{"id":2698,"date":"2015-09-24T14:46:35","date_gmt":"2015-09-24T11:46:35","guid":{"rendered":"https:\/\/www.sosiatroi.gr\/en\/?p=2698"},"modified":"2018-10-08T15:28:25","modified_gmt":"2018-10-08T12:28:25","slug":"are-organized-outhospital-emergency-medical-services-a-solution-to-overcrowding-of-emergency-departments","status":"publish","type":"post","link":"https:\/\/www.sosiatroi.gr\/en\/are-organized-outhospital-emergency-medical-services-a-solution-to-overcrowding-of-emergency-departments\/","title":{"rendered":"Are organized outhospital emergency medical services a solution to overcrowding of Emergency Departments?"},"content":{"rendered":"<h1><span style=\"color: #15479e;\">Emergency medical services<\/span><\/h1>\n<p>Outhospital emergency medicine experience of SOS Doctors, Athens, Greece<\/p>\n<p>George Theocharis, Theodore Spiropoulos, Spyridon Barbas, Ioannis Salpigktis, George Peppas<\/p>\n<p>SOS Doctors, Athens, Greece<\/p>\n<h4><span style=\"color: #15479e;\">Background: <\/span><\/h4>\n<p>Overcrowding in ED is a major medical issue because of its multiple negative effects. Organized outhospital emergency medical services can be a solution to ED overcrowding. SOS Doctors, Athens, is a network of specialized physicians who perform emergency house calls on a 24hr basis.<br \/>\nObject: To present a model of outhospital emergency medicine according to SOS Doctors and its impact in avoiding admission to ED.<\/p>\n<h4><span style=\"color: #15479e;\">Material: <\/span><\/h4>\n<p>We analyzed retrospectively for the years 2009-2011 the data of 101.596 cases dealt by SOS Doctors, concerning the patients\u2019 sex and age, the principal complaints, the final diagnoses and the rate of hospital admission.<\/p>\n<h4><span style=\"color: #15479e;\">Results: <\/span><\/h4>\n<p>From the total of 101.596 house calls performed during the evaluated period females requested more house calls compared to males (56.6% versus 43.4%). Patients older than 65 years requested 59.9% of house calls followed by patients aged between 15-44 (18.2%).<br \/>\nThe more frequent complaints were: fever 14517(14.3%), diarrheas\/vomiting 6578(6.5 %), abdominal pain 4791(4.7 %), cough 4372 (4.3%), dizziness 3442(3.4%).<br \/>\nThe more frequent diagnoses were: respiratory infections 13169(12.9%), gastroenteritis 5468(5.4%), hypertension 3210(3.2%), vertigo 3033(3%).<\/p>\n<p>Emergency hospital admission was necessary for 5.212 patients (5.1%).<\/p>\n<h4><span style=\"color: #15479e;\">Discussion:<\/span><\/h4>\n<p>The main finding of our study is that house calls provided by organized outhospital emergency systems can be a solution of overcrowding of ED. Most of our patients were older than 65 years and admission rate was only 5.1%. Comparing our findings with those of the National Hospital Ambulatory Medical Care Survey (USA) we note that 15.5% of the patients visited ED in USA were older than 65 years and the general admission rate was 15%.<br \/>\nConclusion: According to SOS Doctors\u2019 experience, house calls performed by specialized doctors on a 24hr basis can be an effective form of emergency medical care, especially for the elderly and may reduce overcrowding of Hospital ED.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Emergency medical services Outhospital emergency medicine experience of SOS Doctors, Athens, Greece George Theocharis, Theodore Spiropoulos, Spyridon Barbas, Ioannis Salpigktis, George Peppas SOS Doctors, Athens, Greece Background: Overcrowding in ED is a major medical issue because of its multiple negative effects. Organized outhospital emergency medical services can be a solution to ED overcrowding. SOS Doctors, [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"om_disable_all_campaigns":false},"categories":[34],"tags":[],"class_list":{"2":"type-post","4":"hentry","5":"category-34"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Outhospital emergency medical services | SOS DOCTORS<\/title>\n<meta name=\"description\" content=\"The main finding of our study is that house calls provided by organized outhospital emergency systems can be a solution of overcrowding of ed.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.sosiatroi.gr\/en\/are-organized-outhospital-emergency-medical-services-a-solution-to-overcrowding-of-emergency-departments\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Outhospital emergency medical services | SOS DOCTORS\" \/>\n<meta property=\"og:description\" content=\"The main finding of our study is that house calls provided by organized outhospital emergency systems can be a solution of overcrowding of ed.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.sosiatroi.gr\/en\/are-organized-outhospital-emergency-medical-services-a-solution-to-overcrowding-of-emergency-departments\/\" \/>\n<meta property=\"og:site_name\" content=\"SOS Doctors\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/sosiatroi\" \/>\n<meta property=\"article:published_time\" content=\"2015-09-24T11:46:35+00:00\" \/>\n<meta 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