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[PMID]:29268641
[Au] Autor:Junge JH; Sieber T; Hugentobler-Campell B
[Ad] Endereço:1 Departement Anästhesie, Notfall, Intensiv, Rettung, Kantonsspital Graubünden, Chur.
[Ti] Título:Präklinische Notfallmedizin..
[So] Source:Ther Umsch;74(7):399-404, 2017.
[Is] ISSN:0040-5930
[Cp] País de publicação:Switzerland
[La] Idioma:ger
[Mh] Termos MeSH primário: Cuidados Críticos/métodos
Estado Terminal/terapia
Serviços Médicos de Emergência/métodos
Medicina de Emergência/métodos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171223
[St] Status:MEDLINE
[do] DOI:10.1024/0040-5930/a000932


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[PMID]:29203733
[Au] Autor:Derkowski T; Kosinski S; Podsiadlo P; Sanak T; Salapa K; Wejnarski A; Galazkowski R; Darocha T
[Ad] Endereço:Lotnicze Pogotowie Ratunkowe, Warszawa, Polska.
[Ti] Título:[Assessment of knowledge about hypothermia among the medical personnel of polish medical air rescue].
[So] Source:Wiad Lek;70(5):875-880, 2017.
[Is] ISSN:0043-5147
[Cp] País de publicação:Poland
[La] Idioma:pol
[Ab] Resumo:Polish Medical Air Rescue is tasked to deal with the most serious incidents associated with life threatening situations, in multiple circumstances. As a consequence, medical personnel have to meet high standards of education and show a continuous theoretical and practical development of the skills which are necessary during medical treatment. Thanks to the introduction of ECMO treatment for accidental hypothermia patients, new clinical and operational possibilities have arisen, so more patients can be saved with a very good neurological outcome. AIM: To analyze the data on hypothermia collected by the personnel of Polish Medical Air Rescue and to assess the e-learning platform as an educational tool. MATERIALS AND METHODS: 123 persons were involved. The subject of analysis were the e-learning platform results of the Polish Medical Air Rescue medical personnel. The e-learning consisted of a pre-test, 8 lessons followed by MCQ's (multi choice questions) and a post-test. RESULTS AND CONCLUSIONS: We could not prove a statistically significant difference in the knowledge about hypothermia between doctors and other medical professionals. Post-traumatic hypothermia and associated coagulation disturbances are two important topics requiring particular focus during the design of further educational and training projects. As a consequence of the training, both groups significantly improved their knowledge: i.e. a statistically significant improvement of knowledge about hypothermia between pre-test and post-test results in both groups was shown. The hypothermia e-learning platform for medical personnel is an effective educational tool.
[Mh] Termos MeSH primário: Resgate Aéreo
Atitude do Pessoal de Saúde
Serviço Hospitalar de Emergência/normas
Conhecimentos, Atitudes e Prática em Saúde
Hipotermia/terapia
[Mh] Termos MeSH secundário: Adulto
Serviços Médicos de Emergência
Feminino
Seres Humanos
Masculino
Polônia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


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[PMID]:29231639
[Au] Autor:Hunnålvatn KH; Ivan D; Wisborg T
[Ti] Título:Emergency medicine in the general practice internship in Finnmark county.
[Ti] Título:Akuttmedisinsk turnusarbeid i Finnmark..
[So] Source:Tidsskr Nor Laegeforen;137(23-24), 2017 12 12.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:eng; nor
[Ab] Resumo:BACKGROUND: It is preferred that duty doctors in municipal health services participate in call-outs in emergency situations. The frequency of participation has previously been shown to vary. We wanted to examine the newly qualified doctors' expectations and experiences ­ both before and after the general practice internship ­ of emergency medicine and ambulance call-outs. MATERIAL AND METHOD: All 23 of the interns who were to undertake their general practice internship in Finnmark county in the period 2015­16 answered a questionnaire and participated in a focus group interview before the start of the internship. Twenty-one of the interns participated in the focus group interview after completing the internship. Each doctor took part in two interviews. We analysed the transcripts from the focus group interviews using the grounded theory method. RESULTS: The responses from the questionnaire before the general practice internship showed that the interns felt they needed more training in intravenous cannulation and in teamwork. Their expectations in connection with the challenges of call-outs are best characterised by the core category 'Can I do anything useful?' from the focus groups before the internship. After the internship, however, the core category 'It all went well in the end', was the best fit. Due to short transport times and their knowledge of certain patients, some of the doctors chose not to take part in call-outs. INTERPRETATION: During the general practice internship, the interns were initially anxious about whether they might be superfluous in call-outs, but eventually found their footing in the call-out role. The study shows that there is a need for more practice in certain practical procedures, and that doctors' non-technical skills need to be improved. This can be done through training in team leader roles before the general practice internship.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência
Medicina Geral/educação
Internato e Residência
Papel do Médico/psicologia
[Mh] Termos MeSH secundário: Ambulâncias
Atitude do Pessoal de Saúde
Competência Clínica
Grupos Focais
Seres Humanos
Noruega
Equipe de Assistência ao Paciente
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0160


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[PMID]:28744672
[Au] Autor:Jayaraman MV; McTaggart RA; Goyal M
[Ad] Endereço:Department of Diagnostic Imaging, Warren Alpert School of Medicine at Brown University, Rhode Island Hospital, 593 Eddy Street, Room 377, Providence, RI, 02903, USA. mahesh.jayaraman@gmail.com.
[Ti] Título:Unresolved Issues in Thrombectomy.
[So] Source:Curr Neurol Neurosci Rep;17(9):69, 2017 Sep.
[Is] ISSN:1534-6293
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE OF REVIEW: Trials demonstrating marked benefit of mechanical thrombectomy (MT) for acute stroke caused by large vessel occlusion (LVO) in the anterior circulation have been the most significant advance in acute ischemic stroke in the past 20 years. However, despite this marked advance, there are still many hurdles to improving access to thrombectomy worldwide. Additionally, despite these advances, a substantial portion of patients with LVO still are left disabled. RECENT FINDINGS: The major randomized trials focused on patients within 6 h from symptom onset, with occlusion of the ICA or proximal MCA, small amount of permanently damaged brain, and a moderate to large clinical deficit. We will explore the role of thrombectomy outside of these areas, but also explore larger issues as they pertain to re-organization of stroke systems of care to improve access to this remarkable therapy. Now that we have proven, without a shadow of doubt, that rapid revascularization with mechanical thrombectomy improves outcomes in LVO stroke, we must reorganize our systems of care to improve access and assess the role for MT outside of the patients who meet trial criteria.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/normas
Trombólise Mecânica/normas
Acidente Vascular Cerebral/terapia
Tempo para o Tratamento/normas
[Mh] Termos MeSH secundário: Lesões Encefálicas/diagnóstico
Lesões Encefálicas/terapia
Serviços Médicos de Emergência/métodos
Seres Humanos
Trombólise Mecânica/métodos
Acidente Vascular Cerebral/diagnóstico
Trombectomia/métodos
Trombectomia/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1007/s11910-017-0776-4


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[PMID]:29486014
[Au] Autor:Lewis RJ; Gausche-Hill M
[Ad] Endereço:Department of Emergency Medicine, Harbor-UCLA Medical Center, Torrance, California.
[Ti] Título:Airway Management During Out-of-Hospital Cardiac Arrest.
[So] Source:JAMA;319(8):771-772, 2018 02 27.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Manuseio das Vias Aéreas
Parada Cardíaca Extra-Hospitalar
[Mh] Termos MeSH secundário: Reanimação Cardiopulmonar
Serviços Médicos de Emergência
Seres Humanos
Intubação Intratraqueal
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180228
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2018.0155


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[PMID]:29237604
[Au] Autor:Andrew E; Nehme Z; Bernard S; Abramson MJ; Newbigin E; Piper B; Dunlop J; Holman P; Smith K
[Ad] Endereço:Centre for Research and Evaluation, Ambulance Victoria, Doncaster, VIC 3108, Australia 3108 emily.andrew@ambulance.vic.gov.au.
[Ti] Título:Stormy weather: a retrospective analysis of demand for emergency medical services during epidemic thunderstorm asthma.
[So] Source:BMJ;359:j5636, 2017 12 13.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To describe the demand for emergency medical assistance during the largest outbreak of thunderstorm asthma reported globally, which occurred on 21 November 2016. DESIGN: A time series analysis was conducted of emergency medical service caseload between 1 January 2015 and 31 December 2016. Demand during the thunderstorm asthma event was compared to historical trends for the overall population and across specific subgroups. SETTING: Victoria, Australia. MAIN OUTCOME MEASURES: Number of overall cases attended by emergency medical services, and within patient subgroups. RESULTS: On 21 November 2016, the emergency medical service received calls for 2954 cases, which was 1014 more cases than the average over the historical period. Between 6 pm and midnight, calls for 1326 cases were received, which was 2.5 times higher than expected. A total of 332 patients were assessed by paramedics as having acute respiratory distress on 21 November, compared with a daily average of 52 during the historical period. After adjustment for temporal trends, thunderstorm asthma was associated with a 42% (95% confidence interval 40% to 44%) increase in overall caseload for the emergency medical service and a 432% increase in emergency medical attendances for acute respiratory distress symptoms. Emergency transports to hospital increased by 17% (16% to 19%) and time critical referrals from general practitioners increased by 47% (21% to 80%). Large increases in demand were seen among patients with a history of asthma and bronchodilator use. The incidence of out-of-hospital cardiac arrest increased by 82% (67% to 99%) and pre-hospital deaths by 41% (29% to 55%). CONCLUSIONS: An unprecedented outbreak of thunderstorm asthma was associated with substantial increase in demand for emergency medical services and pre-hospital cardiac arrest. The health impact of future events may be minimised through use of preventive measures by patients and predictive early warning systems.
[Mh] Termos MeSH primário: Asma/epidemiologia
Surtos de Doenças/estatística & dados numéricos
Serviços Médicos de Emergência/estatística & dados numéricos
Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Austrália/epidemiologia
Criança
Pré-Escolar
Feminino
Seres Humanos
Lactente
Masculino
Meia-Idade
Estudos Retrospectivos
Tempo (Meteorologia)
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180303
[Lr] Data última revisão:
180303
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5636


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[PMID]:29480840
[Au] Autor:De Nola R; Di Naro E; Schonauer LM; Lucarelli G; Battaglia M; Fiore MG; Mastrolia SA; Loverro G
[Ad] Endereço:Department of Biomedical Sciences and Human Oncology, Gynaecologic and Obstetrics Clinic.
[Ti] Título:Clinical management of a unique case of PNET of the uterus during pregnancy, and review of the literature.
[So] Source:Medicine (Baltimore);97(2):e9505, 2018 Jan.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: PNETs (primitive neuroectodermal tumors) are a family of highly malignant neoplasms characterized by small round cells of neuroepithelial origin. They usually involve bone and soft tissues, and have a higher incidence in childhood. PATIENT CONCERNS: In this case report, we describe the obstetric and oncological outcome of a huge mass diagnosed as a leiomyoma in a 39-year-old pregnant woman who complained of low back pain, dysuria, and urinary frequency at 22 weeks of gestation. DIAGNOSES: During the 25th week of pregnancy, the patient was referred to our hospital at night with severe anemia and suspected hemoperitoneum. She underwent an emergency caesarean section, delivering a female fetus weighing 400 g, with an Apgar score of 7 at 1 minute and 9 at 5 minutes. INTERVENTION: During surgery, we found a huge uterine sarcoma-like metastatic tumor, invading the pelvic peritoneum and parametria bilaterally; the adnexae seemed disease-free. We performed a type B radical hysterectomy, bilateral salpingo-oophorectomy, pelvic peritonectomy, omentectomy, appendectomy, and excision of a bulky lymph node. Seven days after delivery, staging computed tomography (CT) scan demonstrated a large lombo-aortic lymph node compressing the left renal vein and we completed debulking with a second surgery, including diaphragmatic peritonectomy and excision of a huge lymph node by lombo-aortic lymphadenectomy, requiring partial reconstruction of an infiltrated renal vein. OUTCOME: Ten days after the second surgery, echo-color Doppler showed a regular microcirculation in the left kidney. The patient was discharged after 10 days, and the baby after 1 month, both in good health.Histological examination revealed a uterine body cPNET (central primitive neuroectodermal tumor) orienting the clinical management toward chemotherapy with cisplatin and etoposide. LESSONS: PNETs are aggressive neoplasms, usually diagnosed at an advanced stage. Due to their low incidence, universally accepted guidelines are still unavailable. Radical surgery leaving no macroscopic residual disease is mandatory in advanced stages. A good fertility-sparing procedure can be performed only in young women at early stages of disease, when the wish for childbearing is not yet fulfilled.
[Mh] Termos MeSH primário: Tumores Neuroectodérmicos Primitivos/cirurgia
Complicações Neoplásicas na Gravidez/cirurgia
Neoplasias Uterinas/cirurgia
[Mh] Termos MeSH secundário: Adulto
Cesárea
Serviços Médicos de Emergência
Feminino
Seres Humanos
Recém-Nascido
Tumores Neuroectodérmicos Primitivos/diagnóstico por imagem
Tumores Neuroectodérmicos Primitivos/tratamento farmacológico
Tumores Neuroectodérmicos Primitivos/patologia
Gravidez
Complicações Neoplásicas na Gravidez/diagnóstico por imagem
Complicações Neoplásicas na Gravidez/tratamento farmacológico
Complicações Neoplásicas na Gravidez/patologia
Neoplasias Uterinas/diagnóstico por imagem
Neoplasias Uterinas/tratamento farmacológico
Neoplasias Uterinas/patologia
Útero/diagnóstico por imagem
Útero/patologia
Útero/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180227
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009505


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[PMID]:27775982
[Au] Autor:Cai AR; Hodgman EI; Kumar PB; Sehat AJ; Eastman AL; Wolf SE
[Ad] Endereço:From the Division of Burns, Trauma, and Critical Care, Department of Surgery, University of Texas-Southwestern Medical Center, Dallas.
[Ti] Título:Evaluating Pre Burn Center Intubation Practices: An Update.
[So] Source:J Burn Care Res;38(1):e23-e29, 2017 Jan/Feb.
[Is] ISSN:1559-0488
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:A significant proportion of patients appeared to arrive at our American Burn Association-verified burn center intubated without clear benefit. The current study aims to evaluate regional prehospital intubation practices and their outcomes. All consecutive admissions from November 2012 to June 2014 were reviewed for data points associated with intubation. Demographics and outcomes for patients who were intubated before arrival or within 24 hours of admission were compared using χ, Fisher's exact test, and the Kruskal-Wallis test as appropriate. During this period, 958 patients were admitted. Of these, 120 were intubated before arrival, and 91 survived their injuries. Of these 91 survivors, 45 were extubated within 2 days, suggesting unnecessary intubation rate in 37.5%. Intubation-related complications were roughly three times as common among those intubated before arrival (12.5% vs 4.4%). Patients intubated before arrival to our burn center had a shorter median duration of intubation (1.0 vs 4.0 days), median hospital LOS (5.0 vs 22.0 days), and median intensive care unit length of stay (3.0 vs 10.0 days). Furthermore, we found a significant difference in the pattern of ventilator support duration between those arriving intubated, with a median of 2.0 days, and those intubated at our burn center, with a median of 5.5 days. Patients intubated by pre burn center providers have shorter intubation durations and shorter hospitalizations, suggesting inappropriate use of resources. Impending loss of airway appears unlikely among patients with adequate gas exchange at the time of examination. The current criteria for prehospital intubation should be revised to more accurately identify those who truly benefit from advanced airway maneuvers.
[Mh] Termos MeSH primário: Queimaduras/terapia
Serviços Médicos de Emergência/métodos
Mortalidade Hospitalar
Intubação Intratraqueal/métodos
Admissão do Paciente
[Mh] Termos MeSH secundário: Adulto
Unidades de Queimados
Queimaduras/diagnóstico
Queimaduras/mortalidade
Estudos de Coortes
Feminino
Seguimentos
Seres Humanos
Escala de Gravidade do Ferimento
Intubação Intratraqueal/estatística & dados numéricos
Tempo de Internação
Modelos Logísticos
Masculino
Meia-Idade
Análise Multivariada
Respiração Artificial/efeitos adversos
Respiração Artificial/métodos
Ressuscitação/métodos
Ressuscitação/estatística & dados numéricos
Estudos Retrospectivos
Medição de Risco
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE
[do] DOI:10.1097/BCR.0000000000000457


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[PMID]:29181931
[Au] Autor:Raknes G; Morken T; Hunskår S
[Ti] Título:Local emergency medical communication centres - staffing and populations.
[Ti] Título:Legevaktsentralar ­ bemanning og folketal..
[So] Source:Tidsskr Nor Laegeforen;137(22), 2017 11 28.
[Is] ISSN:0807-7096
[Cp] País de publicação:Norway
[La] Idioma:eng; nor
[Ab] Resumo:BACKGROUND: There are several examples of inadequate staffing at local emergency medical communication centres (LEMCs) resulting in limited availability and long waits on the telephone. There are no guidelines for population size or the staffing of a LEMC. In the following, we present models of catchment areas and staffing. MATERIAL AND METHOD: Traffic intensity on Saturdays and Sundays was based on data on figures for patient contacts at seven LEMCs in 2014 and 2015. We defined the minimum optimal population base as at least 50 % probability of ≥ 10 contacts in the course of a night duty. The Erlang-C formula was used to estimate service level and hence staffing requirements on the basis of population and response-time requirements. We have surveyed the combined staffing requirements of all the LEMCs in Norway. RESULT: The minimum optimal population base was 29 134. In 2016, 48 of 103 LEMCs were smaller than this. In order to be able to satisfy the response-time requirements in the Norwegian Emergency Medicine Regulations, 112 LEMC night operators and 158 day operators would be necessary for the whole of Norway. A reduction of the response-time requirement from 120 to ten seconds would require 9.8 % more operators at night and 17 % more operators during the day. INTERPRETATION: The models we have presented provide a basis for planning the population base and staffing of LEMCs. Significantly stricter response-time requirements will result in limited need for more personnel.
[Mh] Termos MeSH primário: Plantão Médico
[Mh] Termos MeSH secundário: Plantão Médico/organização & administração
Plantão Médico/normas
Plantão Médico/utilização
Serviços Médicos de Emergência/recursos humanos
Serviços Médicos de Emergência/organização & administração
Serviços Médicos de Emergência/normas
Serviços Médicos de Emergência/utilização
Acesso aos Serviços de Saúde
Seres Humanos
Noruega
Fatores de Tempo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE
[do] DOI:10.4045/tidsskr.17.0176


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[PMID]:28462934
[Au] Autor:Ronca E; Scheel-Sailer A; Koch HG; Gemperli A; SwiSCI Study Group
[Ad] Endereço:Rehabilitation Services and Care Unit, Swiss Paraplegic Research, Nottwil, Switzerland.
[Ti] Título:Health care utilization in persons with spinal cord injury: part 2-determinants, geographic variation and comparison with the general population.
[So] Source:Spinal Cord;55(9):828-833, 2017 Sep.
[Is] ISSN:1476-5624
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:STUDY DESIGN: Cross-sectional survey. OBJECTIVES: To investigate annual rates and geographic variation of health care utilization in persons with spinal cord injury (SCI), and to identify factors associated with health care utilization. SETTING: Community setting, entire country of Switzerland. METHODS: Annual rates of planned and emergency visits to the general practitioner (GP), planned and emergency outpatient clinic visits and in-patient hospitalizations were compared between individuals with chronic SCI, over 16 years of age residing in Switzerland between late 2011 and early 2013 and a population sample (2012) of the Swiss general population. Risk factors for increased health service utilization were identified by means of regression models adjusted for spatial variation. RESULTS: Of 492 participants (86.2% response rate), 94.1% visited a health care provider in the preceding year, with most persons visiting GPs (88.4%) followed by outpatient clinics (53.1%) and in-patient hospitals (35.9%). The increase in utilization as compared with the general population was 1.3-, 4.0- and 2.9-fold for GP, outpatient clinic and in-patient hospital visit, respectively. GP utilization was highest in persons with low income (incidence rate ratio (IRR) 1.85) and old age (IRR 2.62). In the first 2 years post injury, health service visits were 1.7 (GP visits) to 5.8 times (emergency outpatient clinic visits) more likely compared with those later post injury. CONCLUSIONS: People with SCI more frequently use health services as compared with the general population, across all types of medical service institutions. GP services were used most often in areas where availability of specialized outpatient clinic services was low.
[Mh] Termos MeSH primário: Aceitação pelo Paciente de Cuidados de Saúde
Traumatismos da Medula Espinal/epidemiologia
Traumatismos da Medula Espinal/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Assistência Ambulatorial/utilização
Doença Crônica
Estudos Transversais
Serviços Médicos de Emergência/utilização
Feminino
Geografia Médica
Hospitalização
Seres Humanos
Masculino
Meia-Idade
Análise de Regressão
Fatores de Risco
Suíça
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.1038/sc.2017.38



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