Facteurs influençant le délai de prise en charge aux urgences chirurgicales du CHU Sourô Sanou.

IF 0.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sante Publique Pub Date : 2024-01-01 DOI:10.3917/spub.242.0109
Ziemlé Clément Méda, Dieudonné Zongo Wend-Rabo, Hervé Hien, Cheick Ahmed Ouattara, Bernard Ilboudo, Isidore T Traoré, Gueswende Léon Blaise Savadogo, Issiaka Sombié
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Abstract

Introduction: Assessing patient turnaround times is essential for improving the quality of care in emergency service departments.

Purpose of the research: This study looked at waiting and treatment times, and their associated factors, in the surgical emergency service department at the Souro Sanou National Teaching Hospital (SSNTH) in Bobo-Dioulasso, Burkina Faso.

Results: This study was carried out on 380 patients with a median age of thirty-eight. The sex ratio was 0.54. In 63.7 percent of cases, the participants lived in urban areas. Most of the patients surveyed were farmers (34.7 percent). The median waiting time for patients was eleven minutes. The nature of the trauma sustained was associated with the waiting time. The median time taken to administer first aid was sixty-three minutes, with the unavailability of medication at the hospital pharmacy cited as a factor contributing to this delay. The median time taken to obtain paraclinical results was 134 minutes and 102 minutes for laboratory tests and scans, respectively. The factor associated with delays in obtaining scan results was the need for surgical intervention. The median waiting time for surgery was 24.3 hours.

Conclusions: The turnaround times in the SSNTH surgical emergency department are long. For the improvement of patient turnaround times to be possible, an overhaul of the department is in order. In particular, a rapid consultation team needs to be established, and essential drugs for emergency care need to be made readily available.

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影响苏罗-萨努大学医院外科急诊就诊时间的因素。
简介评估病人的周转时间对于提高急诊科的医疗质量至关重要:本研究调查了布基纳法索博博迪乌拉索苏罗萨努国立教学医院(SSNTH)外科急诊服务部的候诊和治疗时间及其相关因素:研究对象为380名患者,中位年龄为38岁。性别比为 0.54。63.7%的患者居住在城市地区。大多数受访患者是农民(34.7%)。患者等候时间的中位数为 11 分钟。所受创伤的性质与等候时间有关。急救时间的中位数为 63 分钟,医院药房没有药品被认为是造成延误的一个因素。化验和扫描获得辅助医疗结果所需的时间中位数分别为 134 分钟和 102 分钟。与扫描结果延迟获得有关的因素是需要手术干预。手术等待时间的中位数为 24.3 小时:结论:SSNTH 外科急诊科的周转时间较长。结论:南苏丹国家医院外科急诊科的周转时间较长,要想缩短病人的周转时间,就必须对急诊科进行全面改革。特别是需要建立一个快速会诊小组,并随时提供急救所需的基本药物。
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来源期刊
Sante Publique
Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.40
自引率
33.30%
发文量
252
审稿时长
>12 weeks
期刊介绍: La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc
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