Indian Journal of Forensic Medicine & Toxicology

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Analysis of Pattern of Emergency Cases in the Casualty of a University


Affiliations
1 Department of Forensic Medicine & Toxicology, 3rd Floor A wing, New Medical College Building, Padmashree Dr. D.Y. Patil Medical College, Hospital & Research Centre, Sector 5, Nerul (East), Navi Mumbai, India
     

   Subscribe/Renew Journal


Objective: To study the case mix pattern of emergency cases attending the casualty department by grouping them under various specialties and to analyze the disposition of such patients. Another objective was to determine the pattern of medicolegal cases attending the casualty department.

Materials and Method: A total 500 cases of patients attending the casualty were studied from the casualty records. The data was collected from the casualty registers/records and the medical record department. To study the case mix pattern, the patients coming to the casualty were grouped under the broad speciality headings of Medical, Surgical, Orthopedic, Pediatrics and Others.

Results: The analysis revealed that highest number of patients attending casualty belonged to Medicine and its allied speciality. It was found that large proportions of patients attending the casualty department were casual attenders and as such did not constitute real clinical emergencies.

Conclusion: It can be concluded that almost 50% of the patients attending the casualty department had trivial complaints which did not required much attention. The massive influx of such casual attendees results into increase workload on the staff especially on the junior medical and paramedical staff.


Keywords

Casualty, Emergency Medicine Department, Case Mix Pattern, Casual Attenders
Subscription Login to verify subscription
User
Notifications
Font Size


  • AB Chukuezi and JN Nwosu. Pattern of Deaths in the Adult Accident and Emergency Department of a Sub – Urban Teaching Hospital in Nigeria, Asian Journal of Medical Sciences 2(2), 2010: 66 – 69.

  • M Sakr, J Wardrope. Casualty, accident and emergency, or emergency medicine, the evolution, In Reviews, J Accid Emerg Med, 2000; 17: 314–319.

  • S Malhotra and R S Gupta. A study of the Workload of the Casualty Department of a large city Hospital, Health and Population – Perspectives and Issues, 1992; 15 (1&2): 68 – 76.

  • Lin Naing et al. Inappropriate Utilization of Emergency Department Services in Universiti Sains Malaysia Hospital. Med J Malaysia, Vol 59 No 1, March 2004: 26 – 33.

  • Patel AR. Modes of Admission to Hospital – A Survey of Emergency Admissions to a General Medical Unit, British Medical Journal, 1: 281 – 283.

  • Griffiths WAD et al. Casualty Department or GP Service? British Medical Journal, 3: 46.

  • A Lee et al. Utilisation of accident and emergency services by patients who could be managed by general practitioners. Hong Kong Med J, Vol 13, No 4 Supplement 2007: 28 – 31.

  • Vishal Garg, Dr SK Verma. Profile of Medicolegal Cases at Adesh Institute of Medical Sciences and Research, Bathinda, Punjab. J Indian Acad Forensic Med, 32 (20): 150 – 152.

  • Malcolm C Pike, David M Proctor and John M Wyllie. Analysis of Admissions to a Casualty Ward, Brit. J. Prev. Soc. Med (1963), 17: 172 – 176.

  • Abraham K C et al. Analysis of Trends in emergency department attendances, hospital admissions and medical staffing in a Hong Kong university hospital: 5- year study. Int J Emerg. Med (2009) 2: 141 – 148.


Abstract Views: 473

PDF Views: 0




  • Analysis of Pattern of Emergency Cases in the Casualty of a University

Abstract Views: 473  |  PDF Views: 0

Authors

Amit Patil
Department of Forensic Medicine & Toxicology, 3rd Floor A wing, New Medical College Building, Padmashree Dr. D.Y. Patil Medical College, Hospital & Research Centre, Sector 5, Nerul (East), Navi Mumbai, India

Abstract


Objective: To study the case mix pattern of emergency cases attending the casualty department by grouping them under various specialties and to analyze the disposition of such patients. Another objective was to determine the pattern of medicolegal cases attending the casualty department.

Materials and Method: A total 500 cases of patients attending the casualty were studied from the casualty records. The data was collected from the casualty registers/records and the medical record department. To study the case mix pattern, the patients coming to the casualty were grouped under the broad speciality headings of Medical, Surgical, Orthopedic, Pediatrics and Others.

Results: The analysis revealed that highest number of patients attending casualty belonged to Medicine and its allied speciality. It was found that large proportions of patients attending the casualty department were casual attenders and as such did not constitute real clinical emergencies.

Conclusion: It can be concluded that almost 50% of the patients attending the casualty department had trivial complaints which did not required much attention. The massive influx of such casual attendees results into increase workload on the staff especially on the junior medical and paramedical staff.


Keywords


Casualty, Emergency Medicine Department, Case Mix Pattern, Casual Attenders

References