[논문]요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019

고성근; 김선지; 이태영; 이진희

doi:10.4332/kjhpa.2022.32.2.173

요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019
The Tendency of Elderly Patients Who Transferred from Long-term Care Hospital to Emergency Room, 2014-2019 원문보기

Health policy and management = 보건행정학회지, v.32 no.2, 2022년, pp.173 - 179

고성근 (국립중앙의료원 중앙응급의료센터) , 김선지 (국립중앙의료원 중앙응급의료센터) , 이태영 (국립중앙의료원 중앙응급의료센터) , 이진희 (국립중앙의료원 중앙응급의료센터)

Abstract ▼ AI-Helper

Background: This study aimed to identify patterns of elderly patients who transferred from long-term care hospitals to emergency rooms and provide the evidence of emergency medical systems to prepare for a super-aged society. Methods: The data source was the National Emergency Department Information System database from January 2014 to December 2019 in Korea. We performed a cross-sectional study among elderly patients (≥65 years) who transferred from a long-term care hospital to an emergency room. Trend analysis was conducted by year. Results: We identified 225,765 elderly patients who were transferred from long-term care hospitals to emergency rooms between January 1, 2014 and December 31, 2019. The proportion of the study population and their mean age were recently increased (p<0.001, respectively). The proportion of elderly patients being re-transferred (p=0.049) and the patients re-transferred to long-term care hospitals is significantly increased (p=0.005). Conclusion: The establishment of efficient emergency medical services for an aging society is important. It is necessary to develop a healthcare network with the government, long-term care hospitals, and medical institutions in the community suitable for preventing disease deterioration.

주제어

표/그림 (4)

표 Table 1. Characteristics of patients aged 65 and over who have been transferred to emergency room from long-term care hospitals
그림 Figure 1. Annual distribution of ‘re-transfer to long-term care hospitals (LTCH)' among patients aged 65 years and over who have been transferred in emergency room from LTCH.
그림 Figure 2. Distribution of length of emergency room (ER) stay among patients aged 65 years and over who have been transferred to ER from long-term care hospital. Trend analysis result: 0-4 hr (p=0.004), 4-12 hr (p12 hr (p=0.418).
표 Table 2. Distribution of Korean Triage and Acuity Scale by transfer-to-hospital patients aged 65 and over who have been transferred in emergency room from long-term care hospital

참고문헌 (19)

Ministry of the Interior and Safety. Projected population by age (Korea) [Internet]. Daejeon: Korean Statistical Information Service; 2021 [cited 2022 Mar 15]. Available from: https://kosis.kr/index/index.do.
National Health Insurance Service. National health insurance statistics yearbook 2014-2020 [Internet]. Daejeon: Korean Statistical Information Service; 2021 [cited 2022 Mar 15]. Available from: https://kosis.kr/index/index.do.
Kim DH, Han KS, Park JS, Moon SW, Lee SW, Choi SH, et al. Analysis of emergency department patients transferred from geriatric hospitals: case series descriptive study. J Korean Soc Emerg Med 2011;22(5):531-535.
Medical Services Act Enforcement Regulations, Ministry of Health and Welfare Ordinance No. 395 (Feb 5, 2016).
Ga H, Won CW. Perspective on long term care hospitals in Korea. J Am Med Dir Assoc 2013;14(10):770-772. DOI: https://doi.org/10.1016/j.jamda.2013.06.007.

상세보기
Kim KW, Kim SH, Park KN, Kim HJ, Oh SH, Lee JY, et al. Mid-term effects of tertiary hospital beds expansion on emergency department overcrowding. J Korean Soc Emerg Med 2014;25(6):722-729.
Oh E, Cho SJ, Wang IJ, Kim HB, Park SC, Lee SH, et al. Comparison of medical resources usage between young adult patients and elderly patients: a single center, retrospective observational study. J Korean Soc Emerg Med 2019;30(6):490-500.
Ministry of Health and Welfare. Public Notice of Ministry of Health and Welfare 2015-243 (December 29, 2015) [Internet]. Sejong: Ministry of Health and Welfare; 2016 [cited 2022 Mar 15]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID03&MENU_ID030406&CONT_SEQ329273&page1
National Medical Center, National Emergency Medical Center. A criteria for evaluation of emergency medical institutions (2015-2020). Seoul: National Medical Center, National Emergency Medical Center; 2021.
World Health Organization. World health statistics, annual report 2017. Geneva: World Health Organization; 2017.
Statistics Research Institute. Korean social trends 2017 [Internet]. Daejeon: Statistics Research Institute; 2018 [cited 2022 Mar 24]. Available from: http://sri.kostat.go.kr.
Statistics Research Institute. Korean social trends 2020 [Internet]. Daejeon: Statistics Research Institute; 2021 [cited 2022 Mar 24]. Available from: http://sri.kostat.go.kr.
Kim KW, Jang S. Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department. J Korean Acad Community Health Nurs 2016;27(4): 327-336. DOI: https://doi.org/10.12799/jkachn.2016.27.4.327.

원문보기 상세보기
Lee YS, Moo SK. A study on the affecting factors to utilization of long term care hospitals according to the elderly long term care insurance system in Korea. Korea J Hosp Manag 2010;15(1):49-69.
Moskop JC, Sklar DP, Geiderman JM, Schears RM, Bookman KJ. Emergency department crowding, part 1: concept, causes, and moral consequences. Ann Emerg Med 2009;53(5):605-611. DOI: https://doi.org/10.1016/j.annemergmed.2008.09.019.

상세보기
Kessler C, Williams MC, Moustoukas JN, Pappas C. Transitions of care for the geriatric patient in the emergency department. Clin Geriatr Med 2013;29(1):49-69. DOI: https://doi.org/10.1016/j.cger.2012.10.005.

상세보기
Ouslander JG, Lamb G, Perloe M, Givens JH, Kluge L, Rutland T, et al. Potentially avoidable hospitalizations of nursing home residents: frequency, causes, and costs: [see editorial comments by Drs. Jean F. Wyman and William R. Hazzard, pp 760-761]. J Am Geriatr Soc 2010;58(4):627-635. DOI: https://doi.org/10.1111/j.1532-5415.2010.02768.x.

상세보기
Lemoyne SE, Herbots HH, De Blick D, Remmen R, Monsieurs KG, Van Bogaert P. Appropriateness of transferring nursing home residents to emergency departments: a systematic review. BMC Geriatr 2019;19(1):17. DOI: https://doi.org/10.1186/s12877-019-1028-z.

상세보기
Celinski M, Cybulski M, Filon J, Muszalik M, Goniewicz M, Krajewska-Kulak E, et al. Analysis of medical management in geriatric patients in the hospital emergency department by example of selected cities with county status in Poland: a retrospective cohort study. Int J Environ Res Public Health 2021;19(1):48. DOI: https://doi.org/10.3390/ijerph19010048.

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019
The Tendency of Elderly Patients Who Transferred from Long-term Care Hospital to Emergency Room, 2014-2019 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (4)

표/그림 (4)

참고문헌 (19)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

연합인증

요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019 The Tendency of Elderly Patients Who Transferred from Long-term Care Hospital to Emergency Room, 2014-2019 원문보기

Abstract ▼ AI-Helper

주제어

표/그림 (4) 모든 표/그림 보기

표/그림 (4) 슬라이드로 보기

참고문헌 (19)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트

요양병원에서 응급실로 전입된 노인환자의 경향분석, 2014-2019
The Tendency of Elderly Patients Who Transferred from Long-term Care Hospital to Emergency Room, 2014-2019 원문보기

표/그림 (4)

표/그림 (4)