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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 61巻3号

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/2013664
0de4eb3d-6dc8-4510-9d2d-242ac756a288
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_61_51.pdf HiroshimaJMedSci_61_51.pdf (942.9 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
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

en Takase, Miyuki

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Carlin, John

× Carlin, John

en 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
旧ID 35013
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