scholarly journals The Impact of the Lisbon Football Derby on the Profile of Emergency Department Admissions

2014 ◽  
Vol 27 (6) ◽  
pp. 700 ◽  
Author(s):  
André Almeida ◽  
Mónica Eusébio ◽  
Jaime Almeida ◽  
Matteo Boattini
Keyword(s):  
Emergency Department ◽  
Time Frame ◽  
Subsequent Increase ◽  
Manchester Triage System ◽  
Sports Events ◽  
Period Data ◽  
Global Increase ◽  
Time Frames ◽  
The Impact ◽  
Urgency Level

<p lang="en-US" style="margin-bottom: 0.35cm; line-height: 200%;" class="western"><span style="font-family: Arial,sans-serif;"><span style="font-size: small;"><strong>Background:</strong> Variations in emergency department admissions have been reported to happen as a result of major sports events. The work presented assessed changes in volume and urgency level of visits to a major Emergency Department in Lisbon during and after the city’s football derby.<br /><strong>Material and Methods:</strong> Volume of attendances and patient urgency level, according to the Manchester Triage System, were retrospectively analyzed for the 2008-2011 period. Data regarding 24-hour periods starting 45 minutes before kick-off was collected, along with data from similar periods on the corresponding weekdays in the previous years, to be used as controls. Data samples were organized according to time frame (during and after the match), urgency level, and paired accordingly.<br /><strong>Results: </strong>A total of 14 relevant periods (7 match and 7 non-match) were analyzed, corresponding to a total of 5861 admissions. During the match time frame, a 20.6% reduction (p = 0.06) in the total number of attendances was found when compared to non-match days. MTS urgency level sub-analysis only showed a statistically significant reduction (26.5%; p = 0.05) in less urgent admissions (triage levels green-blue). Compared to controls, post-match time frames showed a global increase in admissions (5.6%; p = 0.45), significant only when considering less urgent ones (18.9%; p = 0.05).<br /><strong>Discussion:</strong> A decrease in the total number of emergency department attendances occurred during the matches, followed by a subsequent increase in the following hours. These variations only reached significance among visits triaged green-blue.<br /><strong>Conclusion:</strong> During major sports events an overall decrease in emergency department admissions seems to take place, especially due to a drop in visits associated with less severe conditions.<br /><strong>Keywords:</strong> Emergency Service, Hospital; Triage; Sports; Soccer; Portugal.</span></span></p>

scholarly journals Wording of Daily Diary Questions Matters: An Investigation of the Effect of Daily Diary Instructional Phrases on Respondents’ Recall Time frames (Preprint)

2019 ◽  
Author(s):  
Arthur A. Stone ◽  
Cheng K. Fred Wen ◽  
Stefan Schneider ◽  
Doerte U. Junghaenel
Keyword(s):  
Medical Science ◽  
Daily Diary ◽  
Time Frame ◽  
Affective States ◽  
Diverse Range ◽  
Daily Experience ◽  
Time Periods ◽  
Waking Up ◽  
Time Frames ◽  
The Impact

BACKGROUND Daily diaries are extensively used for examining participants' daily experience in behavioral and medical science. Whether participants recall their experiences within the time frames prescribed by task has received little attention. OBJECTIVE The objectives of this study are to describe survey respondents' self-reported recall timeframe and to evaluate the impact of different daily diary items on respondents reported affective states. METHODS In this study, 577 participants completed a mood survey with one of four time frame instructions: 1) today, 2) since waking up today, 3) during the last 24 hours, or 4) in the last day. They were also asked to indicate the time periods they considered when answering these items and to recall the instructional phrases associated with the items. RESULTS Almost all participants in the "Today" (97%) and "Since waking up today" (94%)" conditions reported using time periods consistent with our expectations, while a lower proportion was observed in the "during the last 24 hours" (69%) condition. A diverse range of responses was observed in the "In the last day" condition. Furthermore, the instructions influenced the levels of some self-reported affects, although exploratory analyses were not able to identify the mechanism underlying this finding. CONCLUSIONS Overall, these results indicate that "Today" and "Since waking up today" are the most effective instructional phrases for inquiring about daily experience and that investigators should use caution when using the other two instructional phrases.

Abstract WP281: Pharmacists Improve Door to Needle Times in the Emergency Department

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Kevin Phan ◽  
Megan Degener
Keyword(s):  
Emergency Department ◽  
Cerebral Perfusion ◽  
Stroke Care ◽  
Time Frame ◽  
Safe Delivery ◽  
Team Meetings ◽  
Stroke Team ◽  
Comprehensive Stroke Center ◽  
Stroke Center ◽  
The Impact

Background: An estimated two million brain cells die every minute cerebral perfusion is impaired. The best outcomes for acute ischemic strokes are achieved by decreasing the time from emergency department (ED) arrival to thrombolytic therapy. Alteplase, a high risk medication, was dosed and prepared in the pharmacy. This contributed to prolonged door to needle (DTN) times. Purpose: To describe the impact of pharmacist interventions on DTN times in the ED. Methods: All patients who received alteplase for acute ischemic stroke from January 2012 to April 2019 were reviewed. In November 2012, the ED pharmacy program began with a dedicated ED pharmacist for 8 hours a day and expanded to 13 hours a day in September 2014. During those hours alteplase was prepared at bedside in the ED. In November 2015, all pharmacists were trained on the ED code stroke process. Monthly case reviews and DTN times were reported to the stroke coordinators starting January 2017. Alteplase preparation and administration in the computed tomography (CT) room started April 2017. Following comprehensive stroke center certification, routine stroke competency exams were administered to pharmacists in 2018. In 2019, pharmacists started reporting DTN times at neuroscience core team meetings. Results: During this time frame, a total of 407 patients received alteplase. Average DTN times decreased from a baseline of 130.9 minutes to 45.3 minutes. Interventions that resulted in the largest decrease in average DTN times were the expanded ED service hours (34.6 minutes) and pharmacist preparation of alteplase in the CT room (21.9 minutes). Conclusions: Pharmacists directly impacted stroke care in the ED by decreasing DTN times. Presence of a pharmacist in the ED enabled fast and safe delivery of alteplase by ensuring accurate dosing and preparation. Pharmacists also performed rapid medication reconciliation and expedited antihypertensive therapies. In conclusion, having pharmacists as part of the stroke team is a model that could be adopted by hospitals to enhance stroke care.

scholarly journals The Role of Investment Banking in M&A Operations: Empiric Pre and Post Lehman Evidence

2014 ◽  
Vol 1 (2) ◽  
pp. 51
Author(s):  
Vincenzo Capizzi ◽  
Renato Giovannini
Keyword(s):  
Investment Banking ◽  
Total Sample ◽  
Time Frame ◽  
Investment Banks ◽  
Measuring System ◽  
Lehman Brothers ◽  
Time Frames ◽  
The Impact ◽  
The Relationship

The role of investment banks in M&A operations is analyzed on the basis of empiric evidence. In particular, to point out the variations in the impact of the certification effect which can be ascribed to investment banks, the relationship between the value created for the shareholders in companies involved in special underwriting operations and the reputation of the banks appointed to act as advisors is examined. The analysis, which uses an original measuring system in order to assess and classify the reputation variable, focuses on transactions that have taken place between listed companies in two time frames, symmetrical to each other, specifically pre and post the Lehman Brothers bankruptcy. The total sample is composed of 229 transactions, divided into 161 and 68 observations, respectively pre and post Lehman. The result is that in the post Lehman period, unlike the preceding time frame, for which no significant empiric evidence is found, the wealth of the shareholders (of both targets and acquirers) is significantly influenced by the reputation of the investment banks which have acted as advisors. This indicates that, subsequent to the shock of the Lehman Brothers collapse, the certifying effect of the investment banks takes on an important role in the shareholders' choice.

scholarly journals Long time frames to detect the impact of changing COVID-19 measures, Canada, March to July 2020

2021 ◽  
Vol 26 (40) ◽  
Author(s):  
Jessica E Stockdale ◽  
Renny Doig ◽  
Joosung Min ◽  
Nicola Mulberry ◽  
Liangliang Wang ◽  
...  
Keyword(s):  
Population Level ◽  
Time Frame ◽  
Control Measures ◽  
Type Model ◽  
Time Period ◽  
Long Time ◽  
The Mean ◽  
Reported Data ◽  
Time Frames ◽  
The Impact

Background Many countries have implemented population-wide interventions to control COVID-19, with varying extent and success. Many jurisdictions have moved to relax measures, while others have intensified efforts to reduce transmission. Aim We aimed to determine the time frame between a population-level change in COVID-19 measures and its impact on the number of cases. Methods We examined how long it takes for there to be a substantial difference between the number of cases that occur following a change in COVID-19 physical distancing measures and those that would have occurred at baseline. We then examined how long it takes to observe this difference, given delays and noise in reported cases. We used a susceptible-exposed-infectious-removed (SEIR)-type model and publicly available data from British Columbia, Canada, collected between March and July 2020. Results It takes 10 days or more before we expect a substantial difference in the number of cases following a change in COVID-19 control measures, but 20–26 days to detect the impact of the change in reported data. The time frames are longer for smaller changes in control measures and are impacted by testing and reporting processes, with delays reaching ≥ 30 days. Conclusion The time until a change in control measures has an observed impact is longer than the mean incubation period of COVID-19 and the commonly used 14-day time period. Policymakers and practitioners should consider this when assessing the impact of policy changes. Rapid, consistent and real-time COVID-19 surveillance is important to minimise these time frames.

scholarly journals Monitoring the Impact of COVID-19 Lockdown on the Production of Nitrogen Dioxide (NO2) Pollutants Using Satellite Imagery: A Case Study of South Asia

2021 ◽  
Vol 13 (13) ◽  
pp. 7184
Author(s):  
Farhad Hassan ◽  
Muhammad Umar Chaudhry ◽  
Muhammad Yasir ◽  
Muhammad Nabeel Asghar ◽  
Samuel Asumadu Sarkodie
Keyword(s):  
Nitrogen Dioxide ◽  
South Asia ◽  
Satellite Imagery ◽  
Fossil Fuels ◽  
Time Series Data ◽  
Time Frame ◽  
Series Data ◽  
Anthropogenic Pollutants ◽  
Time Frames ◽  
The Impact

Among the numerous anthropogenic pollutants, nitrogen dioxide (NO2) is one of the leading contaminants mainly released by burning fossil fuels in industrial and transport sectors. This study evaluates the impact of COVID-19 lockdown on the growing trend of NO2 emissions in South Asia. Satellite imagery data of Sentinel-5 Precursor with Tropomi instrument was employed in this study. The analysis was performed using time series data from February–May 2019 and February–May 2020. The time frame from February–May 2020 was further divided into two sub-time-frames, i.e., from 1 February–20 March (pre-lockdown) and from 21 March–May 2020 (lockdown). Results show the concentration of NO2 pollutants over the region declined by 6.41% from February–May 2019 to February–May 2020. Interestingly, an increasing trend of NO2 concentration by 6.58% occurred during the pre-lockdown phase in 2020 (1 February–20 March) compared to 2019 (February–May). However, the concentration of NO2 pollutants reduced considerably by 21.10% during the lockdown phase (21 March–10 May) compared to the pre-lockdown phase in 2020. Furthermore, the country-specific detailed analysis demonstrates the significant impact of COVID-19-attributed lockdown on NO2 concentration in South Asia.

scholarly journals Long time frames to detect the impact of changing COVID-19 control measures

2020 ◽  
Author(s):  
Jessica E Stockdale ◽  
Renny Doig ◽  
Joosung Min ◽  
Nicola Mulberry ◽  
Liangliang Wang ◽  
...  
Keyword(s):  
Population Level ◽  
Time Frame ◽  
Control Measures ◽  
Policy Makers ◽  
Time Period ◽  
Reporting Process ◽  
Long Time ◽  
The Mean ◽  
Time Frames ◽  
The Impact

AbstractBackgroundMany countries have implemented population-wide interventions such as physical distancing measures, in efforts to control COVID-19. The extent and success of such measures has varied. Many jurisdictions with declines in reported COVID-19 cases are moving to relax measures, while others are continuing to intensify efforts to reduce transmission.AimWe aim to determine the time frame between a change in COVID-19 measures at the population level and the observable impact of such a change on cases.MethodsWe examine how long it takes for there to be a substantial difference between the cases that occur following a change in control measures and those that would have occurred at baseline. We then examine how long it takes to detect a difference, given delays and noise in reported cases. We use changes in population-level (e.g., distancing) control measures informed by data and estimates from British Columbia, Canada.ResultsWe find that the time frames are long: it takes three weeks or more before we might expect a substantial difference in cases given a change in population-level COVID-19 control, and it takes slightly longer to detect the impacts of the change. The time frames are shorter (11-15 days) for dramatic changes in control, and they are impacted by noise and delays in the testing and reporting process, with delays reaching up to 25-40 days.ConclusionThe time until a change in broad control measures has an observed impact is longer than is typically understood, and is longer than the mean incubation period (time between exposure than onset) and the often used 14 day time period. Policy makers and public health planners should consider this when assessing the impact of policy change, and efforts should be made to develop rapid, consistent real-time COVID-19 surveillance.

scholarly journals Management of non-urgent paediatric emergency department attendances by GPs: a retrospective observational study

2020 ◽  
Vol 71 (702) ◽  
pp. e22-e30
Author(s):  
Simon Leigh ◽  
Bimal Mehta ◽  
Lillian Dummer ◽  
Harriet Aird ◽  
Sinead McSorley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Emergency Services ◽  
Waiting Times ◽  
Cost Effective ◽  
Treatment Costs ◽  
Antibiotic Prescribing ◽  
North West ◽  
Manchester Triage System ◽  
Care Models ◽  
The Impact

BackgroundNon-urgent emergency department (ED) attendances are common among children. Primary care management may not only be more clinically appropriate, but may also improve patient experience and be more cost-effective.AimTo determine the impact on admissions, waiting times, antibiotic prescribing, and treatment costs of integrating a GP into a paediatric ED.Design and settingRetrospective cohort study explored non-urgent ED presentations in a paediatric ED in north-west England.MethodFrom 1 October 2015 to 30 September 2017, a GP was situated in the ED from 2.00 pm until 10.00 pm, 7 days a week. All children triaged as ‘green’ using the Manchester Triage System (non-urgent) were considered to be ‘GP appropriate’. In cases of GP non-availability, children considered non-urgent were managed by ED staff. Clinical and operational outcomes, as well as the healthcare costs of children managed by GPs and ED staff across the same timeframe over a 2-year period were compared.ResultsOf 115 000 children attending the ED over the study period, a complete set of data were available for 13 099 categorised as ‘GP appropriate’; of these, 8404 (64.2%) were managed by GPs and 4695 (35.8%) by ED staff. Median duration of ED stay was 39 min (interquartile range [IQR] 16–108 min) in the GP group and 165 min (IQR 104–222 min) in the ED group (P<0.001). Children in the GP group were less likely to be admitted as inpatients (odds ratio [OR] 0.16; 95% confidence interval [CI] = 0.13 to 0.20) and less likely to wait >4 hours before being admitted or discharged (OR 0.11; 95% CI = 0.08 to 0.13), but were more likely to receive antibiotics (OR 1.42; 95% CI = 1.27 to 1.58). Treatment costs were 18.4% lower in the group managed by the GP (P<0.0001).ConclusionGiven the rising demand for children’s emergency services, GP in ED care models may improve the management of non-urgent ED presentations. However, further research that incorporates causative study designs is required.

scholarly journals Increasing use of CT requested by emergency department physicians in tertiary hospitals in Western Australia 2003–2015: an analysis of linked administrative data

BMJ Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. e043315
Author(s):  
Susannah Maxwell ◽  
Ninh Thi Ha ◽  
Max K Bulsara ◽  
Jenny Doust ◽  
Donald Mcrobbie ◽  
...  
Keyword(s):  
Emergency Department ◽  
Western Australia ◽  
Ct Scanning ◽  
Time Frame ◽  
Tertiary Hospital ◽  
Ct Scans ◽  
Older Individuals ◽  
Subsequent Increase ◽  
Cross Sectional ◽  
Entire Study

ObjectiveThis study aimed to examine trends in number of CT scans requested by tertiary emergency department (ED) physicians in Western Australia (WA) from 2003 to 2015 across broad demographic and presentation characteristics, anatomical areas and presented symptoms.DesignAn observational cross-sectional study over study period from 2003 to 2015.SettingLinked administrative health service data at individual level from WA.ParticipantsA total of 1 666 884 tertiary hospital ED presentations of people aged 18 years or older were included in this studyMain outcome measureNumber of CT scans requested by tertiary ED physicians in an ED presentation.MethodsPoisson regression models were used to assess variation and trends in number of CT scans requested by ED physicians across demographic characteristics, clinical presentation characteristics and anatomical areas.ResultsOver the entire study duration, 71 per 1000 ED episodes had a CT requested by tertiary ED physicians. Between 2003 and 2015, the rate of CT scanning almost doubled from 58 to 105 per 1000 ED presentations. After adjusted for all observed characteristics, the rate of CT scans showed a downward trend from 2009 to 2011 and subsequent increase. Males, older individuals, those attending ED as a result of pain, those with neurological symptoms or injury or with higher priority triage code were the most likely to have CT requested by tertiary ED physicians.ConclusionsNoticeable changes in the number of CTs requested by tertiary ED physicians corresponded to the time frame of major health reforms happening within WA and nationally.

scholarly journals UNSCHEDULED RETURN VISITS TO THE EMERGENCY DEPARTMENT: INCIDENCE, REASONS, POSSIBLE SOLUTIONS

2020 ◽  
Vol 30 (1) ◽  
Author(s):  
Aušra Bilotienė–Motiejūnienė ◽  
Andrius Klimašauskas ◽  
Eglė Kontrimavičiūtė ◽  
Rūta Janulevičienė ◽  
Dovilė Majauskytė ◽  
...  
Keyword(s):  
Emergency Department ◽  
Healthcare Providers ◽  
Delayed Diagnosis ◽  
Time Frame ◽  
Underlying Disease ◽  
Advanced Search ◽  
Institutional Costs ◽  
Return Visits ◽  
Tract Infections ◽  
Time Frames

The rate of attendance at the Emergency Department (ED) is annually increasing worldwide. Return vi­sits constitute 5% of all visits to the ED. The aim of this review is to determine the incidence and reasons of the readmissions to the ED as well as to provide possible solutions in order to avoid unscheduled re­turn visits. Therefore, literature review was conduc­ted using the databases of Medline, PubMed, Cinahl and Cochrane (from inception to September, 2019). Various keywords were used in the advanced search: return visits, unscheduled returns, revisits, unplan­ned return visits, readmission. Approximately 40 ar­ticles that met the inclusion criteria were selected for this paper. Various time frames – 48 hours, 72 hours, 7 days, 30 days, 180 days ‒ were applied for the eva­luation of return visits. Unplanned return visits (URV) are more likely to happen in elderly patients, in those who have the underlying disease and in younger chil­dren aged less than six years. The main causes of the return visits are the factors related to the patients or to the physicians (disease progression, medical errors, delayed diagnosis, or misdiagnosis). The highest re­turn rates according to the medical conditions have been recorded for the abdominal pain, urinary tract infections, and migraine. Hospitalized patients cons­titute up to 40% of returning patient cases. There is no consensus on the term or time frame employed to classify the return visits to the ED. Most commonly used readmission time frames reveal the evidence regarding the factors related to patients, illnesses, and staff. The future researches should focus on pa­tient education, clinicians and healthcare providers in order to facilitate the creation of predictive models for reduction of unplanned readmissions. These pro­ceedings will significantly reduce the expenses, both personnel resources and institutional costs.

scholarly journals Evaluating the Effect of Daily Diary Instructional Phrases on Respondents’ Recall Time Frames: Survey Experiment

10.2196/16105 ◽  
2020 ◽  
Vol 22 (2) ◽  
pp. e16105
Author(s):  
Arthur A Stone ◽  
Cheng K Fred Wen ◽  
Stefan Schneider ◽  
Doerte U Junghaenel
Keyword(s):  
Medical Science ◽  
Daily Diary ◽  
Time Frame ◽  
Affective States ◽  
Diverse Range ◽  
Daily Experience ◽  
Recall Time ◽  
Waking Up ◽  
Time Frames ◽  
The Impact

Background Daily diaries are extensively used for examining participants’ daily experience in behavioral and medical science. However, little attention is paid to whether participants recall their experiences within the time frames prescribed by the task. Objective This study aimed to describe survey respondents’ self-reported recall time frames and to evaluate the impact of different daily diary items on respondents’ reported affective states. Methods In this study, 577 participants completed a mood survey with one of the following 4 time frame instructions: (1) today, (2) since waking up today, (3) during the last 24 hours, or (4) in the last day. They were also asked to indicate the periods they considered when answering these items and to recall the instructional phrases associated with the items. Results Almost all participants in the today (141/146, 96.6%) and since waking up today (136/145, 93.8%) conditions reported using periods consistent with our expectations, whereas a lower proportion was observed in the during the last 24 hours (100/145, 69.0%) condition. A diverse range of responses was observed in the in the last day condition. Furthermore, the instructions influenced the levels of some self-reported affects, although exploratory analyses were not able to identify the mechanism underlying this finding. Conclusions Overall, these results indicate that today and since waking up today are the most effective instructional phrases for inquiring about daily experience and that investigators should use caution when using the other 2 instructional phrases.

Sign in / Sign up

Export Citation Format

Share Document