일반 응급센터와의 비교를 통한 소아응급 전문센터 방문 환아 분석
Comparisons of Pediatric Patients who Visited to the Pediatric Emergency Department and the General Emergency Department
노현, 김도균, 이진희, 곽영호, 정진희, 장혜영, 이지숙,
소속 상세정보
노현 ( Noh Hyun )
인제대학교 의과대학 응급의학교실
김도균 ( Kim Do-Kyun )
서울대학교 의과대학 응급의학교실
이진희 ( Lee Jin-Hee )
서울대학교 의과대학 응급의학교실
곽영호 ( Kwak Young-Ho )
서울대학교 의과대학 응급의학교실
정진희 ( Jung Jin-Hee )
서울특별시보라매병원 응급의학과
장혜영 ( Jang Hye-Young )
순천향대학교 의과대학 응급의학교실
이지숙 ( Lee Ji-Sook )
아주대학교 의과대학 응급의학교실
KMID : 1037620150020010029
Abstract
Purpose: In 2010 and 2011, the Korean Ministry of Health and Welfare designated 2 and 4 Pediatric Emergency Centers, respectively. This study was conducted to examine the characteristics of pediatric patients who visited the pediatric emergency department (PED) compared with the general emergency department (GED).
Methods: We used the National Emergency Medical Department Information System (NEDIS) data on pediatric visits (<19 years old), from July 1 to December 31, 2011. We analyzed patients' general characteristics, number, severity, and length of stay (LOS).
Results: A total of 709,050 children visited 132 GEDs and 6 PEDs during the study period. Male patients of PED was 57.6%, and the mean age of PED was younger than GED (4.7±5.0 yr vs. 5.7±5.5 yr). There were more numbers of patient visitations per center, number of critically ill or injured patients per center, number of admitted patients per center, and the number of operation per center in PED than GED. LOS of overall, discharged, and transferred patients was the same between PED and GED; however, LOS of admitted patients was longer in PED.
Conclusion: We observed that PEDs did not function as a tertiary referral center. Further research is needed to find the reason for such phenomenon and provide possible solutions.
키워드
Emergency Medical Services; Child; Adolescent; Demography; Length of stay
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