Interdisziplinäre Notaufnahme: Geben Symptome und Zuweisungsweg Auskunft über den Bettenbedarf?

Völk, Stefanie; Koedel, Uwe; Pedersen, Vera; Weiglein, Tobias und Klein, Matthias (2022): Interdisziplinäre Notaufnahme: Geben Symptome und Zuweisungsweg Auskunft über den Bettenbedarf? In: Notfall & Rettungsmedizin

Abstract

Background The main challenge in the patient flow of emergency departments (EDs) is the accessibility of in-house hospital beds. In comparison to interdisciplinary emergency units, most hospital structures are organized strictly according to specific medical disciplines. The aim of this study was to analyse the need and type of required hospital beds at an interdisciplinary ED according to type of arrival and symptoms attributed to medical disciplines. Methods We retrospectively analysed data of all patients who presented to the ED of a tertiary care hospital in Munich, Germany, over a period of 3 years (n = 113,693). Results Most patients were treated with symptoms attributed to internal medicine (28%), orthopaedic surgery (24%) and neurology (15%), followed by general surgery (11%), otorhinolaryngology (7%), urology (5%), orthopaedics (5%), gynaecology (3%) and neurosurgery (2%). Patients presenting via the emergency service had the highest admission rates (67%) compared to referrals by practitioners (47%) and self-referrals (23%). Highest admission rates in general and to intensive care units were also observed for patients with symptoms indicative for neurosurgery (69%;thereof 12% to ICUs), internal medicine (56%;5%) and neurology (46%;4%). Conclusion Our data indicate that type of arrival and leading symptoms according to treating medical disciplines may allow an early assessment of required in-house resources.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 1434-6222
• Sprache: Deutsch
• DFG: Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - 491502892