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A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.

INTRODUCTION Our study was to examine prevalence and treatment outcomes of medical emergencies at two urban public health clinics in the Petaling district, Selangor, Malaysia. METHODS A prospective universal sampling was employed to recruit all emergencies over one month period (12 April to...

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Main Authors: Chew, B H, Than, T L, Chew, K S, Jamaludin, N K, Hassan, H
Format: E-Article
Language:English
Published: 2012
Subjects:
R Medicine (General)
RA Public aspects of medicine
RT Nursing
RZ Other systems of medicine
Online Access:http://ir.unimas.my/id/eprint/11847/1/MJM%20Types%20of%20Emergencies%20Public%20Health%20Clinics.pdf
http://ir.unimas.my/id/eprint/11847/
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spelling my.unimas.ir.118472016-05-04T02:54:25Z http://ir.unimas.my/id/eprint/11847/ A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics. Chew, B H Than, T L Chew, K S Jamaludin, N K Hassan, H R Medicine (General) RA Public aspects of medicine RT Nursing RZ Other systems of medicine INTRODUCTION Our study was to examine prevalence and treatment outcomes of medical emergencies at two urban public health clinics in the Petaling district, Selangor, Malaysia. METHODS A prospective universal sampling was employed to recruit all emergencies over one month period (12 April to 11 May 2011). A structured case record form was used to capture demographic data, whether the index case was selfpresenting or decided by health care workers as a medical emergency, presenting complaints, diagnoses, concurrent chronic diseases and their treatment outcomes at the clinic level. Emergency presentations and diagnoses were classified according to the International Classification of Primary Care, revised second edition (ICPC-2-R). RESULTS A total of 125 medical emergencies with 276 presenting complaints were recorded. The mean age was 30.7 years old (SD 19.9). The prevalence of medical emergency was 0.56% (125/22,320). Chief complaints were mainly from ICPC-2-R chapter R (respiratory system) and chapter A (general and unspecified), 40.0% and 28.0% respectively. The most common diagnosis was acute exacerbation of bronchial asthma (34.6%). Forty percent were referred to hospitals. After adjusting for age and gender, patients who presented with painful emergency (OR 4.9 95% CI 2.0 to 11.7), cardiovascular emergency (OR 63.4 95% CI 12.9 to 310.4) and non-respiratory emergency were predictors of hospital referral (OR 4.6 95% CI 1.1 to 19.1). CONCLUSION There was about one medical emergency for every 200 patients presenting to these urban public polyclinics which were mainly acute asthma. More than half were discharged well and given a follow-up. 2012-12 E-Article PeerReviewed text en http://ir.unimas.my/id/eprint/11847/1/MJM%20Types%20of%20Emergencies%20Public%20Health%20Clinics.pdf Chew, B H and Than, T L and Chew, K S and Jamaludin, N K and Hassan, H (2012) A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics. The Medical journal of Malaysia, 67 (6). pp. 571-6. ISSN 0300-5283
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic R Medicine (General)
RA Public aspects of medicine
RT Nursing
RZ Other systems of medicine
spellingShingle R Medicine (General)
RA Public aspects of medicine
RT Nursing
RZ Other systems of medicine
Chew, B H
Than, T L
Chew, K S
Jamaludin, N K
Hassan, H
A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
description INTRODUCTION Our study was to examine prevalence and treatment outcomes of medical emergencies at two urban public health clinics in the Petaling district, Selangor, Malaysia. METHODS A prospective universal sampling was employed to recruit all emergencies over one month period (12 April to 11 May 2011). A structured case record form was used to capture demographic data, whether the index case was selfpresenting or decided by health care workers as a medical emergency, presenting complaints, diagnoses, concurrent chronic diseases and their treatment outcomes at the clinic level. Emergency presentations and diagnoses were classified according to the International Classification of Primary Care, revised second edition (ICPC-2-R). RESULTS A total of 125 medical emergencies with 276 presenting complaints were recorded. The mean age was 30.7 years old (SD 19.9). The prevalence of medical emergency was 0.56% (125/22,320). Chief complaints were mainly from ICPC-2-R chapter R (respiratory system) and chapter A (general and unspecified), 40.0% and 28.0% respectively. The most common diagnosis was acute exacerbation of bronchial asthma (34.6%). Forty percent were referred to hospitals. After adjusting for age and gender, patients who presented with painful emergency (OR 4.9 95% CI 2.0 to 11.7), cardiovascular emergency (OR 63.4 95% CI 12.9 to 310.4) and non-respiratory emergency were predictors of hospital referral (OR 4.6 95% CI 1.1 to 19.1). CONCLUSION There was about one medical emergency for every 200 patients presenting to these urban public polyclinics which were mainly acute asthma. More than half were discharged well and given a follow-up.
format E-Article
author Chew, B H
Than, T L
Chew, K S
Jamaludin, N K
Hassan, H
author_facet Chew, B H
Than, T L
Chew, K S
Jamaludin, N K
Hassan, H
author_sort Chew, B H
title A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
title_short A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
title_full A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
title_fullStr A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
title_full_unstemmed A One Month Review of the Types of Medical Emergencies and their Treatment Outcomes at Two Urban Public Health Clinics.
title_sort one month review of the types of medical emergencies and their treatment outcomes at two urban public health clinics.
publishDate 2012
url http://ir.unimas.my/id/eprint/11847/1/MJM%20Types%20of%20Emergencies%20Public%20Health%20Clinics.pdf
http://ir.unimas.my/id/eprint/11847/
_version_ 1644511295879249920
score 13.211869

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