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A 4-year review of pediatric mental health emergencies in Alberta.

https://arctichealth.org/en/permalink/ahliterature148300
Source
CJEM. 2009 Sep;11(5):447-54
Publication Type
Article
Date
Sep-2009
Author
Amanda S Newton
Samina Ali
David W Johnson
Christina Haines
Rhonda J Rosychuk
Rachel A Keaschuk
Philip Jacobs
Terry P Klassen
Author Affiliation
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta. mandi.newton@ualberta.ca
Source
CJEM. 2009 Sep;11(5):447-54
Date
Sep-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Age Factors
Alberta - epidemiology
Analysis of Variance
Child
Child, Preschool
Emergencies
Emergency Service, Hospital - utilization
Humans
Infant
Mental Disorders - epidemiology
Risk factors
Abstract
We sought to determine and compare rates of pediatric mental health presentations and associated costs in emergency departments (EDs) in Alberta.
We examined 16 154 presentations by 12 589 patients (patient age
PubMed ID
19788789 View in PubMed
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A 5-year follow-up study of 117 battered women

https://arctichealth.org/en/permalink/ahliterature68577
Source
American Journal of Public Health. 1991 Nov;81(11):1486-1489
Publication Type
Article
Date
Nov-1991
  1 website  
Author
Bergman, B
Brismar, B
Author Affiliation
Department of Psychiatry, Huddinge Hospital, Karolinska Institute, Sweden.
Source
American Journal of Public Health. 1991 Nov;81(11):1486-1489
Date
Nov-1991
Language
English
Geographic Location
Sweden
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Emergency Service, Hospital - utilization
Female
Follow-Up Studies
Hospitalization - statistics & numerical data
Humans
Marriage
Mental Health Services - utilization
Middle Aged
Patient Acceptance of Health Care - statistics & numerical data
Spouse Abuse - epidemiology - psychology
Sweden - epidemiology
Time Factors
Abstract
This paper reports register data concerning somatic and psychiatric hospital care on 117 battered women who were identified in a surgical emergency department and offered a treatment program. Data were collected during a period of 10 years before to 5 years after the battering in question. It was concluded that the battered woman seeks hospital care much more than the average woman of the same age. It is, however, not only traumatic injuries that bring her to the hospital, but also medical, gynecological, psychiatric, and unspecified disorders and suicide attempts. In this study it was hypothesized that this overuse of hospital care reflects the situation at home characterized by ongoing battering and other psychosocial problems. During the 5 years following the battering, the women did not show any signs of reducing their use of hospital care. It is alarming that this high use of medical care continues over years, and doctors should consider battering as one possible explanation for this phenomenon.
PubMed ID
1951810 View in PubMed
Online Resources
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Accidental falls and related fractures in 65-74 year olds: a retrospective study of 332 patients.

https://arctichealth.org/en/permalink/ahliterature198241
Source
Acta Orthop Scand. 2000 Apr;71(2):175-9
Publication Type
Article
Date
Apr-2000
Author
E. Nordell
G B Jarnlo
C. Jetsén
L. Nordström
K G Thorngren
Author Affiliation
Department of Orthopedics, Lund University Hospital, Sweden. eva.nordell@ort.lu.se
Source
Acta Orthop Scand. 2000 Apr;71(2):175-9
Date
Apr-2000
Language
English
Publication Type
Article
Keywords
Accidental Falls - prevention & control - statistics & numerical data
Activities of Daily Living
Age Distribution
Age Factors
Aged
Documentation
Emergency Service, Hospital - utilization
Female
Fractures, Bone - epidemiology - etiology - prevention & control
Geriatric Assessment
Humans
Male
Population Surveillance
Postural Balance
Referral and Consultation
Registries
Retrospective Studies
Risk factors
Sex Distribution
Sweden - epidemiology
Abstract
We investigated, by studying medical records, background factors and consequences of accidental falls of patients 65-74 years who attended the Department of Orthopedics' emergency clinic in Lund. We also assessed possible prevention measures. Fractures occurred in three quarters of the registered falls. Women were more prone to sustain fractures than men. Forearm fractures were commonest among women while hip fractures were commonest among men. One third of the patients were admitted to an orthopedic ward because of the fall. The patients who were less healthy had sustained fractures oftener and also needed more hospital care. Information regarding risk factors for falls and fractures were often missing in the patients' medical records. Impaired walking and balance, and medication increased the risk of falls. Such patients constitute a high risk group for future falls and fractures. A newly developed instrument is suggested as a routine in the emergency department to increase the awareness of risk factors for falls in the elderly. Satisfactory documentation is a prerequisite for further treatment and referrals to prevent falls and fractures.
PubMed ID
10852324 View in PubMed
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[Accident registration at emergency departments].

https://arctichealth.org/en/permalink/ahliterature187696
Source
Ugeskr Laeger. 2002 Oct 28;164(44):5152-3
Publication Type
Article
Date
Oct-28-2002

Acute asthma: emergency department management and prospective evaluation of outcome.

https://arctichealth.org/en/permalink/ahliterature229449
Source
CMAJ. 1990 Mar 15;142(6):591-5
Publication Type
Article
Date
Mar-15-1990
Author
J M Fitzgerald
F E Hargreave
Author Affiliation
Firestone Regional Chest and Allergy Unit, St. Joseph's Hospital, Hamilton, Ont.
Source
CMAJ. 1990 Mar 15;142(6):591-5
Date
Mar-15-1990
Language
English
Publication Type
Article
Keywords
Acute Disease
Adolescent
Adrenal Cortex Hormones - administration & dosage - therapeutic use
Adrenergic beta-Agonists - administration & dosage - therapeutic use
Adult
Asthma - diagnosis - drug therapy - physiopathology
Emergencies
Emergency Service, Hospital - utilization
Evaluation Studies as Topic
Female
Follow-Up Studies
Forced expiratory volume
Humans
Male
Medical History Taking
Middle Aged
Ontario
Prednisone - therapeutic use
Prognosis
Questionnaires
Recurrence
Retrospective Studies
Spirometry
Abstract
To determine the current management of acute asthma in the emergency department and to evaluate outcome we reviewed the charts of 99 patients aged 15 to 55 years who presented to the emergency department of a tertiary referral, university-affiliated hospital and were subsequently discharged with a diagnosis of acute asthma. Outcome was evaluated prospectively, with a structured questionnaire, by telephone. During the visit pulsus paradoxus was documented in four patients. Spirometry was done in 63 patients; postbronchodilator values ranged from 0.9 to 4.1 L. A total of 92 patients received inhaled bronchodilator therapy, most by wet nebulization. Sixteen patients received anticholinergic agents and three received theophylline. Ingested corticosteroids were given to 27 patients. Of the 71 patients contacted, a mean of 12 days after the visit, 26 (37%) had sought further medical attention, 19 at the emergency department; 9 had required admission. Forty-six patients reported that their condition had improved, but over 60% continued to have cough, sputum production, nocturnal waking and early-morning chest tightness. The results indicate that asthma continues to be undertreated in the emergency department and highlight the importance of routine spirometry in all patients and the need for systemic corticosteroid therapy.
Notes
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Comment In: CMAJ. 1990 Sep 15;143(6):459-602207896
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PubMed ID
1968778 View in PubMed
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Acute forensic medical procedures used following a sexual assault among treatment-seeking women.

https://arctichealth.org/en/permalink/ahliterature175653
Source
Women Health. 2004;40(2):53-65
Publication Type
Article
Date
2004
Author
Hester Dunlap
Paulette Brazeau
Lana Stermac
Mary Addison
Author Affiliation
University of Toronto at Sunnybrook and Women's College of Health Sciences Centre, Room 231, 7th Floor, 252 Bloor Street, West, Toronto, ON, M5S 1V6, Canada. hester_dunlap@camh.net
Source
Women Health. 2004;40(2):53-65
Date
2004
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude to Health
Battered Women - psychology - statistics & numerical data
Crime Victims - psychology - statistics & numerical data
Emergency Service, Hospital - utilization
Female
Forensic Pathology - standards
Humans
Injury Severity Score
Middle Aged
Ontario - epidemiology
Patient Acceptance of Health Care - psychology - statistics & numerical data
Physical Examination
Rape - psychology - statistics & numerical data
Regression Analysis
Retrospective Studies
Risk factors
Social Perception
Socioeconomic Factors
Women's Health Services - standards
Abstract
Despite the negative physical and mental health outcomes of sexual assault, a minority of sexually assaulted women seek immediate post-assault medical and legal services. This study identified the number and types of acute forensic medical procedures used by women presenting at a hospital-based urgent care centre between 1997 and 2001 within 72 hours following a reported sexual assault. The study also examined assault and non-assault factors associated with the use of procedures. It was hypothesized that assault characteristics resembling the stereotype of rape would be associated with the use of more procedures. The multiple regression indicated that injury severity, coercion severity, homelessness, and delay in presentation were significantly associated with the number of procedures received. Findings provide partial support for the hypothesis that post-assault procedures would be associated with the stereotype of rape, and highlight homeless women as a group particularly at risk for not receiving adequate medical treatment following a sexual assault.
PubMed ID
15778138 View in PubMed
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Acute health care service use among elderly home care clients.

https://arctichealth.org/en/permalink/ahliterature185364
Source
Home Health Care Serv Q. 2003;22(1):75-85
Publication Type
Article
Date
2003
Author
Katharine Paddock
John P Hirdes
Author Affiliation
Canadian Healthcare Association, Ottawa, ON. kpaddock@cha.ca
Source
Home Health Care Serv Q. 2003;22(1):75-85
Date
2003
Language
English
Publication Type
Article
Keywords
Activities of Daily Living
Acute Disease - economics - epidemiology - therapy
Aged
Canada - epidemiology
Cross-Sectional Studies
Emergency Service, Hospital - utilization
Female
Geriatric Assessment
Health Services Research
Home Care Services - utilization
Humans
Male
Nutrition Assessment
Patient Admission - statistics & numerical data
Risk factors
Abstract
Utilization of acute health care services accounts for a substantial proportion of health expenditures in Canada, and is associated with compromised health and autonomy for older persons. Using the Resident Assessment Instrument for Home Care (RAI-HC), this cross-sectional study of 683 elderly home care recipients sought to distinguish clients who were more likely to use acute health care services; i.e., hospital admissions, emergency room visits. Clients with nutritional problems were 2.58 times more likely to have used acute health care services than clients without nutritional problems. Among clients with a poor social support system, those with nutrition problems were 5.95 times as likely to have used acute health care services. Poor self-rated health, and greater functional dependency were also signif- icantly associated with acute health care use. This study provides a profile of elderly home care clients who are at risk of using acute health care services, which may facilitate targeted efforts to prevent unplanned acute health care use.
PubMed ID
12749528 View in PubMed
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376 records – page 1 of 38.