|
1
|
Sartini M, Cremonesi P, Tamagno R, Cristina ML, Orlando P, Vandelli A, Carinci A, Caruso A, Grotti A, Iacovella A, La Brocca A, Mangioncalda A, Longanesi AM, Susi B, Barletta C, Braglia D, Coen D, Tazza D, Gottardi E, Palego E, Urbano E, Bar F, Bussani F, De Giorgi F, Esposito F, Fabi F, Lotti F, Miglio F, Moscariello F, Pertoldi F, Sardella F, Tosato F, Abregal G, Baldi G, Carbone G, Cerqua G, Giagnorio G, Pia G, Piazza G, Tedesco G, Sallustio GF, Morana I, Beringheli L, Jannotti L, Spinsi L, Zulli L, Cavazza M, De Simone M, Galletti M, Gioffrè Florio M, Greco M, Longoni M, Luppi M, Magnani M, Mazzone M, Pastorello M, Pazzaglia M, Ravaglia M, Zammataro M, Zanna M, Bressan MA, Saggese MP, Gentiloni Silveri N, Scopetta N, De Mitri O, Fantin O, Boscolo P, Cancemi P, De Angelis P, Di Pietro P, Mosca P, Pacelli P, Torboli P, Copetti R, Fazio R, Losordo R, Melandri R, Papitto R, Chiaravalle S, Orlando S, Sturlese U, Di Grande A, Narbone G, Zimmermann H, Martinelli L, Clanchini V, Paternosto D, Fiorilli M, Del Prato C, Becheri M, Lanigra M, Guerra G, Sinno C, Soragna A, Ferranio MP, Bua V, Capra R, Lualdi E. Quality in emergency departments: a study on 3,285,440 admissions. J Prev Med Hyg 2007; 48:17-23. [PMID: 17506233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
INTRODUCTION A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macro-indicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. METHODS The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. RESULTS AND CONCLUSION The replies revealed that 91.30% of the ED were equipped with data-processing software, which, in 96.83% of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72% were discharged and 18.31% were hospitalised. Observation Units were active in 81.16% of the ED examined. Triage programmes were in place in 92.75% of ED: in 75.81% of these, triage was performed throughout the entire itinerary of the patient; in 16.13% it was performed only symptom-based, and in 8.06% only on-call. Of the patients arriving at the ED, 24.19% were assigned a non-urgent triage code, 60.01% a urgent code, 14.30% a emergent code and 1.49% a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.
Collapse
Affiliation(s)
- M Sartini
- Dept. Health Sciences, University of Genoa, Italy.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
|
4
|
Zotti D, Borsato N, Varotto S, Miotto D, Feltrin GP, Tasca A, Ferlin G, Lumachi F, Pacelli P, D'Erminio A. Parathyroid localization in primary hyperparathyroidism: double-tracer scintigraphy and venous sampling techniques combined. A first evaluation. J Endocrinol Invest 1984; 7:363-6. [PMID: 6501807 DOI: 10.1007/bf03351017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The authors report their first experience with two techniques for preoperative localization of hyperfunctioning parathyroid glands: double-tracer (99mTc-201Tl) scintigraphy and venous sampling from thyroid veins. Nineteen patients affected by primary hyperparathyroidism were examined by both methods and subsequently submitted to surgery. Scintigraphy showed a sensitivity of 77.3% while the positivity of sampling was 63.6%; with the two techniques combined a correct localization was obtained in 90.9% of all cases. The authors emphasize the usefulness of both methods combined for locating enlarged hyperfunctioning parathyroids.
Collapse
|