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한의과대학 한방병원 한방응급실에 내원한 환자에 대한 후향적 임상 분석

A Retrospective Clinical Study of Patients who visited the Emergency Room of Korean Medicine Hospital affiliated with the Korean Medical School

  • 봉성민 (동국대학교 일산한방병원 침구과) ;
  • 장우석 (동국대학교 일산한방병원 침구과) ;
  • 김경호 (동국대학교 일산한방병원 침구과)
  • Bong, Sung Min (Department of Acupuncture & Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Jang, Woo Seok (Department of Acupuncture & Moxibustion, Dongguk University Ilsan Oriental Hospital) ;
  • Kim, Kyung Ho (Department of Acupuncture & Moxibustion, Dongguk University Ilsan Oriental Hospital)
  • 투고 : 2020.04.17
  • 심사 : 2020.05.21
  • 발행 : 2020.06.01

초록

Objectives: The purpose of this study was to identify the characteristics of patients who visited the emergency room (ER) of a Korean medicine (KM) hospital and to provide basic data for further research. Methods: We conducted a retrospective analysis using electronic medical records of 263 patients who visited the ER of OO University Oriental Hospital from January 1 to December 31, 2019. Results: Of the 263 patients' medical records, 245 were included in this analysis. The male-to-female ratio was 1.09:1. The average age was 52 years, with patients in their 40s having the largest distribution. The district where the hospital was located had the largest number of patients. The distribution by visit time was the lowest in the early morning. Most patients visited on Sunday, in September, and on the day of onset. The admission rate was 39.18%, and largest number of patients was admitted to the Department of Acupuncture and Moxibustion. The percentage of patients who revisited the KM hospital as an outpatient were 26.17%. The diagnosis for most patients was musculoskeletal disease. Acupuncture was the most common treatment, accounting for 62.45% of the cases, followed by herbal medicines, accounting for 54.69% of the cases. National health insurance was the most common type of insurance registered. Most patients visited the ER of the KM hospital via the ER of the hospital. Conclusions: This clinical analysis helped us identify the characteristics of patients visiting the ER of a KM hospital. Continuous data accumulation is required in relation to this for further studies.

키워드

참고문헌

  1. Korean Consumer Agency. Problems and Improvement Plans of Emergency Room in Hospital. Korean Consumer Agency Investigation Report. 2012:1-56.
  2. National Emergency Medical Center. Emergency Medical Statistics for 2018. Seoul:National Emergency Medical Center. 2018:1-569.
  3. Chung SH, Yoon HD, Na BJ. Characteristics of non-emergent patients at emergency departments. Korean J Health Policy Adm. 2006;16(4):128-46. https://doi.org/10.4332/KJHPA.2006.16.4.128
  4. Lee YK, Kim KH, Moon WJ. A Study on the Status and Improvement of Hospital Emergency Room. Korean Institute of Hospital Management Research Report. 2002:1-56.
  5. Wang X, Chen T, Liu Q. A review on Huangdi Neijing's contribution to critical disease management in TCM emergency discipline. J Beijing Univ Tradit Chin Med. 2018;41(2):93-6.
  6. Ryu HR, Kim YJ, Kim YK, Kim KM. A Study of Patients Who Visited the Emergency Department at a Korean Medical Hospital: A Retrospective Chart Review. J Int Korean Med. 2018;39(3)350-62. https://doi.org/10.22246/jikm.2018.39.3.350
  7. He J, Hou XY, The potential contributions of traditional Chinese medicine to emergency medicine. World J Emerg Med. 2013;4(2):92-7. https://doi.org/10.5847/wjem.j.issn.1920-8642.2013.02.002
  8. Kim HY, Han YR, Lee HB, Yang GY, Chae H. Systematic Review of Traditional Korean Emergency Medicine. The Acupuncture. 2016;33(2):117-33.
  9. Kwon MS, Kim JH, Jo DH, Choi JE, Han JS, Lee SM, et al. A Retrospective Clinical Analysis of 1,485 Patients Who Visited the Emergency Room of Korean Medical Hospital with Musculoskeletal Disorders. The Acupuncture. 2015;32(3):95-105. https://doi.org/10.13045/acupunct.2015042
  10. So HJ, Ryu JH, Kim YC, Lee BJ. Clinical Analysis of Patients Who Visited the Emergency Room of an Oriental Medical Center. J Korean Oriental Med. 2007;28(3):197-206.
  11. Park SC, Jin SY, Lee SK, Mun SW. The Statistical Study of 1,278 Patients Visited Oriental Medical Hospital Emergency Room. J Oriental Rehab Med.2002;12(1):173-86.
  12. Ahn JL, Cha SC, Kim CG, Lee IS. The Statistical Study of 2,485 Patients Visited Oriental Medical Hospital Emergency Room. J Oriental Rehab Med.2002;12(4):1-10.
  13. Yoon DR, Lee JS, Noh HI, Yi SR, Ryu JH. Single Hospital-based Clinical Analysis of 1,119 Patients visited Oriental Medical Hospital Emergency Room. J Int Korean Med. 2012;33(2)188-96.
  14. Kim HO, Kang HS, Gang MJ, Ma YH, Shin HS. A Clinical Study of The Patients Who Visited the Emergency Room. J Int Korean Med. 2014;89-95.
  15. Lee BR, Hwang SW, Park SM, Kim HJ. Analysis of the Proportion of Patients Who Were Admitted to the Emergency Department of the Tertiary Care Hospital for Primary Care. Korean J Fam Pract. 2019;9(6):527-31. https://doi.org/10.21215/kjfp.2019.9.6.527
  16. Hou XY. Emergency Medicine in China: Michael B eds. Emergency Medicine - An International Perspective. IntechOpen. 2012:73-94.
  17. NIKOM. 2017 Survey on the use of Korean Medicine and the consumption of Korean Medical Herbal Medicine. NIKOM. 2018:1-279.
  18. Kim OJ, Cho SH. A Clinical Analysis on the Patients of Orient-Medical Therapies in Emergency Department. J Korean Soc Emerg Med. 1997;8(4):553-8.
  19. Jung HS, Cho JH, Lee HE, Lee H, Kim ES, Han KW, et al. Clinical Analysis of Musculoskeletal Patients Who Visited the Emergency Room of an Oriental Medicine Hospital. J Korea CHUNA Manual Med Spine Nerves. 2009;4(2):75-83.
  20. Jung HS, Lee H, Kim SJ, Kim ES, Han KW, Woo JH, et al. Clinical Analysis of 1,472 Musculoskeletal Patients Who Visited Emergency Room of Oriental Medicine Hospital. J Korean Acupuncture & Moxibustion Soc. 2010;27(5):97-104.
  21. Oh IH, Yoon SJ, Park M, An S. Disease -specific differences in the use of traditional Korean medicine in Korea. BMC Complement Altern Med. 2015;15:141. https://doi.org/10.1186/s12906-015-0657-9
  22. Lee JC, Ahn BK. Factors Associated With Multiple Emergency Department Visits: Focused on General Hospital Level Regional Emergency Medical Center. Korean Public Health Research. 2018;44(3):129-46. https://doi.org/10.22900/KPHR.2018.44.3.009