• Journal of Chest Surgery
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• 제51권4호
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• pp.247-253
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• 2018

Background: Early extubation after cardiovascular surgery has some clinical advantages, including reduced hospitalization costs. Herein, we review the results of ultra-fast-track (UFT) extubation, which refers to extubation performed on the operating table just after the operation, or within 1-2 hours after surgery, in patients with congenital cardiac disease. Methods: We performed UFT extubation in patients (n=72) with a relatively simple congenital cardiac defect or who underwent a simple operation starting in September 2016. To evaluate the feasibility and effectiveness of our recently introduced UFT extubation strategy, we retrospectively reviewed 195 patients who underwent similar operations for similar diseases from September 2015 to September 2017, including the 1-year periods immediately before and after the introduction of the UFT extubation protocol. Propensity scores were used to assess the effects of UFT extubation on length of stay (LOS) in the intensive care unit (ICU), hospital LOS, and medical costs. Results: After propensity-score matching using logistic regression analysis, 47 patients were matched in each group. The mean ICU LOS ($16.3{\pm}28.6$ [UFT] vs. $28.0{\pm}16.8$ [non-UFT] hours, p=0.018) was significantly shorter in the UFT group. The total medical costs ($182.6{\pm}3.5$ [UFT] vs. $187.1{\pm}55.6$ [non-UFT] ${\times}100,000$ Korean won [KRW], p=0.639) and hospital stay expenses ($48.3{\pm}13.6$ [UFT] vs. $54.8{\pm}29.0$ [non-UFT] ${\times}100,000KRW$, p=0.164) did not significantly differ between the groups. Conclusion: UFT extubation decreased the ICU LOS and mechanical ventilation time, but was not associated with postoperative hospital LOS or medical expenses in patients with simple congenital cardiac disease.

• 한국실내디자인학회:학술대회논문집
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• 한국실내디자인학회 2007년도 춘계학술대회 논문집
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• pp.181-187
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• 2007

The world is changing drastically by digital information technology and ubiquitous networking. Meanwhile, with the demographic avalanche, South Korea officially became an 'ultra-aging society' in 2026. Simultaneously, this demographic change will also stimulate a cultural climate which facilitates the formation and dissemination of 'slow culture' from the existent urban 'fast culture' which has been weakening the retirement living. One of the fundamental connections with the slow movement appears in the cooking and dining area. With this point of view, this study aims to identify the needs and behaviors of the elderly in current restaurants and a digitally planned multi-purpose one for the future. Small group workshop was employed for this study. In order to elicit detailed information from the elderly group members, scenarios were developed. A group facilitator kept the discussion on track by asking a series of open-ended questions meant to stimulate discussion. As the results, it was revealed that the elderly were interested in digitally planned restaurant which provides one-stop service including entertainment activities, health related contents and socializing with family. Even though this study took restaurant scenarios, the ideas in them also provide holistic perspectives on the direction of marketing and planning strategies on various future environments and services.