‘주취자 원스톱 응급의료센터’제도를 통해 내원한 환자들의 역학적 특징 분석
Analysis of characteristics of patients who come to ‘emergency medical center via one-stop treat system for heavily drunken people’
박상희, 함은미, 표창해, 박현경, 박근홍, 김한범, 박진형, 이유성,
소속 상세정보
박상희 ( Park Sang-Hee )
Seoul Medical Center Department of Emergency Medicine
함은미 ( Ham Eun-Mi )
Seoul Medical Center Department of Emergency Medicine
표창해 ( Pyo Chang-Hae )
Seoul Medical Center Department of Emergency Medicine
박현경 ( Park Hyun-Kyung )
Seoul Medical Center Department of Emergency Medicine
박근홍 ( Park Keun-Hong )
Seoul Medical Center Department of Emergency Medicine
김한범 ( Kim Hahn-Bom )
Seoul Medical Center Department of Emergency Medicine
박진형 ( Park Jin-Hyung )
Seoul Medical Center Department of Emergency Medicine
이유성 ( Lee Yu-Sung )
Seoul Medical Center Department of Emergency Medicine
KMID : 0385920200310030330
Abstract
Objective: This study described the effectiveness of the one-stop treat system (OTS) and the improvements characterizing the patients who come to an emergency medical center via the one-stop treat system for heavily drunken people
Method: An observational retrospective study was conducted on patients, aged 19 years or older, who visited the emergency department (ED) from January 2014 to December 2017 with alcohol intoxication (AI). The subjects were divided into two groups, that is, AI patients who come to ED directly or those who came via OTS. We compared and analyzed the characteristics of two groups including gender, age, date, mode of the ED visit, level of consciousness, diagnosis, ED length of stay (LOS), hospital LOS, and final outcomes.
Results: A total of 8,144 patients were enrolled in the study. There were 2,221 AI patients who visited ED directly and 5,923 AI patients who visited ED via OTS. Patients arriving via OTS had more medical or surgical problems than the patients who came directly from the ED. Discharged patients via OTS showed a longer ED LOS (312 minutes [range, 169-520 minutes], P<0.001). Compared with patients who came directly from ED, the patients via OTS showed a higher admission rate (10.7% vs. 3.4%, respectively; P<0.001), and a higher death rate in ED (0.6% vs. 0%, respectively; P<0.001).
Conclusion: Compared the characteristics of the patients from ED directly in 2014-2017, the patients via OTS had higher severity and admission rate, and a longer ED LOS. Our findings suggest that we should pay attention to patients via OTS because the patients have high severity of illness.
키워드
Alcohol; Alcohol intoxication; Emergency department
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