Who uses the accident service?

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

K Williams

    Injury
    |July 1, 1984
    PubMed

    Insights

    Accident and Emergency (A&E) departments see high attendance for injuries, particularly among males under 45 and those in lower social classes. Fracture rates were significant, with most patients requiring X-ray examination.

    Area of Science:

    • Emergency Medicine
    • Public Health
    • Trauma Care

    Background:

    • Accident and Emergency (A&E) departments manage a high volume of patient attendances.
    • Understanding patient demographics and injury patterns is crucial for resource allocation and service improvement.

    Purpose of the Study:

    • To analyze attendance patterns and injury prevalence in a large A&E department.
    • To identify demographic and socioeconomic factors associated with A&E utilization for injuries.

    Main Methods:

    • A retrospective review of 1027 patient attendance cards from a 1-in-76 random sample over one year.
    • Data analysis focused on injury rates, diagnostic procedures (X-ray), fracture identification, and demographic/socioeconomic factors.

    Main Results:

    • Injuries were present in 79.9% of A&E attenders.
    • 35.7% of patients underwent X-ray, with 13.0% diagnosed with a fracture.
    • Higher attendance rates were observed in males, individuals under 45 years, and those in social classes IV and V.

    Conclusions:

    • A&E departments frequently treat injuries, with fractures being a notable diagnosis.
    • Demographic factors like age and sex, along with socioeconomic status, significantly influence A&E attendance for injuries.
    • Proximity to the hospital did not correlate with higher attendance rates.

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