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Modelling Seasonal Variations in Presentations at a Paediatric Emergency Department
https://hiroshima.repo.nii.ac.jp/records/2013664
https://hiroshima.repo.nii.ac.jp/records/20136640de4eb3d-6dc8-4510-9d2d-242ac756a288
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ_(フル)(1) | |||||||||
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公開日 | 2023-03-18 | |||||||||
タイトル | ||||||||||
タイトル | Modelling Seasonal Variations in Presentations at a Paediatric Emergency Department | |||||||||
言語 | en | |||||||||
作成者 |
Takase, Miyuki
× Takase, Miyuki
× Carlin, John
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アクセス権 | ||||||||||
アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
権利情報 | ||||||||||
権利情報 | (c) Hiroshima University Medical Press. | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Emergency department | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Paediatric | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Patient flow | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Seasonal pattern | |||||||||
主題 | ||||||||||
主題Scheme | NDC | |||||||||
主題 | 490 | |||||||||
内容記述 | ||||||||||
内容記述 | Overcrowding is a phenomenon commonly observed at emergency departments (EDs) in many hospitals, and negatively impacts patients, healthcare professionals and organisations. Health care organisations are expected to act proactively to cope with a high patient volume by understanding and predicting the patterns of ED presentations. The aim of this study was, therefore, to identify the patterns of patient flow at a paediatric ED in order to assist the management of EDs. Data for ED presentations were collected from the Royal Children's Hospital in Melbourne, Australia, with the time-frame of July 2003 to June 2008. A linear regression analysis with trigonometric functions was used to identify the pattern of patient flow at the ED. The results showed that a logarithm of the daily average ED presentations was increasing exponentially (as explained by 0.004t + 0.00005t 2 with t representing time, p<0.001). The model also indicated that there was a yearly oscillation in the frequency of ED presentations, in which lower frequencies were observed in summer and higher frequencies during winter (as explained by -0.046 sin(2πt/12)-0.083 cos(2πt/12), p<0.001). In addition, the variation of the oscillations was increasing over time (as explained by -0.002t*sin(2πt/12)- 0.001t*cos(2πt/12), p<0.05). The identified regression model explained a total of 96% of the variance in the pattern of ED presentations. This model can be used to understand the trend of the current patient flow as well as to predict the future flow at the ED. Such an understanding will assist health care managers to prepare resources and environment more effectively to cope with overcrowding. | |||||||||
言語 | en | |||||||||
出版者 | ||||||||||
出版者 | Hiroshima University Medical Press | |||||||||
言語 | ||||||||||
言語 | eng | |||||||||
資源タイプ | ||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||
資源タイプ | departmental bulletin paper | |||||||||
出版タイプ | ||||||||||
出版タイプ | VoR | |||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||
収録物識別子 | ||||||||||
収録物識別子タイプ | ISSN | |||||||||
収録物識別子 | 0018-2052 | |||||||||
収録物識別子 | ||||||||||
収録物識別子タイプ | NCID | |||||||||
収録物識別子 | AA00664312 | |||||||||
開始ページ | ||||||||||
開始ページ | 51 | |||||||||
書誌情報 |
Hiroshima Journal of Medical Sciences Hiroshima Journal of Medical Sciences 巻 61, 号 3, p. 51-58, 発行日 2012-09 |
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旧ID | 35013 |