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Hospital-Based Emergency Care At the Breaking Point (2007) / Chapter Skim
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Appendix E Statistics on Emergency and Trauma Care Utilization
Pages 345-352

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From page 345...
... appendix E Statistics on Emergency and Trauma Care Utilization Emergency departments (EDs) and trauma centers see an enormous variety of patients and conditions on a daily basis.
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From page 346...
...  HOSPITAL-BASED EMERGENCY CARE TABLE E-1 ED Visits by 20 Leading Diagnoses Principal Reason for Visit Percent Contusion with intact skin surface 4.2 Acute upper respiratory infections, excluding pharyngitis 4.0 Abdominal pain 3.9 Chest pain 3.7 Open wound, excluding head 3.6 Spinal disorders 2.5 Otitis media and eustachian tube disorders 2.3 Sprains and strains, excluding neck and back 2.2 Fractures, excluding lower limb 2.1 Open wound of head 2.0 Sprains and strains of neck and ankle and back 2.0 Acute pharyngitis 1.7 Urinary tract infection 1.6 Chronic and unspecified bronchitis 1.6 Superficial injuries 1.6 Cellulitis and abscess 1.6 Pyrexia of unknown origin 1.5 Asthma 1.5 Heart disease, excluding ischemic 1.5 Rheumatism, excluding back 1.5 All other 53.1 Total 99.7 SOURCE: McCaig and Burt, 2005. 1999 and 2003, trauma visits rose by 18.1 percent.
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From page 347...
...  APPENDIX E with Chronic Conditions (millions) 180 Percent of the 49.2% Population with a 170 48.8% 171 chronic condition 160 Number of People 164 48.3% 47.7% 157 150 149 47.0% 140 141 46.2% 130 45.4% 133 44.7% 120 125 118 110 100 1995 2000 2005 2010 2015 2020 2025 2030 Year FIGURE E-1 Portion of the U.S.
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From page 348...
...  HOSPITAL-BASED EMERGENCY CARE TABLE E-2 Visits and Visits per 100 by Age, 2003 Number of Visits Visits per Age in Thousands 100 Persons Under 15 24,733 40.8 15–24 17,731 44.2 25–44 32,906 40.0 45–64 20,992 30.8 65–74 7,153 39.5 75 and older 10,389 64.2 SOURCE: McCaig and Burt, 2005. complex and time-consuming, and therefore have a disproportionate impact on emergency care services (Sanders, 2001)
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From page 349...
... . Pediatric emergency care is dealt with comprehensively in the companion IOM report in this series titled Emergency Care for Children: Growing Pains.
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From page 350...
... . Frequent users are a challenge to ED staff because they require intensive resources, such as mental health, substance-abuse, and case management services, that often are not available at EDs.
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From page 351...
... 2000. Pediatric emergency medicine education in emergency medicine training programs.
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Key Terms

  • pediatric emergency
  • care research
  • pediatric research
  • mental health
  • human services


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