한국응급구조학회지 (The Korean Journal of Emergency Medical Services)

  • 제27권3호
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  • Pages.47-58
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  • 2023
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  • 1738-1606(pISSN)
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  • 2384-2091(eISSN)
한국응급구조학회 (The Korea Society of Emergency Medical Services)
권호 표지
DOI QR코드

DOI QR Code

119 구급차를 통해 응급의료센터에 내원한 접수취소 환자들의 특성 비교

Comparison of the characteristics of patient who cancel after presentation to an emergency department by 119 ambulance

  • 김용준 (서울특별시 보라매병원) ;
  • 이경열 (국립공주대학교 응급구조학과)
  • Yong-Joon Kim (Department of Emergency Medicine, SMG-SNU Boramae Medical Center) ;
  • Kyoung-Youl Lee (Department of Emergency Medical Service, Kongju National University)
  • 투고 : 2023.10.25
  • 심사 : 2023.12.20
  • 발행 : 2023.12.31
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초록

Purpose: The purpose of this study was to analyze the characteristics of patients who canceled their ED visits and to determine the factors that influence ED cancellation. Methods: Retrospective study that analyzed data from the electronic medical records(EMR) and Prehospital Care Reports(PCRs) of 305 patients who cancelled their appointments at a single emergency medical center over a six-month period from October 12, 2022, to April 12, 2023. Results: ED cancellations were 2.287 times higher if the patient presented to the ambulance after outpatient hours(09:00~17:00) (p=.007), and ED cancellations were 3.712 times higher if the patient presented to the ambulance under the influence of alcohol(p=.011). For patients' symptoms, medical diseases were associated with a 1.965 times increase in cancelled ED visits compared to other modes of transport (p=.005), while mental and chronic diseases were associated with a 67.3% decrease in cancelled ED visits compared to other modes of transport (OR=0.327, CI=[0.130-0.822], p=.018). symptomatic improvement was associated with a 2.482 times increase in presentations to a 119 ambulance compared to delayed waiting time(p=.022). Conclusion: Emergency medical centers should consider improving the legal system, such as increasing emergency medical care fees, to reduce the number of patients who cancel their appointments.

키워드

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