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La Rioja." ] ] ] 1 => array:3 [ "autoresLista" => "Enrique Ramalle-Gómara" "autores" => array:1 [ 0 => array:3 [ "nombre" => "Enrique" "apellidos" => "Ramalle-Gómara" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Epidemiología y Promoción de la Salud del Gobierno de La Rioja. Unidad de Epidemiología Clínica." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Inappropiate visits to emergency department of a general hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-04-12" "fechaAceptado" => "2000-07-12" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec223083" "palabras" => array:2 [ 0 => "Urgencias hospitalarias" 1 => "Utilización de servicios sanitarios" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Entre el 20 y el 80% de las visitas a los servicios de urgencias hospitalarios son inapropiadas</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se evaluaron las visitas a un servicio de urgencias hospitalarias mediante un Protocolo de Adecuación de Urgencias Hospitalarias, previamente validado.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">El 37,9% de las visitas fueron inapropiadas y más frecuentes en la población pediátrica. Los pacientes enviados por un médico, con traumatismos o proceso quirúrgico visitaron las urgencias más adecuadamente.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La adecuación de las visitas al servicio de urgencias se relaciona con el tipo de enfermedad.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The proportion of inadequate attendances at emergency department (ED) is 20-80%.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The suitability of attendances at ED was evaluated using an Hospital Emergency Suitability Protocol, which was validated.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">37.9% of attendances were inappropriate and they are more frequent in children. Patients who were refered by a doctor, with trauma or surgical consulted more adequately.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The suitability of attendances at ED are related with illness.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias BibliogrÁFicas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Análisis de la utilización inadecuada del servicio de urgencias de un hospital de tercer nivel." "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Descárrega" 1 => "C. Gutiérrez" 2 => "L. Cruz" 3 => "I. 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Visitas inapropiadas al servicio de urgencias de un hospital general
Inappropiate visits to emergency department of a general hospital
Javier Ochoa Gómez*, Alicia Villar Arias, J. Ignacio Ruiz Azpiazu, Lourdes Bragado Blas, Cristina Gimeno Villa
Servicio de Urgencias. Hospital San Millán. Logrońo. La Rioja
Enrique Ramalle-Gómaraa
a Servicio de Epidemiología y Promoción de la Salud del Gobierno de La Rioja. Unidad de Epidemiología Clínica.