Abstract:
OBJECTIVE:To establish the quality of emergency department diagnoses for those patients whose injuries required hospital admission. METHODS:Emergency and hospital discharge diagnostics were retrieved for 339 injured patients. Severity scores (ISS) were calculated using an automatic conversion procedure (ICDMAP). Emergency diagnoses for each patient (grouped into categories) were compared with the hospital discharge ones. Quality was analyzed based on accuracy (Percy groups) and reliability (percentage of concordance) measurements. Severity scores were evaluated using reliability measures (percentage of concordance and intraclass correlation coefficient-ICC-). RESULTS:Mean diagnoses per patient were 1.1 at the emergency department and 1.4 at hospital discharge. In the latter, there were diagnoses in each category except for those more unspecific, where there was a reduction. Overall, emergency information showed under notification. Severity scores were higher with hospital discharge data. There was a 63% percentage of concordance. When grouped into categories, severity scores had an ICC of 0.61 (moderate-good). CONCLUSION:Emergency departments are a potential good source of information about injury severity even for those patients who require hospital admission. Emergency department injury surveillance can be very useful in assessing the magnitude and distribution of injury severity at the population level. Nevertheless for individual severity assessment, use of hospital discharge information is recommended.
journal_name
Gac Sanitjournal_title
Gaceta sanitariaauthors
Seguí-Gómez M,Plasència A,Borrell Cdoi
10.1016/s0213-9111(96)71884-8subject
Has Abstractpub_date
1996-05-01 00:00:00pages
110-6issue
54eissn
0213-9111issn
1578-1283pii
S0213-9111(96)71884-8journal_volume
10pub_type
杂志文章相关文献
Gaceta Sanitaria文献大全abstract:OBJECTIVE:The presence of trihalomethanes in the water systems of several Spanish cities has been demonstrated. The aim of this study was to analyze trihalomethane concentrations in the water provided for human consumption in the city of Barcelona. METHODS:We analyzed 151 water samples collected in 1998. The analyses ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(02)71668-3
更新日期:2002-05-01 00:00:00
abstract::Incorporating community health teaching in the undergraduate nursing and medicine curriculum and postgraduate training programmes contributes to enhance the quality, rigour and sustainability of health-promoting community interventions. In this article, we discuss the failure of Spanish Medical Universities to include...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2018.07.007
更新日期:2018-10-01 00:00:00
abstract::The present work consists on a survey to evaluate the medical resources utilized in a cardiology and respiratory specialized consulting room. Given the heterogeneous patterns of the registered variables, a correspondence factor analysis has been applied, demonstrating its descriptive and explicative adequacy in the pr...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(93)71150-4
更新日期:1993-07-01 00:00:00
abstract:OBJECTIVES:To describe alternative policies aimed at encouraging price competition in generic drug markets in countries with strict price regulation, and to present some case studies drawn from the European experience. METHODS:Systematic literature review of articles and technical reports published after 1999. RESULT...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,评审
doi:10.1016/j.gaceta.2009.12.003
更新日期:2010-05-01 00:00:00
abstract::Several authors have suggested that incidence density should be used in studying nosocomial infection. We assess several risk factors for hospital infection by two ratios, the incidence density ratio (IDR) and the relative risk (RR), in an historical cohort of 843 patients. The variables analyzed were: operation, its ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(90)71036-9
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVES:We aimed to show an area-level association between the frequency of intestinal metaplasia (IM) in Helicobacter pylori-infected patients and tobacco consumption. METHODS:We systematically reviewed the literature to retrieve data on the prevalence of IM in different countries and performed an ecological analy...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,评审
doi:10.1157/13123970
更新日期:2008-05-01 00:00:00
abstract::This article provides a critical review of the World Health Organization's (WHO) report, WHO Health Systems: improving performance. The political context in which the report was presented, the ideological suppositions underlying the report's evaluation of the efficiency and efficacy of the health systems, their degree...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(01)71601-9
更新日期:2001-09-01 00:00:00
abstract:INTRODUCTION:Several studies have shown the need to include the physical work environment among the dimensions included in job satisfaction evaluation. However, this dimension was not included in the Font-Roja questionnaire. The present study introduces two items exploring this dimension and adheres to the hypothesis t...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1157/13101040
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To apply the activity based costing (ABC) model to calculate the cost of therapy for neurodegenerative disorders in order to improve hospital management and allocate resources more efficiently. METHOD:We used the case study method in the Francolí long-term care day center. We applied all phases of an ABC sys...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2012.12.003
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:Prevalence of exposure to environmental tobacco smoke is a valuable index to assess the impact of the laws for tobacco control. The objective of this work is to analyse variations in the prevalence of exposure to environmental tobacco smoke in Galicia (Spain) between 2005, before the Law 28/2005, and 2011, af...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2013.04.010
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To compare the use of health technology assessment (HTA) as a tool to support pricing and reimbursement (P&R) of new medicines in Spain with England, Sweden, France and Germany. METHOD:For each country, the literature is used to identify the purpose and timing of the P&R decision, the HTA and decision-making...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2019.02.009
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The objective of performance assessment is to provide governments and populations with appropriate information about the state of their health care system. The objective of this paper is to present the most recent developments in performance assessment and their application in urban contexts. METHODS:Litera...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,评审
doi:10.1157/13091148
更新日期:2006-07-01 00:00:00
abstract::We present a mathematical model of the hepatitis B virus (HBV) infection in a community. The main object is to analyze the effects of two different strategies of mass vaccination: newborns or adolescents. It appears that adolescents mass vaccination produces in the short-term a bigger effect than in the newborns. Math...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(94)71206-1
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVE:Despite prevention efforts, the prevalence of unprotected anal intercourse (UAI) remains substantial among men who have sex with men (MSM). This study describes and analyzes how a group of MSM manages sexual risk with sexual partners. METHOD:Qualitative study by means in-depth, semi-structured interviews wit...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1157/13112240
更新日期:2007-11-01 00:00:00
abstract::The World Health Organization emphasizes the importance of developing programs of mental health promotion and prevention to ensure the wellbeing of young people. Mental health literacy in schools is an example of universal prevention intervention. The objective of this article is to conduct a systematic review of the ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,评审
doi:10.1016/j.gaceta.2020.06.010
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To describe the presence of women in the governance of health-related scientific societies in Spain today. METHODS:Spanish scientific societies were identified by vising the websites of the Ministry of Health, Social Services and Equality, and Fisterra. The sex of the president, executive officers and the bo...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2014.09.010
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVES:To find out the satisfaction's level of the Nazaret (Valencia) Health Center's users; To detect the deficiencies in the areas under study; To find out whether or not there are differences with previous studies in primary care. DESIGN:Transversal study, results evaluation with no equivalent control group. S...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(93)71138-3
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to design and validate a health services access survey for households in Colombia to provide a methodological tool that allows the country to accumulate evidence of real-life access conditions experienced by the Colombian population. METHODS:A validation study with experts and a pil...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2016.05.008
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Health resources utilization is related to health conditions and to the population's sociodemographic characteristics. Low socioeconomic groups show increased utilization of certain resources. Emergency department utilization could also be affected by socioeconomic factors. The aim of this study was to ident...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(02)71645-2
更新日期:2002-03-01 00:00:00
abstract::To have a better understanding on the role of the press in the communication of gender and health issues, the content of the five most spread newspapers in Spain was studied (El País, ABC, El Mundo, La Vanguardia and El Periódico de Catalunya) for five years (1997-2001) and the electronic version of The New York Times...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1157/13062527
更新日期:2004-05-01 00:00:00
abstract:OBJECTIVES:To analyze the variables associated with the use of oral health services in the last year by the population aged 6 to 15 years living in Spain and to determine whether there is variability in the use of these services among autonomous regions and, if so, whether this variability could be explained by variabl...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.03.011
更新日期:2011-09-01 00:00:00
abstract::To democratize health services, citizen participation should be free, informed and involve choice. To achieve this, a formal and public system of health services' evaluation is required. The present article aims to argue the need to promote the participation of patients and persons affected by disease to achieve great...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(08)76092-8
更新日期:2008-04-01 00:00:00
abstract:OBJECTIVE:To examine the perceptions of female immigrant domestic workers of the effect of Royal Decree 1620/2011, which regulates the relationship of domestic workers in the family home and their employment conditions in Spain. METHODS:An exploratory study was performed using qualitative content analysis of three foc...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2013.06.011
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:To describe leisure-time physical activity at the levels considered more beneficial for health and to analyze the association with sociodemographic variables and other health behaviors, among the population older than 14 years in Barcelona, Spain. METHODS:A sample of 4,171 adults answered the Health Intervi...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of a programme based on a virtual reality game to improve cognitive domains in patients with schizophrenia. METHOD:A randomized controlled trial was conducted in 40 patients with schizophrenia, 20 in the experimental group and 20 in the control group. The experimental group rece...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.gaceta.2015.10.004
更新日期:2016-03-01 00:00:00
abstract::This methodological note describes the development and application of a mixed-methods protocol to assess the responsiveness of Spanish health systems to violence against women in Spain, based on the World Health Organization (WHO) recommendations. Five areas for exploration were identified based on the WHO recommendat...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2013.08.002
更新日期:2014-05-01 00:00:00
abstract:INTRODUCTION:We present the protocol of a large population-based case-control study of 5 common tumors in Spain (MCC-Spain) that evaluates environmental exposures and genetic factors. METHODS:Between 2008-2013, 10,106 subjects aged 20-85 were enrolled in 23 hospitals and primary care centres in 12 Spanish provinces in...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2014.12.003
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:In the last few years, several non-pharmacological interventions have been developed to prevent age-associated cognitive deterioration, specifically memory deterioration. The effectiveness of these interventions has not been sufficiently evaluated. OBJECTIVE:To determine the effectiveness of cognitive inter...
journal_title:Gaceta sanitaria
pub_type: 杂志文章,评审
doi:10.1157/13126930
更新日期:2008-09-01 00:00:00
abstract:AIMS:To describe authorship according to gender in the articles published in four Spanish scientific journals of general medicine and public health, and to analyse the type of presentation of the results in relation to the sex of the subjects of the study. METHODS:We examined 423 articles from four Spanish scientific ...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/s0213-9111(01)71555-5
更新日期:2001-05-01 00:00:00
abstract:INTRODUCTION:Religious pilgrimage to Saudi Arabia, or Hajj, is a basic tenet of the Islamic doctrine and, after Ramadan, annually represents the largest human concentration (with up to 5% of from the EU) around the world. Such a gathering entails health risks. METHODS:A prospective observational study was conducted of...
journal_title:Gaceta sanitaria
pub_type: 杂志文章
doi:10.1016/j.gaceta.2011.09.011
更新日期:2012-05-01 00:00:00