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Abe T, Matsubara T, Sasaki S, et al. The epidemiology of minor surgical problems during specialists' absence: Single center, descriptive study. J Gen Fam Med. 2020;21(6):282-287doi: 10.1002/jgf2.337.
Abe, T., Matsubara, T., Sasaki, S., Oda, H., Imura, H., & Mogi, T. (2020). The epidemiology of minor surgical problems during specialists' absence: Single center, descriptive study. Journal of general and family medicine, 21(6), 282-287. https://doi.org/10.1002/jgf2.337
Abe, Toshiyuki, et al. "The epidemiology of minor surgical problems during specialists' absence: Single center, descriptive study." Journal of general and family medicine vol. 21,6 (2020): 282-287. doi: https://doi.org/10.1002/jgf2.337
Abe T, Matsubara T, Sasaki S, Oda H, Imura H, Mogi T. The epidemiology of minor surgical problems during specialists' absence: Single center, descriptive study. J Gen Fam Med. 2020 Jun 30;21(6):282-287. doi: 10.1002/jgf2.337. eCollection 2020 Nov. PMID: 33304730; PMCID: PMC7689239.
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J Gen Fam Med. 2020 Jun 30;21(6):282-287. doi: 10.1002/jgf2.337. eCollection 2020 Nov.

The epidemiology of minor surgical problems during specialists' absence: Single center, descriptive study.

Journal of general and family medicine

Toshiyuki Abe, Tomoyasu Matsubara, Sho Sasaki, Hiroyuki Oda, Hiroshi Imura, Tsunetoshi Mogi

Affiliations

  1. Department of General Internal Medicine Iizuka Hospital Iizuka Japan.
  2. Department of Gastroenterology Iizuka Hospital Iizuka Japan.
  3. Department of Clinical Neuroscience and Therapeutics Hiroshima University Graduate School of Biomedical and Health Sciences Hiroshima Japan.
  4. Department of Nephrology/Clinical Research Support Office Iizuka Hospital Iizuka Japan.
  5. Department of Healthcare Epidemiology Kyoto University Graduate School of Public Health Kyoto Japan.
  6. Department of General and Family Medicine Kurume University Medical Center Kurume Japan.

PMID: 33304730 PMCID: PMC7689239 DOI: 10.1002/jgf2.337

Abstract

BACKGROUND: In Japan, even if physicians have not experienced surgical training, they face many instances in which they must provide initial surgical treatment, especially during off-hours. This study aimed to identify the frequency and fields of commonly encountered problems in a Japanese emergency department.

METHODS: A retrospective review was performed to identify walk-in outpatients with exogenous problems visiting during off-hours in the Japanese educational hospital providing primary to tertiary emergency care between January 1 and December 31, 2014. Diseases were aggregated according to International Classification of Primary Care (Second Edition; ICPC-2).

RESULTS: During the study period, 33 424 patients visited and 7476 were classified into the "exogenous" group. We analyzed the data of 7421 patients after excluding 55 who were deemed undiagnosable based on reviews of the charts. The median age of patients who visited the ED during off-hours was 29 years (range: 0-101 years, IQR: 8-60 years). Altogether, 226 types of problems included in ICPC-2 were identified during the study period. The majority fields of exogenous problems were 'skin,' 'Musculoskeletal,' and 'eye.' The 15 problems with the highest frequencies accounted for 50.2% of the total problems.

CONCLUSIONS: We identified surgical problems with high treatment frequencies among patients visiting the ED during off-hours. Providing education focusing on these frequent surgical problems can help to improve the initial treatment quality and reduce the anxiety for those doctors who provide initial surgical treatment.

© 2020 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.

Keywords: emergency medicine; epidemiology; family medicine; minor surgical procedures; off‐hours care

Conflict of interest statement

7The authors have stated explicitly that there are no conflicts of interest in connection with this article.

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