소아환자의 응급실 반복 방문의 특징
Characteristics of Recurrent Visit of Emergency Department by Pediatric Patients
김정윤, 최성혁, 윤영훈, 조영덕, 박성준,
소속 상세정보
김정윤 ( Kim Jung-Youn )
고려대학교 의과대학 응급의학교실
최성혁 ( Choi Sung-Hyuk )
고려대학교 의과대학 응급의학교실
윤영훈 ( Yoon Young-Hoon )
고려대학교 의과대학 응급의학교실
조영덕 ( Cho Young-Duck )
고려대학교 의과대학 응급의학교실
박성준 ( Park Sung-Jun )
고려대학교 의과대학 응급의학교실
KMID : 1037620140010010024
Abstract
Purpose: Visit to the emergency department of the pediatric patients has increased steadily every year. The number of pediatric patients visiting the emergency department has increased steadily each year. It is believed that through recurrent visits (re-visit), many of them are using the emergency room, understanding the characteristics of pediatric patients to re-visit to the emergency department and should help to improve the quality of emergency service. Due to this increase and the rise in recurrent visits by pediatric patients, it is important to understand the characteristics and needs of this group, as well as to improve the quality of emergency service.
Methods: Patients under the age of 6 years with 6 months of history visiting local emergency centers were included in this study. It was practically observed medical record. Medical records of these patients were observed. During the study period, there were 9,448 visitations including re-visits; a total of 7,480 visits were confirmed as re-visits via patient surveys.
Results: A total of 9,448 pediatric patients, under the age of 6 (32.4%), made visitations to an emergency medical center during a 6-month period, of which, 7,480 visits were attributed to revisits, and thus, overlapped. Among these with confirmed revisitations, patients with no more revisitation are 5,273, one-time revisitation are 1,428, two revisitations are 458, three revisitations are 199, and four or more revisitations are 122. The rate of revisitations is higher in in the younger age group.
Conclusion: In this study, we found the characteristics of pediatric patients with revisitations to the emergency department; young age correlated to higher revisits. The use of EMS system increases in the group of patients with many re-visits, medical illnesses, hospitalization rates, and allergies.
키워드
Child; Emergency Service; Hospital ; Utilization
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