중증응급환자의 응급의료센터 재실시간에 따른 중증도 표준화 생존 분석
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 강사율 | - |
dc.contributor.author | 최유리 | - |
dc.contributor.author | 이성우 | - |
dc.contributor.author | 한갑수 | - |
dc.contributor.author | 김수진 | - |
dc.contributor.author | 김원영 | - |
dc.contributor.author | 강형구 | - |
dc.contributor.author | 홍은석 | - |
dc.contributor.author | 정진우 | - |
dc.date.accessioned | 2022-07-06T08:47:20Z | - |
dc.date.available | 2022-07-06T08:47:20Z | - |
dc.date.created | 2022-06-03 | - |
dc.date.issued | 2022-02 | - |
dc.identifier.issn | 1226-4334 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/139418 | - |
dc.description.abstract | Objective: The length of stay in the emergency department (ED) is a major contributor to ED overcrowding, which in turn negatively affects the quality of emergency care. Several efforts have been made to reduce the ED length of stay (EDLOS), including a mandatory target to limit ED-LOS within certain parameters. However, the association between EDLOS and treatment results is yet to be clarified. The authors investigated the influence of ED-LOS on patient survival by comparing severity-adjusted survival. Methods: This study was a retrospective analysis of data registered in 2018 in the National Emergency Department Information System (NEDIS). Cases registered by the regional and local emergency centers were included for analysis. The standardized W scores (Ws) based on the Emergency Department Initial Evaluation Score were used to assess treatment outcomes represented by severity-standardized survival, and the correlation between the Ws and the ED-LOS was analyzed. Results: A total of 2,281,526 cases were included for analysis. The overall mortality comprised 52,284 cases (2.3%) and the median ED-LOS was 165 minutes (interquartile range, 96-301). Although a longer ED-LOS was associated with poorer outcomes overall, the association was not apparent when an analysis of cases eligible for ED-LOS evaluation in the national evaluation program was carried out. Moreover, in the analysis of severe cases with a predicted survival probability of less than 0.9, an ED-LOS shorter than 6 hours was associated with significantly poorer severity-adjusted survival. Conclusion: The study revealed that the current ED-LOS criteria used in the national evaluation program were not associated with better survival. | - |
dc.language | 한국어 | - |
dc.language.iso | ko | - |
dc.publisher | 대한응급의학회 | - |
dc.title | 중증응급환자의 응급의료센터 재실시간에 따른 중증도 표준화 생존 분석 | - |
dc.title.alternative | Association between the emergency department length of stay and severity-standardized survival among severe emergency patients | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 강형구 | - |
dc.identifier.bibliographicCitation | 대한응급의학회지, v.33, no.1, pp.69 - 83 | - |
dc.relation.isPartOf | 대한응급의학회지 | - |
dc.citation.title | 대한응급의학회지 | - |
dc.citation.volume | 33 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 69 | - |
dc.citation.endPage | 83 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002817770 | - |
dc.description.journalClass | 2 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Program evaluation | - |
dc.subject.keywordAuthor | Quality improvement | - |
dc.subject.keywordAuthor | Emergency service | - |
dc.subject.keywordAuthor | hospital | - |
dc.subject.keywordAuthor | Length of stay | - |
dc.subject.keywordAuthor | Survival | - |
dc.identifier.url | http://www.riss.kr/search/detail/DetailView.do?p_mat_type=1a0202e37d52c72d&control_no=8316b0b9b5e3bb3347de9c1710b0298d | - |
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