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Emergency Department Presentations following Tropical Cyclone Yasi.

Aitken P, Franklin RC, Lawlor J, Mitchell R, Watt K, Furyk J, Small N, Lovegrove L, Leggat P - PLoS ONE (2015)

Bottom Line: There was a marked increase in the number of patients attending the ED during Yasi, particularly those aged over 65 years with a maximum daily attendance of 372 patients on 4 Feb 2011.There was an increase in presentations to the ED of TTH, which peaked in the first 24-48 hours following the cyclone and returned to normal over a five-day period.The changes in presentations were mostly an amplification of normal attendance patterns with some altered areas of activity.

View Article: PubMed Central - PubMed

Affiliation: College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensville, Townsville, Australia; Emergency Department, The Townsville Hospital, Townsville, Queensville, Australia.

ABSTRACT

Introduction: Emergency departments see an increase in cases during cyclones. The aim of this study is to describe patient presentations to the Emergency Department (ED) of a tertiary level hospital (Townsville) following a tropical cyclone (Yasi). Specific areas of focus include changes in: patient demographics (age and gender), triage categories, and classification of diseases.

Methods: Data were extracted from the Townsville Hospitals ED information system (EDIS) for three periods in 2009, 2010 and 2011 to coincide with formation of Cyclone Yasi (31 January 2011) to six days after Yasi crossed the coast line (8 February 2012). The analysis explored the changes in ICD10-AM 4-character classification and presented at the Chapter level.

Results: There was a marked increase in the number of patients attending the ED during Yasi, particularly those aged over 65 years with a maximum daily attendance of 372 patients on 4 Feb 2011. The most marked increases were in: Triage categories--4 and 5; and ICD categories--diseases of the skin and subcutaneous tissue (L00-L99), and factors influencing health care status (Z00-Z99). The most common diagnostic presentation across all years was injury (S00-T98).

Discussion: There was an increase in presentations to the ED of TTH, which peaked in the first 24-48 hours following the cyclone and returned to normal over a five-day period. The changes in presentations were mostly an amplification of normal attendance patterns with some altered areas of activity. Injury patterns are similar to overseas experience.

No MeSH data available.


Related in: MedlinePlus

Townsville Emergency Department Presentations number by day, 18 January to 15 February, 2009–2011.
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pone.0131196.g002: Townsville Emergency Department Presentations number by day, 18 January to 15 February, 2009–2011.

Mentions: The study period was from 0000 hrs on 31-January-2011 when Yasi was forming to the 8th February 2011. This period includes 2 days before the cyclone crossed the coast (2nd February 2011) to 6 days after (8th February 2011) by which stage patient presentations had returned to normal numbers (Fig 2). EDIS was used to collect data on overall patient presentation numbers as well as the arrival date and time, gender, age, triage category (Australasian Triage Scale), diagnosis (coded to ICD10), departure destination, date and time.


Emergency Department Presentations following Tropical Cyclone Yasi.

Aitken P, Franklin RC, Lawlor J, Mitchell R, Watt K, Furyk J, Small N, Lovegrove L, Leggat P - PLoS ONE (2015)

Townsville Emergency Department Presentations number by day, 18 January to 15 February, 2009–2011.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4481345&req=5

pone.0131196.g002: Townsville Emergency Department Presentations number by day, 18 January to 15 February, 2009–2011.
Mentions: The study period was from 0000 hrs on 31-January-2011 when Yasi was forming to the 8th February 2011. This period includes 2 days before the cyclone crossed the coast (2nd February 2011) to 6 days after (8th February 2011) by which stage patient presentations had returned to normal numbers (Fig 2). EDIS was used to collect data on overall patient presentation numbers as well as the arrival date and time, gender, age, triage category (Australasian Triage Scale), diagnosis (coded to ICD10), departure destination, date and time.

Bottom Line: There was a marked increase in the number of patients attending the ED during Yasi, particularly those aged over 65 years with a maximum daily attendance of 372 patients on 4 Feb 2011.There was an increase in presentations to the ED of TTH, which peaked in the first 24-48 hours following the cyclone and returned to normal over a five-day period.The changes in presentations were mostly an amplification of normal attendance patterns with some altered areas of activity.

View Article: PubMed Central - PubMed

Affiliation: College of Public Health, Medical and Veterinary Sciences, James Cook University, Queensville, Townsville, Australia; Emergency Department, The Townsville Hospital, Townsville, Queensville, Australia.

ABSTRACT

Introduction: Emergency departments see an increase in cases during cyclones. The aim of this study is to describe patient presentations to the Emergency Department (ED) of a tertiary level hospital (Townsville) following a tropical cyclone (Yasi). Specific areas of focus include changes in: patient demographics (age and gender), triage categories, and classification of diseases.

Methods: Data were extracted from the Townsville Hospitals ED information system (EDIS) for three periods in 2009, 2010 and 2011 to coincide with formation of Cyclone Yasi (31 January 2011) to six days after Yasi crossed the coast line (8 February 2012). The analysis explored the changes in ICD10-AM 4-character classification and presented at the Chapter level.

Results: There was a marked increase in the number of patients attending the ED during Yasi, particularly those aged over 65 years with a maximum daily attendance of 372 patients on 4 Feb 2011. The most marked increases were in: Triage categories--4 and 5; and ICD categories--diseases of the skin and subcutaneous tissue (L00-L99), and factors influencing health care status (Z00-Z99). The most common diagnostic presentation across all years was injury (S00-T98).

Discussion: There was an increase in presentations to the ED of TTH, which peaked in the first 24-48 hours following the cyclone and returned to normal over a five-day period. The changes in presentations were mostly an amplification of normal attendance patterns with some altered areas of activity. Injury patterns are similar to overseas experience.

No MeSH data available.


Related in: MedlinePlus