Consideraciones sobre las urgencias ORL. Análisis de 30.000 pacientes atendidos en 10 años

Rivero, Vicente Pino; Ruiz, Gabriel; Palomino, A González; Romero, G. Pardo; Hernández, C G Pantoja; García, M. Marcos; Yáñez, T. Keituqwa; Huelva, A. Blasco

doi:10.1016/s0001-6519(05)78600-3

Cited by 22 publications

(10 citation statements)

References 3 publications

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“…The 2.35% hospital admittance rate in our series is similar to that in other published studies -the actual percentages range from 1.4% 3 to 6%. 6 These papers show that this rate oscillates around 5% 2,7,18 . We found that about 95% of cases were seen from 7 a.m. to midnight; thus, it may be inferred that this time period is overcrowded.…”

Section: Urgent Otorhinolaryngology Cases Comprise Anmentioning

confidence: 98%

“…At present the number of patients seen in emergency units has gradually increased 1 , 2 , 3 . The subjective nature of the concept of urgency interferes with adequate care in many open access services 4, 5 , as non-urgent cases tend to overcrowd emergency units 4, 6, 7 . The concept of urgency may vary; it depends on social, familiar, work-related, bureaucratic, sanitary, patient-related, and medical situations 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Rivero et al 7 published data gathered at an otorhinolaryngology emergency unit, and concluded that it is essential to define the truly urgent cases for adequate planning and care to be instituted. These authors also concluded that less than 1/3 of visits could be considered as truly urgent cases.…”

Section: Introductionmentioning

confidence: 99%

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Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital

Furtado¹,

Nakanishi²,

Rezende³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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Emergenci es are common in our Otorhinolaringology specialty. However, the clinical and epidemiological features are not very well known. Objectives:To evaluate the clinical and epidemiological profiles of otorhinolaryngological disorders in an emergency unit of a tertiary hospital, and to determine the appropriateness of the level of health care for a tertiary hospital. Materials and methods:An analytical study using data records of an otorhinolaryngological emergency unit at a tertiary hospital in the Federal District for a year, full time, and no screening. The age, sex, arrival time and clinical diagnosis were evaluated. The entities were separated into cases of pharingolaryngoesthomatology, otology, rhinology, and head and neck surgery. These were evaluated according to the urgency level, the required care, and the arrival time.Results: 26,584 data records were selected, of which 2,001 were excluded. The group comprised 54.48% women, and 45.51% men. Otological complaints (62.27%) prevailed. 61.26% of cases were considered emergencies. Only 9.7% of those required medium or high complex resources for resolution. Conclusion:The study showed that 61.26% of the otorhinolaryngological cases are emergencies, and only 9.7% required medium or high complexity resources. Braz J Otorhinolaryngol. 2011;77(4):426-31. ORIGINAL ARTICLE BJORL

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Section: Urgent Otorhinolaryngology Cases Comprise Anmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital

Furtado¹,

Nakanishi²,

Rezende³

et al. 2011

Braz. j. otorhinolaryngol. (Impr.)

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“…Pino Rivero et al, in work developed from data on ENT emergencies, affirm that it is essential to define frameworks for what constitutes an actual emergency so as to enable adequate planning and care. 6 They also consider that fewer than one third of the visits could be considered real emergencies.…”

Section: Introductionmentioning

confidence: 99%

Epidemiologic Profile of an Otolaryngologic Emergency Service

Prestes¹,

Hamerschmidt

Tenório

et al. 2014

Int. Arch. Otorhinolaryngol.

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Introduction According to current research, the number of patients seen in the emergency room is progressively increasing. There are few studies on the characteristics of ear, nose, and throat diseases treated in the emergency room. Objectives (1) To establish the epidemiologic profile of patients with these complaints treated at a referral emergency hospital in locoregional city Curitiba, and (2) to evaluate the calls that truly required emergency care. Methods This is a contemporary cross-study of urgent and emergency referrals to a hospital with otolaryngologic services during the year 2012. Data were collected and epidemiologic characteristics analyzed. Results We analyzed 1,067 patients: 312 presented in spring, 255 in summer, 253 in autumn, and 247 in winter. We found 17 diseases that were common during the year, with 244 (23.99%) upper respiratory tract infections being the most frequent disease. There was no statistically significant difference in the incidence of diseases, except that acute otitis media was most common during the summer (p = 0.02); distribution between the sexes was balanced. The predominant age group was adults. We found 9.27% cases were true emergencies. Conclusion Patients were 20 to 40 years, with upper respiratory tract infection the most incident disease; 9.27% of cases were emergencies.

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“…Epistaxis is defined as any bleeding arising from the nasal mucosa, it is the most common ENT emergency situation [1][2][3][4][5][6][7][8][9][10][11] , bearing a prevalence of about 10 to 12% 1,4,12 . Its Incidence is of 30 cases for every 100,000 inhabitants, and more than 87% of the patients seen by the ENT are admitted to a hospital 8 . This high frequency found is explained by the rich vascularization of the nose and paranasal sinuses, which receive blood supply from the internal and external carotid systems 12 .…”

Section: Introductionmentioning

confidence: 99%

Desfecho clínico de pacientes tratados por epistaxe com tamponamento nasal após a alta hospitalar

Faistauer¹,

Faistauer²,

Grossi³

et al. 2009

Braz. j. otorhinolaryngol. (Impr.)

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Epi staxis is a common clinical condition and in most public hospitals these patients received nasal packing and were admitted to the hospital as initial management strategies. However, little is known about the follow-up of these patients after they leave the hospital. Aim: To identify the clinical outcome of patients treated for epistaxis following discharge. Materials and Methods: We analyzed the results of questionnaires from patients hospitalized for non-traumatic epistaxis between March 2006 and March 2007. Study design: Cohort longitudinal. Results: Fifty-four of eighty-seven patients answered (62%). Epistaxis recurred in 37% of the patients. Of the patients who had recurrent bleeding, 70% were hypertensive, 35% were chronic users of acetylsalicylic acid, and 55% used tobacco. Forty per cent of the recurrences occurred in the first week after discharge, and fifty per cent needed to return to the emergency room. Seventy per cent of those who returned to the emergency room required a second treatment. Conclusions: Recurrence after epistaxis treatment is common and may occur soon after the initial discharge. Although our sample was small, this data suggests the need for a reevaluation of the current treatment mode of patients with epistaxis in the emergency rooms of public hospitals.

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Consideraciones sobre las urgencias ORL. Análisis de 30.000 pacientes atendidos en 10 años

Cited by 22 publications

References 3 publications

Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital

Clinic-epidemiological analysis of an otorhinolaryngology emergency unit care in a tertiary hospital

Epidemiologic Profile of an Otolaryngologic Emergency Service

Desfecho clínico de pacientes tratados por epistaxe com tamponamento nasal após a alta hospitalar

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