Characteristics of patients presenting to the vascular emergency department of a tertiary care hospital: a 2-year study
Identifieur interne : 004792 ( Ncbi/Merge ); précédent : 004791; suivant : 004793Characteristics of patients presenting to the vascular emergency department of a tertiary care hospital: a 2-year study
Auteurs : Ioannis Kotsikoris [Grèce] ; Theofanis T. Papas [Grèce] ; Nikolaos Papanas [Grèce] ; Dimitrios Maras [Grèce] ; Paraskevi Tsiantula [Grèce] ; Polyvios Pavlidis [Grèce] ; Maria Andrikopoulou [Grèce] ; Stamatia Kotsiou [Grèce] ; Efstratios Maltezos [Grèce] ; Nikolaos Bessias [Grèce]Source :
- BMC Research Notes [ 1756-0500 ] ; 2011.
Abstract
The structure of health care in Greece is receiving increased attention to improve its cost-effectiveness. We sought to examine the epidemiological characteristics of patients presenting to the vascular emergency department of a Greek tertiary care hospital during a 2-year period. We studied all patients presenting to the emergency department of vascular surgery at Red Cross Hospital, Athens, Greece between 1st January 2009 and 31st December 2010.
Overall, 2452 (49.4%) out of 4961 patients suffered from pathologies that should have been treated in primary health care. Only 2509 (50.6%) needed vascular surgical intervention.
The emergency department of vascular surgery in a Greek tertiary care hospital has to treat a remarkably high percentage of patients suitable for the primary health care level. These results suggest that an improvement in the structure of health care is needed in Greece.
Url:
DOI: 10.1186/1756-0500-4-481
PubMed: 22051248
PubMed Central: 3220668
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last="Kotsikoris">Ioannis Kotsikoris</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Papas, Theofanis T" sort="Papas, Theofanis T" uniqKey="Papas T" first="Theofanis T" last="Papas">Theofanis T. Papas</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Papanas, Nikolaos" sort="Papanas, Nikolaos" uniqKey="Papanas N" first="Nikolaos" last="Papanas">Nikolaos Papanas</name><affiliation wicri:level="1"><nlm:aff id="I2">Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis</wicri:regionArea><wicri:noRegion>Alexandroupolis</wicri:noRegion></affiliation></author><author><name sortKey="Maras, Dimitrios" sort="Maras, Dimitrios" uniqKey="Maras D" first="Dimitrios" last="Maras">Dimitrios Maras</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Tsiantula, Paraskevi" sort="Tsiantula, Paraskevi" uniqKey="Tsiantula P" first="Paraskevi" last="Tsiantula">Paraskevi Tsiantula</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Pavlidis, Polyvios" sort="Pavlidis, Polyvios" uniqKey="Pavlidis P" first="Polyvios" last="Pavlidis">Polyvios Pavlidis</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Andrikopoulou, Maria" sort="Andrikopoulou, Maria" uniqKey="Andrikopoulou M" first="Maria" last="Andrikopoulou">Maria Andrikopoulou</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author><author><name sortKey="Kotsiou, Stamatia" sort="Kotsiou, Stamatia" uniqKey="Kotsiou S" first="Stamatia" last="Kotsiou">Stamatia Kotsiou</name><affiliation wicri:level="1"><nlm:aff id="I2">Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis</wicri:regionArea><wicri:noRegion>Alexandroupolis</wicri:noRegion></affiliation></author><author><name sortKey="Maltezos, Efstratios" sort="Maltezos, Efstratios" uniqKey="Maltezos E" first="Efstratios" last="Maltezos">Efstratios Maltezos</name><affiliation wicri:level="1"><nlm:aff id="I2">Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis</wicri:regionArea><wicri:noRegion>Alexandroupolis</wicri:noRegion></affiliation></author><author><name sortKey="Bessias, Nikolaos" sort="Bessias, Nikolaos" uniqKey="Bessias N" first="Nikolaos" last="Bessias">Nikolaos Bessias</name><affiliation wicri:level="3"><nlm:aff id="I1">Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Department of Vascular Surgery, Red Cross Hospital, Athens</wicri:regionArea><placeName><settlement type="city">Athènes</settlement><region nuts="2" type="region">Attique (région)</region></placeName></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The structure of health care in Greece is receiving increased attention to improve its cost-effectiveness. We sought to examine the epidemiological characteristics of patients presenting to the vascular emergency department of a Greek tertiary care hospital during a 2-year period. We studied all patients presenting to the emergency department of vascular surgery at Red Cross Hospital, Athens, Greece between 1<sup>st </sup>January 2009 and 31st December 2010.</p></sec><sec><title>Results</title><p>Overall, 2452 (49.4%) out of 4961 patients suffered from pathologies that should have been treated in primary health care. Only 2509 (50.6%) needed vascular surgical intervention.</p></sec><sec><title>Conclusions</title><p>The emergency department of vascular surgery in a Greek tertiary care hospital has to treat a remarkably high percentage of patients suitable for the primary health care level. These results suggest that an improvement in the structure of health care is needed in Greece.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Geitona, M" uniqKey="Geitona M">M Geitona</name></author><author><name sortKey="Zavras, D" uniqKey="Zavras D">D Zavras</name></author><author><name sortKey="Kyriopoulos, J" uniqKey="Kyriopoulos J">J Kyriopoulos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lahana, E" uniqKey="Lahana E">E Lahana</name></author><author><name sortKey="Pappa, E" uniqKey="Pappa E">E Pappa</name></author><author><name sortKey="Niakas, D" uniqKey="Niakas D">D Niakas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grumbach, K" uniqKey="Grumbach K">K Grumbach</name></author><author><name sortKey="Keane, D" uniqKey="Keane D">D Keane</name></author><author><name sortKey="Bindman, A" uniqKey="Bindman A">A Bindman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buron, A" uniqKey="Buron A">A Buron</name></author><author><name sortKey="Cots, F" uniqKey="Cots F">F Cots</name></author><author><name sortKey="Garcia, O" uniqKey="Garcia O">O Garcia</name></author><author><name sortKey="Vall, O" uniqKey="Vall O">O Vall</name></author><author><name sortKey="Castells, X" uniqKey="Castells X">X Castells</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rue, M" uniqKey="Rue M">M Rué</name></author><author><name sortKey="Cabre, X" uniqKey="Cabre X">X Cabré</name></author><author><name sortKey="Soler Gonzalez, J" uniqKey="Soler Gonzalez J">J Soler-González</name></author><author><name sortKey="Bosch, A" uniqKey="Bosch A">A Bosch</name></author><author><name sortKey="Almirall, M" uniqKey="Almirall M">M Almirall</name></author><author><name sortKey="Serna, Mc" uniqKey="Serna M">MC Serna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Siddiqi, A" uniqKey="Siddiqi A">A Siddiqi</name></author><author><name sortKey="Zuberi, D" uniqKey="Zuberi D">D Zuberi</name></author><author><name sortKey="Nguyen, Q" uniqKey="Nguyen Q">Q Nguyen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Norredam, M" uniqKey="Norredam M">M Norredam</name></author><author><name sortKey="Krasnik, A" uniqKey="Krasnik A">A Krasnik</name></author><author><name sortKey="Moller, St" uniqKey="Moller S">ST Moller</name></author><author><name sortKey="Keiding, N" uniqKey="Keiding N">N Keiding</name></author><author><name sortKey="Joost, Mj" uniqKey="Joost M">MJ Joost</name></author><author><name sortKey="Sonne, Na" uniqKey="Sonne N">NA Sonne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beckman, A" uniqKey="Beckman A">A Beckman</name></author><author><name sortKey="Merlo, J" uniqKey="Merlo J">J Merlo</name></author><author><name sortKey="Lynch, Jw" uniqKey="Lynch J">JW Lynch</name></author><author><name sortKey="Gerdtham, Ug" uniqKey="Gerdtham U">UG Gerdtham</name></author><author><name sortKey="Lindstrom M Lithman, T" uniqKey="Lindstrom M Lithman T">T Lindstrom M Lithman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Heyden, Jha" uniqKey="Van Der Heyden J">JHA Van der Heyden</name></author><author><name sortKey="Demarest, S" uniqKey="Demarest S">S Demarest</name></author><author><name sortKey="Tafforeau, J" uniqKey="Tafforeau J">J Tafforeau</name></author><author><name sortKey="Van Oyen, H" uniqKey="Van Oyen H">H van Oyen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Meer, Jbw" uniqKey="Van Der Meer J">JBW Van der Meer</name></author><author><name sortKey="Van Den Bos, J" uniqKey="Van Den Bos J">J Van den Bos</name></author><author><name sortKey="Machenbach, Jp" uniqKey="Machenbach J">JP Machenbach</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id><journal-title-group><journal-title>BMC Research Notes</journal-title></journal-title-group><issn pub-type="epub">1756-0500</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22051248</article-id><article-id pub-id-type="pmc">3220668</article-id><article-id pub-id-type="publisher-id">1756-0500-4-481</article-id><article-id pub-id-type="doi">10.1186/1756-0500-4-481</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title>Characteristics of patients presenting to the vascular emergency department of a tertiary care hospital: a 2-year study</article-title></title-group><contrib-group><contrib contrib-type="author" id="A1"><name><surname>Kotsikoris</surname><given-names>Ioannis</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>gkotsikoris@gmail.com</email></contrib><contrib contrib-type="author" corresp="yes" id="A2"><name><surname>Papas</surname><given-names>Theofanis T</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>pfanis@otenet.gr</email></contrib><contrib contrib-type="author" id="A3"><name><surname>Papanas</surname><given-names>Nikolaos</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>papanasnikos@yahoo.gr</email></contrib><contrib contrib-type="author" id="A4"><name><surname>Maras</surname><given-names>Dimitrios</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>maras@gmail.com</email></contrib><contrib contrib-type="author" id="A5"><name><surname>Tsiantula</surname><given-names>Paraskevi</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>vivi_tsiantoula@yahoo.gr</email></contrib><contrib contrib-type="author" id="A6"><name><surname>Pavlidis</surname><given-names>Polyvios</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>polpavlidis@yohoo.gr</email></contrib><contrib contrib-type="author" id="A7"><name><surname>Andrikopoulou</surname><given-names>Maria</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>mandric@gmail.com</email></contrib><contrib contrib-type="author" id="A8"><name><surname>Kotsiou</surname><given-names>Stamatia</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>skotsiou@med.duth.gr</email></contrib><contrib contrib-type="author" id="A9"><name><surname>Maltezos</surname><given-names>Efstratios</given-names></name><xref ref-type="aff" rid="I2">2</xref><email>emaltez@med.duth.gr</email></contrib><contrib contrib-type="author" id="A10"><name><surname>Bessias</surname><given-names>Nikolaos</given-names></name><xref ref-type="aff" rid="I1">1</xref><email>nibes@gmail.com</email></contrib></contrib-group><aff id="I1"><label>1</label>Department of Vascular Surgery, Red Cross Hospital, Athens, Greece</aff><aff id="I2"><label>2</label>Second Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, Greece</aff><pub-date pub-type="collection"><year>2011</year></pub-date><pub-date pub-type="epub"><day>3</day><month>11</month><year>2011</year></pub-date><volume>4</volume><fpage>481</fpage><lpage>481</lpage><history><date date-type="received"><day>20</day><month>7</month><year>2011</year></date><date date-type="accepted"><day>3</day><month>11</month><year>2011</year></date></history><permissions><copyright-statement>Copyright ©2011 Papas et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2011</copyright-year><copyright-holder>Papas et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0"><license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/2.0">http://creativecommons.org/licenses/by/2.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><self-uri xlink:href="http://www.biomedcentral.com/1756-0500/4/481"></self-uri><abstract><sec><title>Background</title><p>The structure of health care in Greece is receiving increased attention to improve its cost-effectiveness. We sought to examine the epidemiological characteristics of patients presenting to the vascular emergency department of a Greek tertiary care hospital during a 2-year period. We studied all patients presenting to the emergency department of vascular surgery at Red Cross Hospital, Athens, Greece between 1<sup>st </sup>January 2009 and 31st December 2010.</p></sec><sec><title>Results</title><p>Overall, 2452 (49.4%) out of 4961 patients suffered from pathologies that should have been treated in primary health care. Only 2509 (50.6%) needed vascular surgical intervention.</p></sec><sec><title>Conclusions</title><p>The emergency department of vascular surgery in a Greek tertiary care hospital has to treat a remarkably high percentage of patients suitable for the primary health care level. These results suggest that an improvement in the structure of health care is needed in Greece.</p></sec></abstract><kwd-group><kwd>Emergency</kwd><kwd>Health care resources</kwd><kwd>Primary health care</kwd><kwd>vascular disease</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Grèce</li></country><region><li>Attique (région)</li></region><settlement><li>Athènes</li></settlement></list><tree><country name="Grèce"><region name="Attique (région)"><name sortKey="Kotsikoris, Ioannis" sort="Kotsikoris, Ioannis" uniqKey="Kotsikoris I" first="Ioannis" last="Kotsikoris">Ioannis Kotsikoris</name></region><name sortKey="Andrikopoulou, Maria" sort="Andrikopoulou, Maria" uniqKey="Andrikopoulou M" first="Maria" last="Andrikopoulou">Maria Andrikopoulou</name><name sortKey="Bessias, Nikolaos" sort="Bessias, Nikolaos" uniqKey="Bessias N" first="Nikolaos" last="Bessias">Nikolaos Bessias</name><name sortKey="Kotsiou, Stamatia" sort="Kotsiou, Stamatia" uniqKey="Kotsiou S" first="Stamatia" last="Kotsiou">Stamatia Kotsiou</name><name sortKey="Maltezos, Efstratios" sort="Maltezos, Efstratios" uniqKey="Maltezos E" first="Efstratios" last="Maltezos">Efstratios Maltezos</name><name sortKey="Maras, Dimitrios" sort="Maras, Dimitrios" uniqKey="Maras D" first="Dimitrios" last="Maras">Dimitrios Maras</name><name sortKey="Papanas, Nikolaos" sort="Papanas, Nikolaos" uniqKey="Papanas N" first="Nikolaos" last="Papanas">Nikolaos Papanas</name><name sortKey="Papas, Theofanis T" sort="Papas, Theofanis T" uniqKey="Papas T" first="Theofanis T" last="Papas">Theofanis T. Papas</name><name sortKey="Pavlidis, Polyvios" sort="Pavlidis, Polyvios" uniqKey="Pavlidis P" first="Polyvios" last="Pavlidis">Polyvios Pavlidis</name><name sortKey="Tsiantula, Paraskevi" sort="Tsiantula, Paraskevi" uniqKey="Tsiantula P" first="Paraskevi" last="Tsiantula">Paraskevi Tsiantula</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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