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  1. Adolescent health care in a pediatric emergency department.

    Article - En anglais

    Study objective 

    We examined the use of the pediatric emergency department of an urban children's hospital by adolescents.

    The study included visits by all adolescents aged 13 to 18 years in a 1-week period from each season during 1992.

    Results 

    The ED saw 426 adolescents, representing approximately 15% of the total ED visits.

    Fifty percent of these patients were male.

    More than half of the patients were black ; a few were members of other minority groups.

    Eighteen percent had emergency, 60% urgent, and 21% nonurgent conditions.

    Forty-three percent of the patients came to the ED between 3 PM and 11 PM.

    Injuries accounted for 47% of male visits and 42% of female visits.

    Approximately half of the injuries resulted from violent events.

    Twenty-seven percent of the visits were for exacerbation of a chronic illness such as asthma or diabetes.

    The most common reason for adolescent female visits was gynecologic problems.

    Injury was the most common reason for adolescent male visits.

    Only 27% of the adolescents lived in a two-parent home.

    In 16% of the cases, the adolescents were treated without consent.

    Nineteen percent of the adolescents were uninsured, and nearly 50% were publicly insured.

    Conclusion 

    Issues of violence, consent, and insurance present problems for many adolescents in the pediatric ED.

    Injuries, particularly those related to violent events, are cause for many adolescent visits.

    ED staff members should develop plans to care for the complex psych...

    Mots-clés Pascal : Service hospitalier, Urgence, Pédiatrie, Etats Unis, Epidémiologie, Adolescent, Milieu urbain, Soins médicaux, Amérique du Nord, Amérique, Homme

    Mots-clés Pascal anglais : Hospital ward, Emergency, Pediatrics, United States, Epidemiology, Adolescent, Urban environment, North America, America, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0257428

    Code Inist : 002B30A04A. Création : 199608.