Analysis of seasonal differences in emergency department attendance in Shiga Prefecture, Japan between 2007 and 2010

Aim Emergency department overcrowding is problematic. Some emergency departments have established a triage system to prevent overcrowding; however, effective management of a triage system requires knowledge of factors that influence emergency department attendance. Therefore, we investigated the eff...

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Bibliographic Details
Published in:Acute medicine & surgery 2016-04, Vol.3 (2), p.74-80
Main Authors: Otsuki, Hideki, Murakami, Yoshitaka, Fujino, Kazunori, Matsumura, Kazuhiro, Eguchi, Yutaka
Format: Article
Language:English
Subjects:
Emergency department
non‐trauma
Original
seasonal difference
temperature
walk‐in
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Summary:Aim Emergency department overcrowding is problematic. Some emergency departments have established a triage system to prevent overcrowding; however, effective management of a triage system requires knowledge of factors that influence emergency department attendance. Therefore, we investigated the effect of ambient temperature on emergency department attendance, as well as the types of patients that may have been affected. Methods Data on emergency department attendance at Shiga University of Medical Science Hospital (Otsu, Japan) were retrospectively collected from 1 April, 2007 to 31 March, 2010. Attendance was classified into eight categories based on a combination of symptoms (trauma or non‐trauma), transport (by ambulance or walk‐in), and severity (serious or non‐serious). Results A total of 7,755 patients (4,120 [53.1%] men and 3,635 [46.9%] women) attended the emergency department during the study period. Statistically significant seasonal differences were observed in emergency department attendance in walk‐in and non‐serious groups of both trauma and non‐trauma patients (P 
ISSN:2052-8817
2052-8817
DOI:10.1002/ams2.140