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  1. A prospective evaluation of pediatric emergency care during the 1996 Summer Olympic Games in Atlanta, Georgia.

    Article - En anglais

    Objectives 

    To explore the impact that a temporary influx of millions of people can make on the local pediatric emergent and urgent care systems.

    The spectrum of illness was also explored.

    Design/Methods 

    Prospective cohort of patients from outside the usual catchment area presenting at two children's emergency departments and their satellite urgent care centers during the 1996 Summer Olympics.

    A 13-point survey was completed on each which included general demographics, transportation, language, time in the area, chief complaint, past medical conditions, diagnosis, and medical complications or problems related to their visit.

    Results 

    A total of 263 patients met criteria, mean age 6.7 years.

    Twenty-four percent were seen in the tertiary care centers and 76% in urgent care.

    Twenty-three countries with 15 primary languages were represented.

    Fifty-one percent were in Atlanta for less than seven days, and 44% were uninsured.

    Most presented with common concerns including ; fevers, rashes, respiratory difficulty, and minor trauma.

    Children were sicker than our typical emergency department patients, with hospital admission rates two times the usual for the tertiary care children's hospital (27% vs 13%) and the county children's hospital (7% vs 3%). Nineteen (7.2%) had unusual presentations or difficulty with care. (...)

    Mots-clés Pascal : Soin, Urgence, Service urgence, Hôpital enfant, Etats Unis, Amérique du Nord, Amérique, Maladie, Langue, Evaluation, Epidémiologie, Influence, Service santé, Enfant, Homme, Jeux Olympiques

    Mots-clés Pascal anglais : Care, Emergency, Emergency department, Children hospital, United States, North America, America, Disease, Tongue, Evaluation, Epidemiology, Influence, Health service, Child, Human

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

    Cote : 98-0154739

    Code Inist : 002B27B14C. Création : 21/07/1998.