지방 2차병원 응급실 내원환자의 특성 = Characteristics of Patients Visiting the Emergency Room of a Local Secondary Hospital

다국어 초록 (Multilingual Abstract)

This study was carried out to investigate the characteristics of emergent patients and to contribute the efficient management of emergency medical services in a secondary hospital. The subjects were 16,780 patients visiting the emergency room of a 130-bed local hospital located in Ansung, Kyunggi province during recent one year. The results were as follows:
1. While the highest urgent patients by age groups were over 60 years(9.3%) and 50 - 59 years(4.5%) in order, the highest emergent patients in male(3.2% and 3.3%) were significantly higher than in female(2.4% and 2.2%)(p<0.001).
2. The most frequent arrival time of urgent and emergent patients were on 11 p.m. - 3 a.m. and on 4 a.m. - 8 a.m., respectiverly.
3. The rates of urgent patients by causes of diseases were predominant in traffic accident (10.3%) and in other injury(6.0%), and those of emergent patients were in other injury (9.7%) and in traffic accident(7.1%).
4.The rates of urgent and emergent patients were significant higher in transfer-in patients(22.1% and 25.0%) than in direct visiting patients(both 2.3%)(p<0.001).
5. The rates of urgent and emergent patients among the visiting patients were 2.9% and 2.8%.
Consequently, there were insufficient and inappropriate roles and functions of this emergency room. Therefore, further studies for the evaluation of emergency medical service system, roles and functions in emergency room for local hospitals would be recommended.