7 research outputs found
(A) study of emergency medical services in pediatric emergency department on university children's hospital
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[μλ¬Έ]
This study analysed for the prospective study patterns taken prior to pediatric emergency department(PED) and taken at PED on two groups, direct visiting case and transferred visiting case through from outside facility. This study used cross-sectional questionnaire survey design. Among the patients visited the PEB of University hospital during the one month period from March 1 to March 31, 1994.
Analysis of the data processed by used of x**2-test, t-test and Logistic regression analysis.
The finding were as follows;
1. Out of 548 total emergency visiting patients at PED among 222 patients visited tertiary case hospital PED directly. Of those 40 patients(18%) of 222 patients were admitted for further treatment. In transferred case(326 patients), 92 patients(28.2%) were admitted.
2. The male to female ratio was 1.8:1, most common age group was 1 to 3 years old(39.4%, 216 patients). In 56.0% of patients, there was a history of past illness(70.7% of directed visit group). Their mother's education was less then high school graduate in 69.8% and most of them is living in Seoul(64.3%).
3. Only 8.9% of patients was transferred via ambalance, and primary physician called before transfer in 10.4% case.
4. The peak day of visiting was Sunday(15.0%), The most popular time of the day to visit PED was from noon to 4pm(28.1%). Illness with high severity was more common in transferred case.
5. International Classification of Diseases by site, the most frequent diseases were disease of the respiratory system(18.6%), injury and poisoning(13.1%), disease of digestive system(12.8%), disease of the nervous system and sense organ(11.5%) and neoplasms(15.2%). The most frequent disease was seizure(5.8%), acute tonsillitis(4.9%), acute nasopharngitis(3.3%), acute pharyngitis(3.1%) and nephrotic syndrome(2.6%) in decreasing order.
6. Means of waiting periods in PED was 16.7 hours(direct visits 13.3 hours, transferred visits 19.0 hours). The appropriate factors influencing medical utilization was the less past illness history, the higher mother's education and living in Seoul.
In summary, it is necessary to set up emergency medical delivery system for prehospital care and in hospital care of emergency pediatric patients.restrictio
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