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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

[A comparative description of the formation of population's demand for medical care].

https://arctichealth.org/en/permalink/ahliterature182504
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2003 Sep-Oct;(5):35-7
Publication Type
Article
Author
V Ia Gorbunkov
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2003 Sep-Oct;(5):35-7
Language
Russian
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Ambulatory Care - trends - utilization
Health Services - utilization
Health Services Needs and Demand - trends
Hospitalization - trends
Hospitals - utilization
Humans
Middle Aged
Patient satisfaction
Questionnaires
Russia
Abstract
One hundred and twenty seven patients of 24-hour and day-time patient-care facilities (Stavropol Region) were questioned. Problematic situations were denoted in the medical-care system, which are related with a shaping demand for medical care rendered to patients under such service conditions.
PubMed ID
14661416 View in PubMed
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[A crisis intervention service in an outpatient psychiatric clinic of a general hospital: function and clientele].

https://arctichealth.org/en/permalink/ahliterature221532
Source
Can J Psychiatry. 1993 Mar;38(2):96-100
Publication Type
Article
Date
Mar-1993
Author
J P Fournier
F. Gagnon
Author Affiliation
Centre hospitalier de l'Université Laval, Ste-Foy, Québec.
Source
Can J Psychiatry. 1993 Mar;38(2):96-100
Date
Mar-1993
Language
French
Publication Type
Article
Keywords
Adolescent
Adult
Crisis Intervention
Cross-Sectional Studies
Emergency Services, Psychiatric - utilization
Female
Hospitals, General - utilization
Humans
Incidence
Male
Mental Disorders - diagnosis - epidemiology - rehabilitation
Middle Aged
Outpatient Clinics, Hospital - utilization
Patient Care Team - utilization
Psychiatric Status Rating Scales
Quebec - epidemiology
Risk factors
Suicide - prevention & control - statistics & numerical data
Abstract
The authors describe an external crisis intervention service in a general hospital. This service is intended for a clientele presenting acute mental health problems, referred, in the majority of cases, from the emergency department. They present demographic data, diagnostic data, data on the factors precipitating the crises and data which can be used to qualify and quantify the clientele. In addition, they describe the therapeutic approach and the treatment philosophy, the number of follow-up sessions, and the guidance provided to the clientele after follow-up. Finally, the authors suggest prerequisites considered essential to the effective operation of a crisis intervention module in an external psychiatric clinic.
PubMed ID
8467450 View in PubMed
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[A cross section study, in a Danish county, of adult day or night psychiatric patients].

https://arctichealth.org/en/permalink/ahliterature243102
Source
Ugeskr Laeger. 1982 Jun 28;144(26):1947-52
Publication Type
Article
Date
Jun-28-1982

Across time and space: variations in hospital use during Canadian health reform.

https://arctichealth.org/en/permalink/ahliterature198200
Source
Health Serv Res. 2000 Jun;35(2):467-87
Publication Type
Article
Date
Jun-2000
Author
K C Carriere
L L Roos
D C Dover
Author Affiliation
Dept. of Mathematical Sciences, University of Alberta, Edmonton, Canada.
Source
Health Serv Res. 2000 Jun;35(2):467-87
Date
Jun-2000
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Ambulatory Surgical Procedures - utilization
Child
Child, Preschool
Cluster analysis
Health Care Reform
Health Services Accessibility - economics
Hospitalization - statistics & numerical data
Hospitals - utilization
Humans
Income
Infant
Infant, Newborn
Length of Stay
Longitudinal Studies
Manitoba
Middle Aged
Surgical Procedures, Operative - utilization
Abstract
To investigate change in hospital utilization in a population and to discuss analytical strategies using large administrative databases, focusing on variations in rates of different types of hospital utilization by income quintile neighborhoods.
Hospital discharge abstracts from Manitoba Health, used to study the changes in utilization rates over eight fiscal years (1989-1996).
We test the hypotheses that health reform has changed utilization rates, that utilization rates differ significantly across income quintiles (defined by the relative affluence of neighborhood of residence), and that these variations have been maintained over time. Our approach uses generalized estimating equations to produce robust and consistent results for studying rates of recurrent and nonrecurrent events longitudinally.
Rates of individuals hospitalized, hospital discharges, days of hospitalization, and hospitalization for different types of medical conditions and surgical procedures are generated for the period April 1, 1989 through March 31, 1997 for residents of Winnipeg, Manitoba. Data are grouped according to the individual's age, gender, and neighborhood of residence on April 1 of each of the eight fiscal years for the rate calculations. Neighborhood of residence and the 1991 Canadian Census public use database are used to assign individuals to income quintiles.
The substitution of outpatient surgery for inhospital surgery accounted for much of the change in hospital utilization over the 1989-1996 period. Health care reform did not have a significant effect on the utilization gradient already observed across socioeconomic groups. Health reform markedly accelerated declines in in-hospital utilization.
Grouping the data with key characteristics intact facilitates the statistical analysis of utilization measures previously difficult to study. Such analyses of variations across time and space based on parametric models allows adjustment for continuous covariates and is more efficient than the traditional nonparametric approach using standardized rates.
Notes
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PubMed ID
10857472 View in PubMed
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785 records – page 1 of 79.