The Korean Journal of Emergency Medical Services (한국응급구조학회지)

The Korea Society of Emergency Medical Services (한국응급구조학회)
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Analysis of patients retransferred to a tertiary hospital through paramedics

119구급대를 통해 3차 병원으로 재이송된 환자분석

  • Choi, Jun-Won (Department of Emergency Medical Center, Chosun University Hospital) ;
  • Mun, Jun-Young (Department of Emergency Medical Service, Kongju National University) ;
  • Choi, Eun-Sook (Department of Emergency Medical Service, Kongju National University)
  • 최준원 (조선대학교병원 응급의료센터) ;
  • 문준영 (공주대학교 응급구조학과) ;
  • 최은숙 (공주대학교 응급구조학과)
  • Received : 2020.07.04
  • Accepted : 2020.08.14
  • Published : 2020.08.31
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Abstract

Purpose: The study aimed to collect the first aid activity log data of patients who were retransferred through paramedics and to analyze the data in the hospital to improve the plan. Methods: We analyzed 434 retransferred patients, out of the 18,197 patients who visited the emergency medical center in the C area in G metropolitan city, from January 2017 through December 2018. The collected data were analyzed using the SPSS software. Results: The patients were retransferred for various reasons: 17.7% (77 cases) due to the absence of specialists, 15.0% (65 cases) required first aid, and 5.3% (23 cases) due to absence of medical department. In addition, the major medical department with the largest number of retransfer was the department of emergency medicine with 38.2% (166 cases). In the prehospital stage, 38.5% (167 cases) were classified as severe, but in the hospital stage, they were classified as mild. In addition, as a result of hospitalization and discharge, 60.4% (262 cases) were discharged. Conclusion: Most of the retransferred patients were non-emergency patients, and were discharged for mild conditions. The overcrowding in the emergency room of a tertiary hospital can be prevented by reducing the retransmission.

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References

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