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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: The most common diagnostic presentation across all years was injury (S00-T98).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.

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 by 3 hour periods and day, 31-Jan-2011 to 8-Feb-2011.
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pone.0131196.g003: Townsville Emergency Department presentations by 3 hour periods and day, 31-Jan-2011 to 8-Feb-2011.

Mentions: The temporal pattern of attendance in three-hour blocks (Fig 3) showed the attendance pattern was mostly maintained with peaks still occurring in the morning (0900–1200) and evening (1800–2100) and decreased attendances overnight (2400–0600). Only one patient presented between 2020 hours on the 2nd February and 0700 hours on 3rd February, which correlates with the period of road closure for EMS (Table 1 and Fig 3). The peak attendance period was 0900–1200 on 4th February, 36 hours after Yasi passed through. (Fig 3)


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 by 3 hour periods and day, 31-Jan-2011 to 8-Feb-2011.
© Copyright Policy
Related In: Results  -  Collection

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

pone.0131196.g003: Townsville Emergency Department presentations by 3 hour periods and day, 31-Jan-2011 to 8-Feb-2011.
Mentions: The temporal pattern of attendance in three-hour blocks (Fig 3) showed the attendance pattern was mostly maintained with peaks still occurring in the morning (0900–1200) and evening (1800–2100) and decreased attendances overnight (2400–0600). Only one patient presented between 2020 hours on the 2nd February and 0700 hours on 3rd February, which correlates with the period of road closure for EMS (Table 1 and Fig 3). The peak attendance period was 0900–1200 on 4th February, 36 hours after Yasi passed through. (Fig 3)

Bottom Line: The most common diagnostic presentation across all years was injury (S00-T98).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.

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