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首页> 外文期刊>Canadian Journal of Emergency Medicine >A 5 year retrospective study of emergency department use in Northwest Ontario: a measure of mental health and addictions needs
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A 5 year retrospective study of emergency department use in Northwest Ontario: a measure of mental health and addictions needs

机译：安大略省西北部急诊部门使用情况的5年回顾性研究：衡量心理健康和成瘾需求的一种方法

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Objective The main objective of this study was to understand the five-year trend in total emergency department (ED) visits, frequency of use, and diagnoses and disposition of patients. Since the region has experienced a profound increase in opioid use disorder since 2009, we were particularly interested in changes in the volume of mental health and addiction (MHA) ED presentations. Methods Retrospective aggregate data analysis of ED visits to the Sioux Lookout Meno Ya Win Health Centre 2010-2014. Results ED visit volume increased 29% over the five-year study period, while MHA ED visits increased 73%. The admission rate remained stable at 6.9% of ED visits. Five-year trends in clinically grouped diagnostic categories identified respiratory, MHA, and abdominal/pelvic complaints as the three most common ED presentations. In 2014, MHA presentations accounted for 10.3% of ED visits, 8.7% of admissions, and 20.0% of inter-hospital transfers. Conclusion The dramatic increase in MHA ED visits mirrors the opioid epidemic the region is experiencing. MHA may soon become the commonest ED presentation. If reasons for ED visits serve as a proxy for unmet outpatient needs, increased efforts at developing community MHA services and addressing the related social determinants of health are required.
机译：目的本研究的主要目的是了解急诊科（ED）的总访视，使用频率以及患者的诊断和处置的五年趋势。自2009年以来，该地区阿片类药物使用障碍的发生率急剧上升，因此，我们对精神卫生和成瘾（MHA）ED呈现量的变化特别感兴趣。方法回顾性汇总数据分析急诊科就诊于Sioux Lookout Meno Ya Win Health Center 2010-2014。结果在五年研究期内，急诊就诊量增加了29％，而MHA急诊就诊量增加了73％。入学率稳定在急诊就诊的6.9％。临床分组诊断类别的五年趋势将呼吸，MHA和腹部/盆腔主诉确定为三种最常见的ED表现。 2014年，MHA演示占急诊就诊的10.3％，入院率的8.7％和医院间转诊的20.0％。结论MHA ED访视的急剧增加反映了该地区正在经历的阿片类药物流行。 MHA可能很快会成为最常见的ED演示。如果急诊就诊的原因可以代替未满足的门诊需求，则需要加大力度开发社区MHA服务并解决健康的相关社会决定因素。

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