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Int. J. Environ. Res. Public Health 2017, 14(10), 1239; https://doi.org/10.3390/ijerph14101239

Trends and Weekly Cycles in a Large Swiss Emergency Centre: A 10 Year Period at the University Hospital of Bern

1
Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, 3010 Bern, Switzerland
2
Emergency Department and Rescue Medicine, Helios Klinikum Bad Saarow, 15526 Bad Saarow, Germany
3
Department of Orthopedic Surgery, Inselspital, Bern University Hospital, 3010 Bern, Switzerland
*
Author to whom correspondence should be addressed.
Received: 18 July 2017 / Revised: 22 September 2017 / Accepted: 22 September 2017 / Published: 17 October 2017
(This article belongs to the Section Environmental Science and Engineering)
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Abstract

Popular demand for high quality care has increased in recent years. This is also the case for medical services and support at all times of the day and night is nowadays required. During the last ten years, there has been a marked increase in the demands on hospital emergency hospitals, particularly in the Western industrialized countries. The present retrospective study investigates how the demands on a large Swiss university centre have changed over a period of 10 years. Patient numbers are differentiated by age, gender, nationality, weekday and mode of referral. A retrospective analysis was performed of the data of the patients admitted to the Emergency Centre of Bern University Medical Hospital (Inselspital) during the ten-year period from 2004 up to and including 2013 and who were treated as emergencies. A total of 264,272 patients were included in the study. It was shown that there was an uninterrupted annual increase from 23,555 patients in 2004 to 34,918 patients in 2013 (+48%). Most patients came to the Emergency Centre on Mondays, followed by Fridays. Because of the marked increase in life expectancy and the resulting demographic changes, there has been a marked increase in the number of older patients coming to the Emergency Centre for acute medical care. It was found that there were disproportionately high numbers of patients aged 20 to 49 years who were not Swiss citizens. In contrast, most patients over 60 were Swiss. In the coming years, emergency centres will have to adapt to the continued increase in patient numbers. This trend will continue, so that it is essential to consider the sociodemographic structure of a region when planning the availability of emergency medical care. View Full-Text
Keywords: University Emergency Centre (UNZ); general practitioner (GP) University Emergency Centre (UNZ); general practitioner (GP)
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Braun, C.T.; Gnägi, C.R.; Klukowska-Rötzler, J.; Ahmad, S.S.; Ricklin, M.E.; Exadaktylos, A.K. Trends and Weekly Cycles in a Large Swiss Emergency Centre: A 10 Year Period at the University Hospital of Bern. Int. J. Environ. Res. Public Health 2017, 14, 1239.

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