shortly after the pandemic outbreak several machine learning algorithms have been implemented to assess new diagnostic and therapeutic methods for this disease. Aim of this study is to assess gas-trointestinal and liver related predictive factors for SARS-CoV-2 associated risk of hospitalization. Methods: Data collection was based on questionnaire from the COVID-19 outpatient test center and from the emergency department at the University hospital in combination with data from inter-nal hospital information system and from the mobile application used for telemedicine follow-up of patients. For statistical analysis SARS-CoV-2 negative patients were considered as controls to three different SARS-CoV-2 positive patient groups (divided based on severity of the disease). Results: Total of 710 patients were enrolled in the study. Presence of diarrhea and nausea was significantly higher in emergency department group than in the COVID-19 outpatient test center. Among liver enzymes only aspartate transaminase (AST) has been significantly elevated in the hospitalized group compared to patients discharged home. Based on random forest algorithm, AST has been identified as the most important predictor followed by age or diabetes mellitus. Diarrhea and bloating have also predictive importance although much lower than AST. Conclusion: SARS-CoV-2 positivity is connected with isolated AST elevation and the level is linked with the severity of the disease. Furthermore, using machine learning random forest algo-rithm, we have identified elevated AST as the most important predictor for COVID-19 related hos-pitalizations.

Download Full-text

Separating the wheat from the chaff – COVID-19 in a German emergency department: A Case-control study

10.21203/rs.3.rs-37052/v2 ◽

2020 ◽

Author(s):

David Fistera ◽

Dirk Pabst ◽

Annalena Härtl ◽

Benedikt Michael Schaarschmidt ◽

Lale Umutlu ◽

...

Keyword(s):

Emergency Department ◽

Health Care Systems ◽

University Hospital ◽

Nasopharyngeal Swab ◽

Workflow Model ◽

Manchester Triage System ◽

Efficient Management ◽

Care Systems ◽

To Come ◽

The University

Abstract Background: COVID-19 pandemia is a major challenge to worldwide health care systems. Whereas the majority of disease presents with mild symptoms that can be treated as outpatients, severely ill COVID-19 patients and patients presenting with similar symptoms cross their ways in the Emergency Department. Especially the variety of symptoms is challenging with primary triage. Are there parameters to distinguish between proven COVID-19 and without before? How can a safe and efficient management of these inpatients be achieved?Methods: We conducted a retrospective analysis of 314 consecutive inpatient patients who presented with possible symptoms of COVID-19 in a German emergency department between March and April 2020 and were tested with a SARS-Cov-2 nasopharyngeal swab. Clinical parameters, Manchester Triage System categories and lab results were compared between patients with positive and negative test results for SARS-Cov-2. Furthermore, we present the existing COVID-19 workflow model of the university hospital in Essen which proved to be efficient during pandemia.Results: 43 of the 314 patients (13.7%) were tested positive for COVID-19 by SARS-Cov-2 nasopharyngeal swab. We did not find any laboratory parameter to distinguish safely between patients with COVID-19 and those with similar symptoms. Dysgeusia was the only clinical symptom that was significantly more frequent among COVID-19 patients. Conclusion: Dysgeusia seems to be a typical symptom for COVID-19, which occurred in 14% of our COVID-19 patients. However, no valid parameters could be found to distinguish clinically between COVID-19 and other diseases with similar symptoms. Therefore, early testing, a strict isolation policy and proper personal protection are crucial to maintain workflow and safety of patients and ED staff for the months to come.Trial registration: URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021675

Download Full-text

Prevalence of abuse of alcohol and other drugs among injured drivers presenting to the emergency department of the University Hospital of Modena, Italy

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2005.04.010 ◽

2005 ◽

Vol 80 (1) ◽

pp. 135-138 ◽

Cited By ~ 27

Author(s):

Daniele Giovanardi ◽

Carmela Nives Castellana ◽

Stefania Pisa ◽

Brunella Poppi ◽

Diego Pinetti ◽

...

Keyword(s):

Emergency Department ◽

University Hospital ◽

The University ◽

Alcohol And Other Drugs

Download Full-text

Patterns and Results of Triage Advice Before Emergency Department Visits Made by Patients With Cancer

JCO Oncology Practice ◽

10.1200/op.20.00617 ◽

2021 ◽

pp. OP.20.00617

Author(s):

Arthur S. Hong ◽

Hannah Chang ◽

D. Mark Courtney ◽

Hannah Fullington ◽

Simon J. Craddock Lee ◽

...

Keyword(s):

Emergency Department ◽

Acute Care ◽

Emergency Department Visits ◽

University Hospital ◽

Urgent Care ◽

Telephone Triage ◽

Patients With Cancer ◽

Oncology Care ◽

Ed Visits ◽

The University

PURPOSE: Patients with cancer undergoing treatment frequently visit the emergency department (ED) for commonly anticipated complaints (eg, pain, nausea, and vomiting). Nearly all Medicare Oncology Care Model (OCM) participants prioritized ED use reduction, and the OCM requires that patients have 24-hour telephone access to a clinician, but actual reductions in ED visits have been mixed. Little is known about the use of telephone triage for acute care. METHODS: We identified adults aged 18+ years newly diagnosed with cancer, linked to ED visits from a single institution within 6 months after diagnosis, and then analyzed the telephone and secure electronic messages in the preceding 24 hours. We coded interactions to classify the reason for the call, the main ED referrer, and other attempted management. We compared the acuity of patient self-referred versus clinician-referred ED visits by modeling hospitalization and ED visit severity. RESULTS: From 2011 to 2018, 3,247 adults made 5,371 ED visits to the university hospital and self-referred to the ED 58.5% of the time. Clinicians referred to outpatient or oncology urgent care for 10.3% of calls but referred to the ED for 61.3%. Patient self-referred ED visits were likely to be hospitalized (adjusted Odds Ratio [aOR], 0.89, 95% CI, 0.64 to 1.22) and were not more severe (aOR, 0.75, 95% CI, 0.55 to 1.02) than clinician referred. CONCLUSION: Although patients self-referred for six of every 10 ED visits, self-referred visits were not more severe. When patients called for advice, clinicians regularly recommended the ED. More should be done to understand barriers that patients and clinicians experience when trying to access non-ED acute care.

Download Full-text

Infectious diseases and the use of antibiotics in outpatients at the emergency department of the University Hospital of León, Nicaragua

International Journal of Infectious Diseases ◽

10.1016/j.ijid.2008.07.010 ◽

2009 ◽

Vol 13 (3) ◽

pp. 349-354 ◽

Cited By ~ 5

Author(s):

C. den Engelsen ◽

C. van der Werf ◽

A.J. Matute ◽

E. Delgado ◽

C.A.M. Schurink ◽

...

Keyword(s):

Emergency Department ◽

Infectious Diseases ◽

University Hospital ◽

The University

Download Full-text

Children’s poisoning profile during the Covid-19 pandemic – Experience of Hassan II University Hospital in Fez, MOROCCO

E3S Web of Conferences ◽

10.1051/e3sconf/202131901077 ◽

2021 ◽

Vol 319 ◽

pp. 01077

Author(s):

Amrani Hanchi Sahar ◽

Hoummani Hasnae ◽

Mourabiti Hajar ◽

Chebaibi Mohammed ◽

Chaouki Sana ◽

...

Keyword(s):

Emergency Department ◽

Pediatric Emergency ◽

University Hospital ◽

Accidental Poisoning ◽

Pediatric Emergency Department ◽

Neurological Signs ◽

Snake Bites ◽

Scorpion Stings ◽

The University ◽

Evolutionary Aspects

Introduction. —The Covid-19 pandemic and the containment situation, has generated enormous risks for children. Indeed, with the closure of schools, children, forced to stay at home, found themselves in permanent contact with dangerous products (drugs, disinfectants, plants) exposing them to accidental poisoning. Objective. —To describe the epidemiological, clinical and evolutionary aspects of the cases of pediatric intoxications in the UHC during the period of Covid-19, in order to assess the repercussions of this pandemic on the profile of these intoxications, in terms of number and incriminated products. Material and method. — This is a retrospective descriptive comparative study of intoxication cases admitted to the pediatric emergency department of the University Hospital of Fez spread over 2 years; from March 1, 2019 to February 2021; comparing intoxications admitted during the period of Covid-19 with the previous year. Results. — The emergency department recorded 132 cases of intoxication during the Covid-19 period (compared to 104 cases in 2019). Fez was always the most concerned city (66.21% against 69.02% in 2019). The cases emanated from the urban environment in (58.78%). The accidental circumstance was the most frequent, with an increase from 77.88% in 2019 to 82.02%. The rate of cases of envenomation that consulted was almost similar; children are more exposed to scorpion stings (73.52%) than snake bites. The analysis of incriminated products was marked by the increase of Caustics (20.38% in 2019 to 24.24% in 2020), and the decrease of pesticides (19.41% in 2019 to 13.63%). The symptomatology was dominated by neurological signs in 25.75% of cases, followed by respiratory disorders (18.18%). The evolution was favorable in 95.46%, and death occurred in 4.54% of cases compared to 3.84% in2019. The Covid-19 pandemic has changed the use of antidotes.

Download Full-text