DOI QR코드

DOI QR Code

A Clinical Study of the Pediatric Patients Who Had Visited the Emergency Room (ER) at the Oriental Medical Hospital

한방병원 응급실에 내원한 소아 환자에 관한 임상적 고찰

  • Kim, Ji Eun (Department of Pediatrics, College of Oreintal Medicine, Daegu Haany University) ;
  • Baek, Jung Han (Department of Pediatrics, College of Oreintal Medicine, Daegu Haany University)
  • 김지은 (대구한의대학교 한의과대학 소아과학교실) ;
  • 백정한 (대구한의대학교 한의과대학 소아과학교실)
  • Received : 2014.10.31
  • Accepted : 2014.11.17
  • Published : 2014.11.30

Abstract

Objectives By analyzing data of the pediatric patients who had visited the emergency room of the oriental medical hospital, we can understand their characteristics and diseases. The purpose of this study was to introduce the excellence of the Oriental medicine, to develop various treatments, and to revitalize pediatric emergency care at the oriental medical hospital. Methods The study was composed of 334 pediatric patients who had visited the emergency room of the ${\bigcirc}{\bigcirc}$ university oriental hospital from January 2011 to December 2013. Results 1. It has showed that between 7 to 12 years old patients (27.8%) were the most common age populations. 2. The number of pediatric patients was increased during February. According to the weekly distribution data, the number of pediatric patients who had visited on Sunday was the highest (28.7%). Also, the number of pediatric patients who had visited the ER between 21 to 24 hours (29.0%) was the highest. 3. The two major reasons for inpatient hospitalization were digestive and nerve-related symptoms. Nerve-related symptoms were the most common in infants while digestive symptoms were the most common in other child development stages. 4. The duration of time interval from the onset of symptoms to the ER visit was most commonly within 6 hours (50.3%). An acupuncture and herbal medication treatment (70.1%) were the most common medical treatments. The majority of the pediatric patients (95.5%) were discharged after their medical treatments. Conclusions A serious acute illness was not the most common reason for the ER visit among the pediatric patients. The most common disease states that have preferred to be treated with the oriental medicine were dyspepsia, crying, facial palsy, and ankle sprain. We have to introduce the excellence of the oriental medicine. We also need to try developing other treatments such as magnetic acupuncture, aromatherapy, and revitalizing pediatric emergency care at the oriental medical hospital.

Keywords

References

  1. Kim BG. A Study on the patients who visited in emergency room of oriental medical hospital. Grad School Daejeon Univ. 2004:8-34.
  2. Jeon HJ. The statistical studies on the pedriatic patients of emergency medical center of a university hospital. Nursing Grad School Yonsei Univ. 2007:1-43.
  3. Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Yu SA, Lee HJ, Chang GT, Chai JW, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak. Seoul: Ui Sung Dang publishing Co. 2010:11-23, 36-9.
  4. Cha H, Yoon DR. Utilization patterns of pediatric emergency room. Korean J Pediatr. 1989;32(7):897-913.
  5. Ahn DH. Current status of pediatric patients emergency room. J Korean Med Assoc. 1994;413:690-719.
  6. Moon KD, Park WA, Lee HK, Yu YH, Lee HS. Stastical studies on pediatric emergency room patients. Korean J Pediatr. 1993;36(12):1732-9.
  7. Kim WS, Hong YJ, Ahn DH, Son KC. Statistical studies on pediatric emergency room patients. Korean J Pediatr. 1991;34(1):7-15.
  8. Lee KH. Statistical studies on pediatric emergency room patients. Korean J Pediatr. 1984;27(2):1-17.
  9. Kim JH, Bae JH, Jeon JH, Moon JE. Pattern of pediatric patients' use emergency room and outpatient department in secondary hospital. Inje Med J. 2006;27:87-95.
  10. Kwak BK, Jang HO. Clinical analysis of febrile infants and children presenting to the prediatric emergency department. Korean J Pediatr. 2006;49(8):839-44. https://doi.org/10.3345/kjp.2006.49.8.839
  11. Yoon DR, Lee JS, Noh HI, Lee SR, Ryu JH. Single hospital-based clinical analysis of 1,119 patients visited oriental medical hospital emergency room. J Korean Orient Int Med. 2012;33(2):188-96.
  12. Lee YJ, Baek JH. Clinical study of the pediatric patients who had visited emergency room (ER) at oriental medical hospital. J Pediatr Korean Med. 2010;24 (3):1-15.
  13. Jung HS, Lee H, Kim SJ, Kim ES, Han KW, Woo JH, Lee JS, Lee SJ, Yoo IS. Clinical analysis of 1,472 musculoskeletal patients who visited emergency room of oriental medicine hospital. J Korean Acupunct Moxibustion Soc. 2010;27(5):97-104.
  14. Park SC, Jin SY, Lee SK, Moon SW, Song YS. The statistical study of 1,278 patients visited oriental medical hospital emergency room. J Orient Rehabil Med. 2002;12(1):173-86.
  15. Ahn JR, Cha SC, Kim CK, Lee IS. The statistical study of 2,485 patients visited oriental medical hospital emergency room. J Orient Rehabil Med. 2002;12 (4):1-10.
  16. So HJ, Ryu JH, Kim YC, Lee BJ. Clinical analysis of patients who visited the emergency room of an oriental medical center. J Korean Orient Med. 2007;28(3):196-206.
  17. Kang MS, Jang KT, Kim JH. A clinical study on the pediatric patients who visited emergency room of oriental medical hospital. J Pediatr Korean Med. 2003;17(1):117-29.
  18. Yun HJ, Seo JM, Baek JH. A clinical study of the pediatric patients who visited in emergency room of oriental medical hospital. J Pediatr Korean Med. 2007;21(2):35-50.
  19. Robert MK, Hal BJ, Richard EB, Bonita FS. Nelson textbook of pediatrics, 18th ed. Philadelphia: Saunders Elsevier. 2007:1.
  20. Park CK. Hwangjaenaegyeong Somun. Paju: Zipmoondang. 2005:567-79.
  21. Lee KW. pyeonjuhaeseok Hwangjaenaegyeong Yeongchu. Seoul: Yeogang publishing Co. 2000:109-38.
  22. Kim JB. Geumgueyoryak. Seoul: Hanuimunhwasa. 2003:607.
  23. Galhong. Juhubigeubbang. Beijing: Inminwisaeng publishing Co. 1956:1-43.
  24. Kim SJ, Moon SY. A clinical study of the pediatric patients visiting emergency center. J Korean Acad Child Health Nurs. 1999;5(1):97-106.
  25. Jang KT, Kim JH, Choi EY. A study of the chief complaint of pediatric outpatients in the oriental hospital. J Pediatr Korean Med. 2005;19(2):197-213.
  26. Park JH, Wi DH. Clinical analysis of the pediatric patients visiting emergency center. J Korean Soc Emerg Med. 1996;7(3):354-62.
  27. Lee JH, Kim ST, Ko DI, Moon TI, Chu YS, Kim OJ, Choi SW, Lee KH, Jo YK, Lee JH. Assessment of the propriety of Sepa-rating the pediatric emergency room from the emergency department. J Korean Soc Emerg Med. 2003;14(4):366-70.
  28. Kim SJ, Moon SY, Park EO. The severity of the pediatric patients visiting emergency center. J Korean Acad Child Health Nurs. 2001;7(2):191-202.
  29. Song IS, Shin JN, Shin WK. A study of the chief complaints of pediatric outpatients. J Korean Oriental Pediatrics. 2002;16(2):69-81.
  30. Won DH, Jo JH, Jung KS, Lee SD, No HW. A study of the standard of crud drugs and a medicine prepared from crude drugs. The Report of National Institute of Health. 1985;22:383-98.