title: [Accessibility to hospital pediatrics emergencies: distance and diagnostic resources].
abstract: OBJECTIVE
  To study the justification of paediatric consultations in the hospital emergency services in line with the diagnosis, the need for further tests not available in primary care (PC), the need for admission or observation and the distance between home and casualty.
  
  
  METHODS
  A descriptive study assessing 2,906 emergency records forms. We used the chi-squared test for the statistical analysis. The extent of the associations was calculated using the odds ratio (OR) calculation.
  
  
  METHODS
  Casualty department in the Nuestra Señora de Candelaria Hospital in Santa Cruz de Tenerife.
  
  
  METHODS
  Those patients between 0 and 14 attended at the casualty department.
  
  
  RESULTS
  The 80% of the patients lived closer than 10 kilometres to the hospital. The 39.8% attended because of a trauma. The 55% of attendances were considered unjustified. The fact that 70% of the traumatic injuries required an X-Ray (OR = 7) led to our establishing significant differences (p < 0.0001) between the proportion of justified consultations caused by trauma and by other reasons. The consultations by patients who lived over 10 km from the hospital were significantly more justified (p < 0.0001).
  
  
  CONCLUSIONS
  The absence of radiological facilities in primary care emergency services means that patients with traumatic injuries have to attend hospital despite the triviality of the great majority of cases. Closeness to hospital facilities causes not only greater use of these, but a greater number of unjustified attendances.
authors.affiliation: Unidad Docente de Medicina Familiar y Comunitaria de Santa Cruz de Tenerife, Hospital Nuestra Señora de la Candelaria, Canarias.
authors.forename: M T
authors.initials: MT
authors.lastname: Marco García
authors.forename: M
authors.initials: M
authors.lastname: Rodríguez Frías
authors.forename: J
authors.initials: J
authors.lastname: Gobierno Hernández
authors.forename: T
authors.initials: T
authors.lastname: González Guillermo
authors.forename: A
authors.initials: A
authors.lastname: Cabrera de León
authors.forename: L
authors.initials: L
authors.lastname: Pérez Méndez
mesh_terms: D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D010372:Pediatrics; D013030:Spain
vernacular_title: Accesibilidad a las urgencias pediátricas hospitalarias; distancia y medios diagnósticos.