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Systematic review of trends in emergency department attendances: an Australian perspective.

Lowthian, Judy A and Curtis, Andrea J and Cameron, Peter A and Stoelwinder, Johannes U and Cooke, Matthew W and McNeil, John J (2011) Systematic review of trends in emergency department attendances: an Australian perspective. Emergency medicine journal : EMJ, 28 (5). pp. 373-7. ISSN 1472-0213.

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Abstract

Emergency departments (EDs) in many developed countries are experiencing increasing pressure due to rising numbers of patient presentations and emergency admissions. Reported increases range up to 7% annually. Together with limited inpatient bed capacity, this contributes to prolonged lengths of stay in the ED; disrupting timely access to urgent care, posing a threat to patient safety. The aim of this review is to summarise the findings of studies that have investigated the extent of and the reasons for increasing emergency presentations. To do this, a systematic review and synthesis of published and unpublished reports describing trends and underlying drivers associated with the increase in ED presentations in developed countries was conducted. Most published studies provided evidence of increasing ED attendances within developed countries. A series of inter-related factors have been proposed to explain the increase in emergency demand. These include changes in demography and in the organisation and delivery of healthcare services, as well as improved health awareness and community expectations arising from health promotion campaigns. The factors associated with increasing ED presentations are complex and inter-related and include rising community expectations regarding access to emergency care in acute hospitals. A systematic investigation of the demographic, socioeconomic and health-related factors highlighted by this review is recommended. This would facilitate untangling the dynamics of the increase in emergency demand.

Item Type: Article
Subjects: WD Diseases and disorders of systemic, metabolic or environmental origin > WD400 Emergency medicine
Divisions: Emergency Services > Emergency Department
Depositing User: Sophie Rollason
Date Deposited: 17 Dec 2014 09:41
Last Modified: 17 Dec 2014 09:41
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/799

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