[Evaluation of the activity of the emergency department Nefza district hospital].
BACKGROUND
Permanent reception at the level of hospital emergencies should be a sanitary priority.


OBJECTIVE
In order to set up a data base that allows identifying failures, to bring forward a certain number of solutions and to elaborate a strategy for promoting first-line emergency services


METHODS
We carried out a retrospective descriptive survey of 20853 consultants in the first-line emergency ward of the district hospital of Nefza over a one-year period (2001).


RESULTS
At the end of our analysis, we found the following main results: the profile of the emergency consultant is a young person (average age 31.76), of female sex in 52% of cases and benefiting from social security (CNSS or CNRPS) in 40.5% of cases. The average number of consultations is of 57 consultations per 24 hours: essentially during August, October and March. The reason for having recourse to emergency services is dominated by the medico-surgical pathology in 78% of cases and 15.5%. In our survey 3% of the patients were referred to second-line emergencies; the referring motives are essentially dominated by traumatisms (39%).


CONCLUSIONS
one patient out of two is consulting for a false emergency case, probably for reasons of easy access to the emergency services and because of the absence of a day consultation in the basic health care units. On the other hand, the non-availability of diagnostic means in the afternoon and evening increases the number of 2nd line emergency recourse.
Kouki
Ridha
R
Circonscription Sanitaire de Nefta- Béja.
Mokdad
Mohamed
M
Kouzena
Nejib
N
Sayari
Sofiene
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D004630:Emergencies / Q000453:epidemiology*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006306:Health Surveys; D006767:Hospitals, District / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D011787:Quality of Health Care; D012189:Retrospective Studies; D014416:Tunisia / Q000453:epidemiology