Estudio descriptivo de las urgencias del Hospital Clínico Universitario Vírgen de la Arrixaca y tendencias temporales 2013-2018

Zusammenfassung

Medicine is getting more specialized and technified, society changes, the economic cycles , the labour activity, the new campaigns and traffic regulations, the reinforcement of some district hospitals , altogheter is going to affect the relocations, the labor and traffic accidents and the pressure in the Emergency Medicine department of HCUV Arrixaca. The main objectives of this research are: a) To analyse the use of the emergency service based on changes in patients demography that attend to the service during the period studied: the municipality, age, gender, foreign people, attendance peaks per year, month and day. b) To analyse the demand based on associated variables. Variations in the large groups of pathologies depending on age, gender, health areas, incomes and transfers, voluntary discharges and getaways. c) To analyse the frequentation and overuse of the emergencies service of the patients treated from different health areas and basic health zones. d) To analyse the destination at discharge, above all, admissions, discharges and transfers of patients treated from different health areas and basic health zones. e) To analyse the participation of admissions and discharges from the emergency department of the hospital services involved. f) To analyse the transfers from other hospitals to the emergency service. g) To analyse the patients with a financing different from the public one , such as the labour or traffic accidents, privates and international convenants and their evolution in the period studied. Methodology: It has been developed a retrospective study population- based using the administrative data base of the CMBD (minimal basic data base) of emergencies of the University Clinical Hospital “Virgen de la Arrixaca”. The CMBD contains information both of administrative nature and clinical nature. The studied population are all the patients that attended to the emergency service in the period between January 2013 and December 2018, corresponding to the health area I and other areas, foreign people and people from other communities and countries. Conclusions The assigned population and the number of emergencies has increased, as well as the interventions of other specialists; the patients with slighltly femenine predominance have an age range between 30 and 60, although the people who are more than 45 are increasing compared to underage people; there are more consults on Monday but increasing on Sunday; more self-initiative and multi-consultants from the surrounding areas of the hospitals; there is an increase of discharges and decrease of admissions; less delays; more relocations of patients whom are more than 75 from other hospitals; more patients on August and on Friday, with an important decrease of relocations from Caravaca´s Hospital and increase of the rest of the regional hospitals , specially from Hospital Morales Meseguer; there are many less traffic accidents and more labour accidents. All of this can guide us towards control regulations in order to achieve similar results to the ones fulfilled in traffic accidents, delays, and incomes.