응급실에 내원한 환자의 한국형 중증도 분류 결과
Comparative length of emergency department stay of patients with different Korean Triage and Acute Scale severities : A descriptive analysis
Purpose: The severity classification in association with the time of visit to and the appropriateness of using a public ambulance for visiting the emergency department (ED) have not been thoroughly evaluated, and we aimed to evaluate these aspects. Methods: In this descriptive research, we retrospectively reviewed and analyzed the medical records of patients who visited the ED of the B General Hospital, Seoul from January to December 2019. Results: Of the 54,297 patients who were included in the analysis, 34,629 (63.8%) and 14,065 (25.9%) visited the ED directly and through public ambulances, respectively; 10,328 (73.4%) patients who used public ambulances were discharged home. In the daytime and nighttime, 24,891 (45.8%) and 29,406 (54.2%), respectively, visited the ED. The mean length of ED stay (LoS) of emergency and non-emergency patients was 326 and 159 minutes, respectively, and of patients classified as Korean Triage and Acuity Scale levels 1 and 2 was 427 and 430 minutes, respectively, which was longer than the total of 236 minutes. Conclusion: Patients who visited the ED using public ambulances constituted nearly 25% of all ED visits, and more than 70% of these patients were discharged home. Patients with high severity had a longer mean LoS, and daytime ED visits were characterized by higher numbers and severity of patients than nighttime ED visits.
목차
=Abstract = Ⅰ. Introduction Ⅱ. Methods 1. Study design 2. KTAS (Korean Triage and Acuity Scale) 3. Setting and sample 4. Data collection 5. Ethical considerations 6. Statistical analysis Ⅲ. Results 1. General characteristics of the study participants 2. Initial KTAS classification results and disposition at the ED according to the modes of ED arrival 3. Severity classification results and length of ED stay according to the time of visit 4. Comparison of length of ED stay in emergency and non-emergency patients 5. KTAS classification results and length of ED stay Ⅳ. Discussion 1. Use of public ambulances 2. Number of patients and severity according to the time of visit 3. Length of ED stay according to KTAS classification results Ⅴ. Conclusions ORCID ID References
키워드
TriageSeverityEmergency department
저자
장경민 [ Kyeongmin Jang | 부천대학교 간호학과 ]
Corresponding author
한국응급구조학회 [The Korean Society of Emergency Medical Technology]
설립연도
1997
분야
의약학>응급의학
소개
복합 구조적인 산업사회의 발전에 따라 안전사고와 응급상황에서의 구조구급요청자들이 증가하고 있으나 우리나라의 응급의료체계는 아직 그 수준을 따라가지 못하고 있는 실정이다. 이에 우리나라의 응급의료체계를 확립하고 구조구급에 관한 기초학문의 발전에 기여하고자 학회를 창립한다.
간행물
간행물명
한국응급구조학회지(구 한국응급구조학회논문지) [The Korean Journal of Emergency Medical Services ]