No CrossRef data available.
Article contents
Reanimation Unit Experience of a Second-Level Hospital in Mexico City
Published online by Cambridge University Press: 28 June 2012
Abstract
Objectives:
The objectives of this study were to determine the clinical characteristics of patients who presented to the Reanimation Unit (RU) of a second-level hospital during one year, and the number and type of emergency procedures performed.
Methods:
A cross-sectional study was designed that enrolled all patients >15 years of age who presented to the RU from 01 January through 31 December 2003. The age, gender, diagnosis, site of origin, and disposition of each patient was recorded, as well as the distribution by time of day, the number and type of emergency procedures performed, complications, and mortality rate.
Results:
Of the 3,741 patients enrolled in the study, 57.0% were male; predominantly 41–50 years old (20%). Most patients presented to the RU from their homes during the afternoon.There were 60 different admission diagnoses: more of the emergencies were for medical than for traumatic emergencies. The predominant pathologies were bronchospasm, hypertensive crisis, and upper gastrointestinal bleeding. Initially, patients either were admitted to the observation unit, the consulting office for the emergency department, or the intensive care unit. There were a total of 2,753 emergency procedures performed: orotracheal intubations were the most common, followed by installation of a catheter into the central venous circulation. Of all of the patients admitted to the RU, 31% were not insured.
Conclusions:
There exists a remarkable combination between medical and traumatic emergencies, which is not encountered frequently in other second level-hospitals in Mexico City. A high proportion of the patients who received medical attention were not insured and there were a large number of emergency invasive procedures performed.
Keywords
- Type
- Original Research
- Information
- Copyright
- Copyright © World Association for Disaster and Emergency Medicine 2006
References
1.Clancy, C, Eisenberg, J: Emergency medicine in population-based systems of care. Ann Emerg Med 1997;30:801–803.CrossRefGoogle ScholarPubMed
2.Tintinalli, JE: Medicina de Urgencias. 4th ed., México D.F.: Interamericana; 1997, pp 1–5.Google Scholar
3.McCabe, J: Emergency medicine and the academic health center. Ann Emerg Med 1997;30:773–777.CrossRefGoogle ScholarPubMed
4.Williams, R: The costs of visits to emergency departments. N Eng J Med 1996;334:642–646.CrossRefGoogle ScholarPubMed
5.Spaite, D, Cris, E, Valenzuela, Meislein H: Developing a foundation for the evaluation of expanded-scope EMS: A window of opportunity that cannot be ignored. Ann Emerg Med 1997;30:791–796.CrossRefGoogle ScholarPubMed
6.Osterwalder, J: Emergency medicine in Switzerland. Ann Emerg Med 1998;32:243–247.CrossRefGoogle ScholarPubMed
7.Partridge, R: Emergency medicine in West Kazakhstan. Ann Emerg Med 1998;32:493–497.CrossRefGoogle ScholarPubMed
8.Nikkanen, H, Jacobs, L, Pouges, C: Emergency medicine in France. Ann Emerg Med 1998;31:116–120.CrossRefGoogle ScholarPubMed
9.Lasseter, J, Pyles, J, Galijasevic, S: Emergency medicine in Bosnia and Herzagovina. Ann Emerg Med 1997;30:527–529.CrossRefGoogle Scholar
10.Moecke, H: Emergency medicine in Germany. Ann Emerg Med 1998;31:111–115.CrossRefGoogle ScholarPubMed
11.Repetto, C, Casagranda, I, Overton, D, Gai, V: Emergency medicine: The Italian experience Ann Emerg Med 1998;32:248–252.CrossRefGoogle ScholarPubMed
12.Townes, D, Lee, T, Gulo, S, VanRooyen, M: Emergency medicine in Russia. Ann Emerg Med 1998;32:239–242.CrossRefGoogle ScholarPubMed
13.Lloyd, S, Streiner, D, Shannon, S: Demographic characteristics of fulltime emergency physicians in Canada. Am J Emerg Med 1993;11:364–370.CrossRefGoogle ScholarPubMed
14.Posaw, L, Aggarwal, P, Bernstein, S: Emergency medicine in the New Delhi area, India. Ann Emerg Med 1998;32:609–615.CrossRefGoogle Scholar
15.Arnold, J, Sik, S, Myung, J: The recent development of emergency medicine in South Korea. Ann Emerg Med 1998;32:730–735.CrossRefGoogle ScholarPubMed
16.Alagappan, K, Cherukuri, K, Norang, V: Early development of emergency medicine in Chenmai (Madras), India. Ann Emerg Med 1998;32:604–608.CrossRefGoogle Scholar
17.Church, A, Plitponkamin, A: Emergency medicine in Thailand. Ann Emerg Med 1998;32:93–97.CrossRefGoogle ScholarPubMed
18.Ramalanjaona, G: Emergency medicine in Madagascar. Ann Emerg Med 1998;31:766–768.CrossRefGoogle ScholarPubMed
19.Tintinalli, J, Lisse, E, Begley, A, Campbell, C: Emergency care in Namibia. Ann Emerg Med 1998;32:373–376.CrossRefGoogle ScholarPubMed
20.Clarke, M: Emergency medicine in the New South Africa. Ann Emerg Med 1998;32:367–372.CrossRefGoogle ScholarPubMed
21.Musharafieh, R, Bu-Haka, R: Development of emergency medicine in Lebanon. Ann Emerg Med 1996;28:82–86.CrossRefGoogle ScholarPubMed
22.Abbadi, S, Karim-Abdaliah, A, Holiman, C: Emergency medicine in Jordan. Ann Emerg Med 1997;30:319–321.CrossRefGoogle ScholarPubMed
23.Trejo, J, Contreras, N, Garcáa, G, Arizmendi, H: El servicio de urgencias en un hospital de tercer nivel. Su comportamiento durante cinco años: Estudio preliminar. Med Int Mex 1999;156:257–259.Google Scholar
24.Loría-Castellanos, J, Chavarría-Islas, R: Experiencia médico-quirúrgica en una unidad de reanimación. Rev Med Instituto Mexicano del Seguro Social 2002;40(6):511–519.Google Scholar