RESUMO
The length of stay in emergency services has been considered as a quality control and evaluation index of emergency care. The impact of several factors on its magnitude is analyzed. The age of the patient, the time of admission, the performance of complementary explorations (simple radiology, analytic tests, abdominal echography), as well as the disease group including the diagnosis of the emergency service, significantly modify the length of stay. The age and performance of such tests seem to be the most relevant factors, although they may not be independent. The length of stay of the patients in the emergency service may be shortened by reducing the complementary explorations just to the ones mentioned above. The adequacy of the functional organization, the material and human resources, as well as the adequate staff skills and attitudes, may also reduce the length of stay of these patients in the hospital emergency care.
Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Tempo de Internação , Distribuição de Qui-Quadrado , Emergências , Humanos , Tempo de Internação/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos , Espanha , Estatísticas não Paramétricas , Fatores de TempoRESUMO
A case of intermittent priapism with neurogenic claudication caused by spinal stenosis is reported. The symptoms disappeared completely after decompressive laminectomy.
Assuntos
Priapismo/etiologia , Estenose Espinal/complicações , Humanos , Laminectomia , Masculino , Pessoa de Meia-Idade , Mielografia , Estenose Espinal/diagnóstico por imagem , Estenose Espinal/cirurgiaRESUMO
Pyogenic liver abscesses in 20 adult patients were reviewed to evaluate if computed tomography (CT), ultrasonography (US) and percutaneous catheter drainage have improved prognosis of this disease. The average delay in diagnosis was 16 days. The CT sensitivity was 94% while the US sensitivity was 78%. The response to treatment with open surgery was compared to percutaneous drainage. Eleven patients were surgically drained with complications in 58% of them. Eight were treated with percutaneous drainage and no complication appeared as a result of treatment. One was found at autopsy. Days of hospitalization in surgically drained patients were significantly higher (p less than 0.01) than percutaneous drained patients. Percutaneous catheter drainage is recommended as method of choice for treating patients with pyogenic liver abscesses.
