• Renske W J Kusters, PetersNathalie A L RNALRDepartment of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Frits H M van Osch, SimonsPetra C GPCGDepartment of Radiology, VieCuri Medical Center, Venlo, The Netherlands., Mark H H M Hulsbosch, JanzingHeinrich M JHMJDepartment of Surgery, VieCuri Medical Center, Venlo, The Netherlands., and Dennis G Barten.
• Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands.
• J Eval Clin Pract. 2023 Feb 1; 29 (1): 101107101-107.

Rationale, Aims And ObjectivesLow-urgent Emergency Department (ED) attendances are a known contributing factor to ED crowding. In the Netherlands, general practitioners (GPs) have direct access to radiology facilities during office hours. Patients with radiographically confirmed traumatic injuries are subsequently referred to the ED. We analysed these ED trauma patients' characteristics, provided treatments and ED discharge diagnoses to identify the possibility of alternative care pathways.MethodsSingle-centre retrospective observational study of trauma patients referred to the ED by the radiology department during office hours (January 2017-December 2017). Data were obtained from patient records. Descriptive statistics were used to analyse the extracted data.ResultsA total of 662 patients were included. The median age was 42 years (range: 1-100, interquartile range (IQR): 15-63) and patients presented to the ED with a median delay of 1 day (range: 0-112 days, IQR: 0-5). Most patients were referred for injuries involving the upper extremities (61.5%) and lower extremities (30%). A total of 48 additional diagnoses were made in the ED. The majority of injuries was classified as 'minor' (29.5%) or 'moderate' (68.3%) on the Abbreviated Injury Scale (AIS). The median length of stay in the ED was 65 min (range: 7-297 min, IQR: 43-102).ConclusionMost patients presented with low acuity injuries and often with a notable delay to the ED. This suggests that the majority of these patients do not necessarily need ED treatment, which may provide an opportunity to counter ED crowding.© 2022 The Authors. Journal of Evaluation in Clinical Practice published by John Wiley & Sons Ltd.

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