Journal of Convergence for Information Technology (융합정보논문지)

Convergence Society for SMB (중소기업융합학회)
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Comparison of the Presence of Multiple Chronic Diseases Older Adults Transferred from Long-term Care Hospitals to Emergency Departments

요양병원에서 응급실로 전입된 노인의 복합만성질환 유무 비교

  • Huh, Young-Jin (National Emergency Medical Center, National Medical Center) ;
  • Kim, Ji-Yeon (National Emergency Medical Center, National Medical Center) ;
  • Lee, Myoung-Hwa (National Emergency Medical Center, National Medical Center) ;
  • Oh, Mi-Ra (National Emergency Medical Center, National Medical Center)
  • Received : 2021.04.14
  • Accepted : 2021.06.20
  • Published : 2021.06.28
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Abstract

This study analyzed the characteristics of the presence of multiple chronic diseases (MCDs) in older adults who transferred from long-term care hospitals (LTCHs) to emergency departments (EDs). According to the data from the national emergency department information system from January 1, to December 31, 2019, the number of older adults transferred from LTCHs to the ED due to chronic diseases was 13,608. Among those who MCDs, 79.9% were over 75 years old, and 74.0% were hospitalized for MCDs. The length of stay in the ED differed according to the presence of MCDs (P<0.001). As for the prevalence of MCDs, the odds ratio (OR) of the ED and in the hospitalized patients was high in Gwangju (OR 8.899 vs. 8.142) and Jeonbuk (OR 13.865 vs. 10.676). As described above, the characteristics of patients regarding the presence of MCDs varied according to age and region.

본 연구는 요양병원에서 응급실로 전입된 노인의 복합만성질환 유무에 관한 특성 및 연관성을 분석하였다. 2019년 1월 1일부터 12월 31일까지의 국가응급진료정보망 자료에서 만성질환으로 응급실에 내원한 환자 중 장기요양병원에서 전입된 고령 환자들의 수는 13,608건이었다. 복합만성질환자 중 75세 이상이 79.9%이며, 복합만성질환으로 입원한 비율은 74.0%로 나타났다. 응급실 재실시간은 복합만성질환 유무에 따라 차이가 있었으며(P<0.001), 복합만성질환의 유병률은 응급실 내원환자와 응급실 경유 입원환자의 교차비(Odds ration, OR)에서 광주(OR 8.899 vs. 8.142)와 전북(OR 13.865 vs. 10.676)이 높게 나타났다. 이와 같이 본 연구는 복합만성질환의 유무에 대한 환자들의 특성들이 연령과 지역 등에 따라 서로 다르다는 것을 보여주었다.

Keywords

References

  1. https://data.oecd.org/pop/elderly-population.htm
  2. Statistics Korea. (2020). 2020 Statistics on the Aged (Online). http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385322
  3. Y. K. Lee. (2018). Health and Care of Older Adults in Korea. Health and Welfare Policy Forum, 264, 19-30.
  4. https://www.nia.nih.gov/health/supporting-older-patients-chronic-conditions
  5. M. E. Salive. (2013). Multimorbidity in order adults. Epidemiologic Reviews, 35(1), 75-83. DOI : 10.1093/epirev/mxs009
  6. D. C. Roberts & M. P. McKay & A. Shaffer. (2008). Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003. Annals of Emergency Medicine, 51(6), 769-774. DOI: 10.1016/j.annemergmed.2007.09.011
  7. J. S. Kim & Y. J. Han. (2017). The Effect of Household Type on the Medical Burden of the Elderly Living in a Local Government that has Entered a Super-aged Society. The Korea Contents Association, 17(7), 610-621. DOI: 10.5392/JKCA.2017.17.07.610
  8. S. M. Kim & Y. I. Kim. (2020.10.). 2019 National Health Insurance Statistical Yearbook. Gangwon-do : Health Insurance Review & Assessment Service.
  9. H. Ga. (2017). Establishing the role of nursing hospitals and nursing facilities. Seoul : Research Institute for Health Policy
  10. J. H. Hwang & S. R. Kim & M. H. Won & D. K. Heo & J. H. Ann & D. S. Shin. (2019). Factors of Revisit of older adult that emergency departments, Journal of Digital Contents Society, 20(12), 2555-2563. DOI : 10.1016/j.archger.2019.103960
  11. H. J. Cho et al. (2011). Analysis of Emergency Department Patients Transferred from Geriatric Hospitals - Case Series Descriptive Study. Journal of the Korean society of emergency medicine, 22(5), 531-535. DOI : 10.5392/JKCA.2017.17.07.610
  12. N. S. Kim et al. (2018). A Report on the Korea health panel survey of 2016: Chronic disease, morbidity, health behaviour and health status. Sejong : Korea Institute for Health and Social Affairs.
  13. L. L. Low et al. (2019). Epidemiologic characteristics of multimorbidity and sociodemographic factors associated with multimorbidity in a rapidly aging Asian country. JAMA Network Open, 2(11). DOI : 10.1001/jamanetworkopen.2019.15245
  14. M. H. Lee & J. Y. Kim & Y. J. Huh & M. R. Oh. (2021). Trend of Emergency Department Visits for Elderly Patients with Chronic Diseases : 2014-2019. Journal of Convergence for Information Technology, 11(1), 183-190. DOI : 10.22156/CS4SMB.2021.11.01.183
  15. M. P. Powell & X. Yu & O. Isehunwa & C. F. Chang. (2017). National trends in hospital emergency department visits among those with and without multiple chronic conditions, 2007-2012. Hospital topics, 96(10), 1-8. DOI : 10.1080/00185868.2017.1349523
  16. T. Xia & J. Enticott & C. Pearce & D. Mazza & L. R. Turner. (2020). Predictors of ED attendance in older patients with chronic disease: a data linkage study. Australian Health Review, 44(4), 550-556. DOI : 10.1071/AH19169
  17. A. A. Uijen & E. H. Lisdonk. (2009). Multimorbidity in primary care: Prevalence and trend over the last 20 years. European Journal of General Practice, 14(1), 28-32. DOI : 10.1080/13814780802436093
  18. S. H. Lee et al. (2018). Effectiveness analysis and suggestion for management of multiple chronic diseases pilot project. Gyeonggi-do : NHIS Ilsan Hospital Imstitute of Health Insurance & Clinical Research.
  19. J. P. Stuttard & M. Ezzati & E. W. Gregg. (2019). Multimorbidity-a defining challenge for health systems. The Lancet Public Health, 4(12), 599-600. DOI : 10.1016/S2468-2667(19)30222-1
  20. K. W. Kim & S. N. Jang. (2016). Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department. Korean Academy of Community Health Nursing, 27(40), 327-336. DOI : 10.12799/jkachn.2016.27.4.327
  21. K. Kim & D. H. Lee & H. Y. Yune & J. H. Wee. (2019). Identifying potentially avoidable emergency department visits of long-term care hospital residents in Korea: A multicenter retrospective cohort study. BioMed Research International, 2019(1), 1-7. DOI : 10.1155/2019/7041607
  22. S. E. Lemoyne & H. H. Herbots & D. D. Blick & R. Remmen & K. G. Monsieurs & P. V. Bogaert. (2019). Appropriateness of transferring nursing home residents to emergency departments: a systematic review. BMC Geriatrics, 19(1). DOI : 10.1186/s12877-019-1028-z.
  23. E. G. Marshall & B. Clarke & F. Burge & N. Varatharasan & G. Archibald & M. K. Andrew. (2019). Improving continuity of care reduces emergency department visits by long-term care residents. The Journal of the American Board of Family Medicine, 29(2), 201-208. DOI : 10.3122/jabfm.2016.12.150309
  24. A. Cassell et al. (2018). The epidemiology of multimorbidity in primary care: a retrospective cohort study. British Journal of General Practice, 68(669), 245-251. DOI : 10.3399/bjgp18X695465