원문정보
Comparison of the characteristics of patient who cancel after presentation to an emergency department by 119 ambulance
초록
영어
Purpose: The purpose of this study was to analyze the characteristics of patients who canceled their ED visits and to determine the factors that influence ED cancellation. Methods: Retrospective study that analyzed data from the electronic medical records(EMR) and Prehospital Care Reports(PCRs) of 305 patients who cancelled their appointments at a single emergency medical center over a six-month period from October 12, 2022, to April 12, 2023. Results: ED cancellations were 2.287 times higher if the patient presented to the ambulance after outpatient hours(09:00∼17:00) (p=.007), and ED cancellations were 3.712 times higher if the patient presented to the ambulance under the influence of alcohol(p=.011). For patients' symptoms, medical diseases were associated with a 1.965 times increase in cancelled ED visits compared to other modes of transport (p=.005), while mental and chronic diseases were associated with a 67.3% decrease in cancelled ED visits compared to other modes of transport (OR=0.327, CI=[0.130-0.822], p=.018). symptomatic improvement was associated with a 2.482 times increase in presentations to a 119 ambulance compared to delayed waiting time(p=.022). Conclusion: Emergency medical centers should consider improving the legal system, such as increasing emergency medical care fees, to reduce the number of patients who cancel their appointments.
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상 및 자료수집방법
3. 자료분석
Ⅲ. 연구결과
1. 내원 수단에 따른 접수취소 환자의 일반적 특성 비교
2. 응급실 접수취소 사유
3. 119를 통해 내원한 환자의 접수취소에 영향을 미치는 요인
Ⅳ. 고찰
Ⅴ. 결론
References