응급실을 방문한 소아 복통환자에서 한국형 응급환자 분류도구에 따른 중증도와 입원의 연관
Association between the Korean Triage and Acuity Scale level and hospitalization of children with abdominal pain in the emergency department
김세훈, 우선희, 최경호, 오영민, 최세민,
소속 상세정보
김세훈 ( Kim Se-Hoon )
가톨릭대학교 의과대학 의정부성모병원 응급의학교실
우선희 ( Woo Seon-Hee )
가톨릭대학교 의과대학 인천성모병원 응급의학교실
최경호 ( Choi Kyung-Ho )
가톨릭대학교 의과대학 의정부성모병원 응급의학교실
오영민 ( Oh Young-Min )
가톨릭대학교 의과대학 의정부성모병원 응급의학교실
최세민 ( Choi Se-Min )
가톨릭대학교 의과대학 의정부성모병원 응급의학교실
Abstract
Purpose: The Korean Triage and Acuity Scale (KTAS) is a triage tool for patients in the emergency department (ED). We aimed to investigate the association between the KTAS level and hospitalization of children with abdominal pain, a common chief complaint in the ED.
Methods: This study retrospectively reviewed medical records of children aged 3 to 14 years who visited the ED with abdominal pain as a chief complaint. KTAS level (1-3 vs. 4-5), age, gender, presence of associated symptoms (vomiting, diarrhea, hematochezia, and fever), and disposition (rapid discharge, discharge after intravenous hydration, and hospitalization) were collected and compared between the children with KTAS 1-3 and 4-5.
Results: Of 1,050 children enrolled, 618 (58.9%) were classified as KTAS 1-3, and 36 (3.4%) were hospitalized. Vomiting was the most common associated symptom in both groups (63.6%), and 41.5% underwent discharge after intravenous hydration. The children with KTAS 1-3 were more frequently hospitalized (5.0% vs. 1.2%, P < 0.001).
Conclusion: The KTAS may be reliable to predict the hospitalization of children with abdominal pain in the ED with additional consideration of the associated symptoms.
키워드
Abdominal Pain; Critical Illness; Emergency Medicine; Pediatrics; Triage
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