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      노인요양병원으로부터 응급의료센터로 전원된 환자의 역학적 특징 분석-사례군 연구 = Analysis of Emergency Department Patients Transferred from Geriatric Hospitals - Case Series Descriptive Study

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      https://www.riss.kr/link?id=A104608648

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      다국어 초록 (Multilingual Abstract)

      Purpose: Nursing homes continue to increase in number,and more residents are being transferred to emergency departments (EDs). The objective of this study was to investigate the overall characteristics of residents who were transferred to the ED and follow-up their course of treatments.
      Methods: We identified nursing home residents aged 65years and older who had been transferred to the ED of a regional tertiary university medical center from January 2008 to December 2009. Further attention was paid to those who had been diagnosed with sepsis. Meantime, a separate cohort of sepsis patients was collected, made up of geriatric patients aged 65 years or older who had visited the ED voluntarily from home or through medical institutions other than nursing homes during the same period. We then compared the two cohorts of sepsis patients.
      Results: A total of 321 patients aged 65 years or older were transferred from nursing homes during the study period.
      Their mean age was 77.6±7.2 years, and 172 (54.8%)were females. Seventy six (24.2%) patients whose caregivers did not comply with the necessary procedures or refused aggressive management were discharged home or were retransferred to nursing homes. A total of 41 sepsis patients had been transferred from nursing homes, whereas 64 patients had visited the ER voluntarily or through medical institutions other than nursing homes. Even though the difference between the two groups was not significant statistically, patients transferred from nursing homes tended to be discharged or retransferred to nursing homes with inadequate treatment.
      Conclusion: A considerable number of patients transferred from nursing homes were found to be discharged or retransferred to nursing homes during acute care due to refusal of aggressive treatments. Likewise, the comparison of sepsis patients between the two arms showed a greater portion being retransferred with inadequate treatment as well as a greater rate of mortality among patients transferred from nursing homes.
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      Purpose: Nursing homes continue to increase in number,and more residents are being transferred to emergency departments (EDs). The objective of this study was to investigate the overall characteristics of residents who were transferred to the ED and f...

      Purpose: Nursing homes continue to increase in number,and more residents are being transferred to emergency departments (EDs). The objective of this study was to investigate the overall characteristics of residents who were transferred to the ED and follow-up their course of treatments.
      Methods: We identified nursing home residents aged 65years and older who had been transferred to the ED of a regional tertiary university medical center from January 2008 to December 2009. Further attention was paid to those who had been diagnosed with sepsis. Meantime, a separate cohort of sepsis patients was collected, made up of geriatric patients aged 65 years or older who had visited the ED voluntarily from home or through medical institutions other than nursing homes during the same period. We then compared the two cohorts of sepsis patients.
      Results: A total of 321 patients aged 65 years or older were transferred from nursing homes during the study period.
      Their mean age was 77.6±7.2 years, and 172 (54.8%)were females. Seventy six (24.2%) patients whose caregivers did not comply with the necessary procedures or refused aggressive management were discharged home or were retransferred to nursing homes. A total of 41 sepsis patients had been transferred from nursing homes, whereas 64 patients had visited the ER voluntarily or through medical institutions other than nursing homes. Even though the difference between the two groups was not significant statistically, patients transferred from nursing homes tended to be discharged or retransferred to nursing homes with inadequate treatment.
      Conclusion: A considerable number of patients transferred from nursing homes were found to be discharged or retransferred to nursing homes during acute care due to refusal of aggressive treatments. Likewise, the comparison of sepsis patients between the two arms showed a greater portion being retransferred with inadequate treatment as well as a greater rate of mortality among patients transferred from nursing homes.

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      참고문헌 (Reference)

      1 김도훈, "한국형 노인요양병원 질 평가 도구 개발에 관한 고찰" 대한노인병학회 12 (12): 191-200, 2008

      2 김의중, "중증 환자를 전원 시킬 준비가 되었습니까" 대한응급의학회 17 (17): 51-57, 2006

      3 안기옥, "응급환자의 병원간 전원 적절성 평가" 대한응급의학회 17 (17): 138-145, 2006

      4 박인수, "노인장기요양보험제도와 요양병원에 대하여" 대한노인병학회 12 (12): 68-73, 2008

      5 "http://www.nhic.or.kr/portal/site/main"

      6 Park IC, "Triage of non-emergent patient and guideline for transfer" 6 : 403-410, 1995

      7 Durairaj L, "Prognostic factors for mortality following interhospitaltransfers to the medical intensive care unit of a tertiaryreferral center" 31 : 1981-1986, 2003

      8 Moskop JC, "Emergency department crowding, part 1-concept, casuses, and moral consequences" 53 : 605-611, 2009

      9 Golestanian E, "Effect of interhospital transfer on resource utilizationand outcomes at a tertiary care referral center" 35 : 1470-1476, 2007

      10 Moerer O, "Direct costs of severe sepsis in threeGerman intensive care units based on retrospective electronicpatient record analysis of resource use" 28 : 1440-1446, 2002

      1 김도훈, "한국형 노인요양병원 질 평가 도구 개발에 관한 고찰" 대한노인병학회 12 (12): 191-200, 2008

      2 김의중, "중증 환자를 전원 시킬 준비가 되었습니까" 대한응급의학회 17 (17): 51-57, 2006

      3 안기옥, "응급환자의 병원간 전원 적절성 평가" 대한응급의학회 17 (17): 138-145, 2006

      4 박인수, "노인장기요양보험제도와 요양병원에 대하여" 대한노인병학회 12 (12): 68-73, 2008

      5 "http://www.nhic.or.kr/portal/site/main"

      6 Park IC, "Triage of non-emergent patient and guideline for transfer" 6 : 403-410, 1995

      7 Durairaj L, "Prognostic factors for mortality following interhospitaltransfers to the medical intensive care unit of a tertiaryreferral center" 31 : 1981-1986, 2003

      8 Moskop JC, "Emergency department crowding, part 1-concept, casuses, and moral consequences" 53 : 605-611, 2009

      9 Golestanian E, "Effect of interhospital transfer on resource utilizationand outcomes at a tertiary care referral center" 35 : 1470-1476, 2007

      10 Moerer O, "Direct costs of severe sepsis in threeGerman intensive care units based on retrospective electronicpatient record analysis of resource use" 28 : 1440-1446, 2002

      11 Bone RC, "Definitions for sepsis and organ failureand guidelines for the use of innovative therapies in sepsis.The ACCP/SCCM Consensus Conference Committee.American College of Chest Physicians/Society of CriticalCare Medicine" 101 : 1644-1655, 1992

      12 Cho DY, "Comparison of the APACHE III,APACHE II and Glasgow Coma Scale in acute headinjury for prediction of mortality and functional outcome" 23 : 77-84, 1997

      13 Grmec S, "Comparison of APACHE II,MEES and Glasgow Coma Scale in patients with nontraumaticcoma for prediction of mortality. Acute Physiologyand Chronic Health Evaluation. Mainz EmergencyEvaluation System" 5 : 19-23, 2001

      14 Sogayar AM, "A multicentre, prospective study toevaluate costs of septic patients in Brazilian intensive careunits" 26 : 425-434, 2008

      15 Moerer O, "A German national prevalencestudy on the cost of intensive care: an evaluation from 51intensive care units" 11 : 69-, 2007

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      학술지 이력

      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2027 평가예정 재인증평가 신청대상 (재인증)
      2021-01-01 평가 등재학술지 유지 (재인증) KCI등재
      2020-05-08 학회명변경 영문명 : The Korean Society Of Emergency Medicine -> The Korean Society of Emergency Medicine KCI등재
      2018-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2015-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2009-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2006-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2005-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2003-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      학술지 인용정보

      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.23 0.23 0.22
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.22 0.22 0.339 0.06
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