Characteristics of Patients Who Visited Emergency Department: A Nationwide Population-Based Study in South Korea (2016-2018)

被引:3
作者
Hong, Seok-In [1 ]
Kim, June-Sung [1 ]
Kim, Youn-Jung [1 ]
Seo, Dong-Woo [1 ]
Kang, Hyunggoo [2 ]
Kim, Su Jin [3 ]
Han, Kap Su [3 ]
Lee, Sung Woo [3 ]
Kim, Won Young [1 ]
机构
[1] Univ Ulsan, Asan Med Ctr, Dept Emergency Med, Coll Med, Seoul 05505, South Korea
[2] Hanyang Univ, Dept Emergency Med, Coll Med, Seoul 04763, South Korea
[3] Korea Univ, Dept Emergency Med, Coll Med, Seoul 02841, South Korea
关键词
direct visits; emergency department; South Korea; population-based; referrals; INSURANCE;
D O I
10.3390/ijerph19148578
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
The utilization of the emergency department (ED) has been continuously increasing and has become a burden for ED resources. The aim of this study was to describe the characteristics, outcomes, common diagnoses, and disease classifications of patients who were referred to the ED. This nationwide epidemiologic study examined the data from adult patients (>18 years) who visited EDs from 1 January 2016 to 31 December 2018. Most EDs in Korea provide data from ED patients to the National Emergency Medical Center (NEMC). The disposition of ED patients was classified as discharge, admission, death, and re-transfer. From 2016 to 2018, the proportion of referred patients out of the total ED visits increased from 7.3% to 7.8%. The referred patients were older (61.1 vs. 50.5 years), had worse vital signs, longer ED lengths of stay (409.1 vs. 153.3 min), and higher admission (62.3 vs. 16.9%) and re-transfer rates (4.4 vs. 1.9%) than the direct-visit patients. Among the referred patients in the 3 years, 62.3% were hospitalized, and the most common disease classification was "disease of the digestive system" (19.8%). The most common diagnosis was pneumonia (6.0%), followed by urinary tract infection, gastrointestinal bleeding, and hepatobiliary infection. The number of patients referred to EDs is increasing, and more than 60% of referred patients are hospitalized. Detailed characteristics of these patients will be helpful for improving ED management and the distribution of medical resources.
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页数:13
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