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J Safety Res. 2009;40(1):63-9. doi: 10.1016/j.jsr.2008.12.004. Epub 2009 Feb 6.

An epidemiologic comparison of injuries presenting to a pediatric emergency department and local urgent care facilities.

Author information

1
Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH, USA. Ellen.Yard@NationwideChildrens.org

Abstract

PROBLEM:

The objective of this study was to compare the epidemiology of injuries presenting to emergency department (ED) and urgent care (UC) facilities of a single, NEISS-affiliated hospital.

METHOD:

Patient medical records (n=36,811) were used to compare injury incidence, injury characteristics, and demographic characteristics between the ED, on-site UC, and off-site UC during 2006.

RESULTS:

ED presentations were more likely to be open wounds and motor vehicle-related compared to on-site UC presentations. ED presentations were more likely to be system wide/late effects, be made by an African American, or be paid through Medicaid compared to off-site UC presentations. On-site UC presentations were more likely to be made by an African American or be paid through Medicaid compared to off-site UC presentations.

DISCUSSION:

ED and UC injury characteristics and patient demographics differ. With no nationally-representative UC injury surveillance, current research likely underestimates injury incidence and presents skewed profiles.

IMPACT ON INDUSTRY:

This article adds insight into the generalizability of ED-based injury surveillance to UC injuries.

PMID:
19285588
DOI:
10.1016/j.jsr.2008.12.004
[Indexed for MEDLINE]

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