作者
Eveline Hitti, Mirabelle Geha, Dima Hadid, Rana Bachir
发表日期
2019/5/22
期刊
Plos one
卷号
14
期号
5
页码范围
e0216740
出版商
Public Library of Science
简介
Objective
There is an increase in Emergency Department (ED) utilization globally. Understanding what patients present to EDs with is important for resource allocation, training and staffing purposes. There is paucity of data pertaining to ED visit presentations in Lebanon. This study aims at describing the spectrum of diseases among adult patients who present to a tertiary care center in Lebanon, an upper-middle income country (UMIC).
Methods
A retrospective chart review of adult patients (age ≥ 19) presenting to a tertiary care hospital ED during 2010–2011 was completed. Common diagnoses in three categories (all adult visits, treat and release, admitted visits) were assessed. Diagnoses were classified according to the Clinical Classifications Software. Descriptive statistics were presented in tables as frequencies and percentages.
Results
During the study period, 32787 adults presented to the ED with 18.7% resulting in hospital admission. The most common diagnoses in ED patients were injuries and conditions due to external causes, abdominal pain, non-specific chest pain and intestinal infections. In the treat and release group, intestinal infections emerged in the common list for ages 19–44. Coronary atherosclerosis was common in admitted patients aged ≥45 years. Summer was the busiest season, with abdominal pain and intestinal infection being prominent diagnoses during that season.
Conclusions
This study is the first to assess adult ED visits in a Lebanese setting. Our study suggests that patients in our population suffer from the double burden of both communicable and non-communicable disease, with coronary …
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E Hitti, M Geha, D Hadid, R Bachir - Plos one, 2019