Trends and characteristics of attendance at the emergency department of a Swiss university hospital: 2002-2012.

BACKGROUND: The numbers of people attending emergency departments (EDs) at hospitals are increasing. We aimed to analyse trends in ED attendance at a Swiss university hospital between 2002 and 2012, focussing on age-related differences and hospital admission criteria. METHODS: We used hospital administrative data for all patients aged ≥16 years who attended the ED (n = 298,306) at this university hospital between 1 January 2002, and 31 December 2012. We descriptively analysed the numbers of ED visits according to the admission year and stratified by age (≥65 vs <65 years). RESULTS: People attending the ED were on average 46.6 years old (standard deviation 20 years, maximum range 16‒99 years). The annual number of ED attendances grew by n = 6,639 (27.6%) from 24,080 in 2002 to 30,719 in 2012. In the subgroup of patients aged ≥65 the relative increase was 42.3%, which is significantly higher (Pearson's χ2 = 350.046, df = 10; p = 0.000) than the relative increase of 23.4% among patients <65 years. The subgroup of patients ≥65 years attended the ED more often because of diseases (n = 56,307; 85%) than accidents (n = 9,844; 14.9%). This subgroup (patients ≥65 years) was also more often admitted to hospital (Pearson's χ2 = 23,377.190; df = 1; p = 0.000) than patients <65 years. CONCLUSIONS: ED attendance of patients ≥65 years increased in absolute and relative terms. The study findings suggest that staff of this ED may want to assess the needs of patients ≥65 years and, if necessary, adjust the services (e.g., adapted triage scales, adapted geriatric screenings, and adapted hospital admission criteria).

L'Écho de Paris

1885/02/18 (Numéro 344).

Les chasseurs de bisons ([3e édition]) / Mayne-Reid ; traduction Raoul Bourdier

Collection : Collection Jules Rouff

Biblia Ludovici XI regis Franciae.

Avec quelques prologues, arguments et « capitula ». Genesis, sans prologue (2), etc. — Reg. I-IV (82) ; Isaias (125v) ; Jeremias (140v) ; Jeremiae Lament. et Oratio (157v, 159v) ; Ezechiel (160) ; Daniel, I, 1-XIV, 41 (175v) ; XII Proph. min. (181) ; Job (193v), etc. — Ecclesiasticus (239v) ; Oratio Salomonis (252v) ; Paralip. I-II (253v) ; Oratio Manasse (273) ; Esdras I-II (273v) ; Esther (282) ; Tobias (286) ; Judith (289) ; Macchab. I-II (293v). — Evang. Matthaei (311v), Marci (321v), Lucae (328v-329, 338-343v, 336-337, 330), Johannis (331-335v, 344-346) ; Actus Apost. (347) ; VII Epist. canon. (358) ; Apocalypsis (364v) ; XIV Epist. Pauli (370v).

Novum Testamentum, pars.

Avec prologues et arguments. XIV Epist. Pauli (4) ; Epist. canon. I-IV, IV, 21 (85v).

Homiliarium.

F. 1-80v — Du 1er dim. de l'Avent au mercredi saint (incompl. de la fin).

Instruction générale relative à l'état civil

Collection : Journal officiel de la République française ; [brochure] 1043

Roman arthurien

Contient : 1° L'Histoire du Saint Graal, de « ROBERT DE BORRON » ; 2° L'Histoire de merlin, de « ROBERT DE BORRON » ; 3° Lancelot du Lac, la Quête du Saint Graal et la Mort d'Arthus [de GAUTIER MAP]