응급의학과 전속 신경과 전문의가 응급의학과 의사의 신경계이상환자에 대한 진료 역량에 미치는 영향
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 유지광 | - |
dc.contributor.author | 이동욱 | - |
dc.contributor.author | 문형준 | - |
dc.contributor.author | 이현정 | - |
dc.contributor.author | 정동길 | - |
dc.contributor.author | 김현준 | - |
dc.contributor.author | 김재우 | - |
dc.contributor.author | 이정원 | - |
dc.contributor.author | 김윤태 | - |
dc.contributor.author | 김도의 | - |
dc.date.accessioned | 2021-11-11T00:40:17Z | - |
dc.date.available | 2021-11-11T00:40:17Z | - |
dc.date.issued | 2021-10 | - |
dc.identifier.issn | 1226-4334 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20003 | - |
dc.description.abstract | Objective: Although accurate diagnosis in neurologic emergencies is critical, the emergency department (ED) suffers from a shortage of neurologists. The purpose of this study was to investigate the effect of a dedicated neurologist on the competence in the management of ED physicians on patients with neurologic abnormalities. Methods: We retrospectively reviewed the medical records of patients with neurologic abnormalities between 1 March 2016 and 30 September 2019. Two periods, including control and intervention periods, were assigned. Neurology consultations were routinely performed by an ED physician in the control period and by a physician of the ED working with a dedicated neurologist in the intervention period. Results: In the control period, the most frequent chief complaints were dizziness (22.45%), focal motor weakness (except the face, 19.62%), altered mental status (9.98%), dysarthria (9.62%), seizures (8.57%), and headaches (6.87%). In the intervention period, the rate of final disposition by the ED physician was significantly increased in patients with dizziness (P<0.001), altered mental status (P=0.003), dysarthria (P<0.001), seizure (P<0.001), headaches (P<0.001), facial palsy (P<0.001), and memory impairment (P=0.043). Conclusion: ED physicians who were educated by a dedicated neurologist could effectively enhance the competence in the management of the patient with neurologic abnormalities. We suggest that the method implemented in this study can be a good alternative for solving the gap in neurology department consultation. | - |
dc.format.extent | 8 | - |
dc.language | 한국어 | - |
dc.language.iso | KOR | - |
dc.publisher | 대한응급의학회 | - |
dc.title | 응급의학과 전속 신경과 전문의가 응급의학과 의사의 신경계이상환자에 대한 진료 역량에 미치는 영향 | - |
dc.title.alternative | The effect of a dedicated emergency department neurologist on the competence in the management of emergency physicians on patients with neurologic abnormalities | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.bibliographicCitation | 대한응급의학회지, v.32, no.5, pp 408 - 415 | - |
dc.citation.title | 대한응급의학회지 | - |
dc.citation.volume | 32 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 408 | - |
dc.citation.endPage | 415 | - |
dc.identifier.kciid | ART002771817 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Neurologist | - |
dc.subject.keywordAuthor | Consultation | - |
dc.subject.keywordAuthor | Emergency | - |
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