원문정보
Comparison of triage and treatment results of abdominal pain patients of pre-hospital and in-hospital conditions
초록
영어
Purpose: This study aimed to identify the differences in pre-hospital and in-hospital triage (pre-hospital triage and KTAS(Korean Triage and Acuity Scale)) of patients with abdominal pain and the characteristics of high hospitalization probability in the treatment results. Methods: We analyzed 941 people who visited the area C emergency center for 2 years from January 2017 to December 2018. The collected data were analyzed using SPSS 26. Results: Among the transfer hospitals, 84.8% (798) of patients were selected by the 119 rescue service, and the most common diagnosis was simple abdominal pain (46.5%, 438 patients). A total of 50.7% (477) of patients classified as severe pre-hospital cases changed to mild in-hospital cases. There was a difference of 5.3% (50 cases) in cases where patients classified as mild pre-hospital were changed to severe in-hospital cases. The Kappa coefficient did not match with 0.04 (p=.051). Pre-hospital overtriage was 58.2% (548 cases), and 71.2% (670) of patients were discharged from the emergency room as a result of the treatment. Conclusion: The results of this study showed that pre-hospital and in-hospital triage were not consistent. The rates of pre-hospital overtriage were quite high. Most patients with abdominal pain were classified as mild cases, and pre-hospital triage classifiers should be trained to reduce errors in selecting transfer hospitals.
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구 대상
2. 연구 도구
3. 자료 수집 및 분석 방법
Ⅲ. 연구결과
1. 대상자의 일반적 특성
2. 대상자의 구급기록 특성
3. 대상자의 의무기록 특성
4. 대상자의 병원 전과 병원의 중증도분류 분포
5. 대상자의 병원 전과 병원의 중증도분류 일치도 비교
6. 대상자의 중증도 분류별 진료결과차이
7. 대상자의 병원 전과 병원 중증도의 과대 및 과소분류
8. 대상자의 일반적 특성에 따른 진료결과 차이
9. 대상자의 구급기록 특성에 따른 진료결과 차이
10. 대상자의 의무기록 특성에 따른 진료결과 차이
Ⅳ. 고찰
Ⅴ. 결론
References