PAKISTAN ARMED FORCES
MEDICAL JOURNAL (Category Y)

A Journal of Army Medical & Dental Corps

Being published since 1956

ISSN (online) 2411-8842
ISSN (print) 0030-9648

VOL 67, No. 5, OCTOBER 2017

NON-URGENT VISITS TO EMERGENCY DEPARTMENT AND COMPARISON OF URGENCY EVALUATION BETWEEN PATIENTS AND DOCTORS

Nadia Iftikhar, Shazia Nisar, Faisal Iftikhar Ahmad Ghumman*, Mishal Iqbal**, Rahat Malik, Ammala Shakeel, Muhammad Adnan, Muhammad Usman Ghani, Muhammad Arsalan Zafar, Ali Abbas Kayani, Imran Irshad, Ayesha Sajid

Abstract

Objective: To assess the proportion of non urgent patients presenting to the emergency department and to
compare urgency evaluation between patients and doctors.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Emergency department Combined Military Hospital (CMH) Jhelum, from
November 2015 to December 2015.
Material and Methods: All the patients presenting to the emergency department after working hours between 4-6 pm were documented for 16 consecutive working days. They were assessed as to the urgency of their condition by the doctor. The patients or guardians in case of children were also required to rate the level of urgency of their medical condition. The level of urgency was graded on visual analog scale from 0-10. A 5 and above score was labeled as urgent while a score of less than 5 was considered non urgent.
Results: A total of 205 patients reported in 32 hours over 16 days, to the emergency department. Of these 31 (15.12%) were assessed as emergencies by doctors while 49 (24%) were thought to be emergencies by patients.The p-value for this difference was 0.021. The largest group of patients visiting the emergency department was pediatric and they comprised the largest group of non urgent visits to the hospital as well.
Conclusion: Actual emergencies comprise a small proportion of visits to emergency departments while the main bulk consists of non urgent visits.

Keywords : Emergency department, Emergency services, Pakistan.



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