노인 손상 환자의 재원기간 관련 요인 분석 = Factors associated with length of stay in geriatric injury patients|RISS 상세보기

다국어 초록 (Multilingual Abstract)

This research analyzes old people's present condition and actual state, investigates problems, and provides policy establishment through the security increase and basic data of the arbitration plan to present old people's safety accident and injury that is on the rise as the important social problem according to the aging.
We use 20,750 old people's leaving the hospital data who's elderly patient over the age of 65 and whose major wound and disease in injury among 834,603 deep survey of leaving the hospital damage of Korea Center for Disease Control and Prevention since 2009 by the year 2012.
We executed t-test and χ2-test to compare the old injured inpatient's population sociological characteristic, clinical characteristic, and the other hospital-related characteristic with odd group's, and multinormal logistic regression to analyze the relationship between each variable and odd group.
The result says the organization of elderly injured patient over the age of 65 of upper odd group is 3.5%, whose average days of hospital treatment is 119.5 days and the organization of elderly injured patient over the age of 65 of normal group is 94.9%, whose average days of hospital treatment is 15.8 days, which is 103.7 days shorter than upper odd group's.
To find out the effect that old injured patient's population sociological characteristic have on days of hospital treatment, the result says when we pay medical treatment charge by National health insurance, the possibility that to be categorized in upper odd group is 0.40 times as much as by the other type and when we pay medical treatment charge by medical care, the possibility that to be categorized in upper odd group is 0.28 times as much as by the other type, and if old injured patient's place of residence was city, the possibility that to be categorized in upper odd group is 2.71 times as much as their place of residence was capital region.
To find out the effect that old injured patient's clinical characteristic have on days of hospital treatment, the result says when the number of old injured patient's comorbidity is 0, the possibility that to be categorized in upper odd group is 0.08 times and the possibility that to be categorized in lower odd group is 12.20 times as much as it is over 5, possibility that to be categorized in upper odd group is 0.15 times and the possibility that to be categorized in lower odd group is 6.80 times as much as it is over 5.
When the patient got emergency operation, the possibility that to be categorized in upper odd group is 6.24 times and the possibility that to be categorized in lower odd group is 0.09 times as much as when the patient didn't, and when the patient got non-emergency operation, the possibility that to be categorized in lower odd group is 0.28 times as much as when the patient didn't. After getting the treatment, alive patient has possibility to be categorized in lower odd group 0.17 times as much as dead patient has.
To find out the effect that old injured patient's injury-related characteristic have on days of hospital treatment, the result says when the patient get injured during routine, the possibility to be categorized in upper odd group is 1.50 times and the possibility to be categorized in lower odd group is 1.92 times as much as the other case.
The result says we need construction of systematically connected system with local medical institution, considering convenience of utilization, and as expected the rate of old inpatient increasing continuously because of aging society, we should develop the program to prevent injury, considering old people's damageable risk factor and reduce the occurrence of old injured patients through the preventative education notifying the danger of injury to them.

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