지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 12 - 17 (6page)
- DOI
- https://doi.org/10.22470/pemj.2017.00038
이용수
초록· 키워드
오류제보하기
Purpose
To investigate the factors associated with discharge of children from the emergency department (ED) after interfacility transfer.
Methods
We reviewed consecutive children who visited the ED via interfacility transfer from January 2014 to December 2015. The children were divided into two groups according to whether they were discharged from the ED or not (the discharge and admission groups), and their characteristics were compared. Multivariable logistic regression analysis was performed to identify the factors associated with discharge of children from the ED after interfacility transfer.
Results
Of the 999 transferred children, 426 (42.6%) were discharged. Compared to the admission group, these children showed older age, more frequent transfers from clinics and arrivals between 16 h and 20 h, shorter stay in the ED, and less frequent surgical abdomen. We found that age (3 to 6 years; adjusted odds ratio [OR], 1.8; 95% confidence interval [CI], 1.3-2.6, compared with 0 to 2 years), diagnosis (trauma; OR, 2.4; 95% CI, 1.5-4.0, compared with gastrointestinal diseases), and referring hospital (primary clinic; OR, 5.4; 95% CI, 3.1-9.4, compared with tertiary hospitals) were the factors.
Conclusion
The children who aged 3 to 6 years, had trauma or underwent transfers from primary clinics were more likely to be discharged at the ED. Considering these factors, we should reduce unnecessary transfers.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Bourgeois FT / 2007 / Emergency care for children in pediatric and general emergency departments / Pediatr Emerg Care 23:94~102
United States / 2008 / Pediatric emergency department visits in community hospitals from selected states / Agency for Health Care Policy and Research :1~12
Noh H / 2015 / Comparisons of Pediatric patients who visited to the pediatric emergency department and the general emergency department / Pediatr Emerg Med J 2:29~34
Gattu RK / 2017 / Consideration of cost of care in pediatric emergency transfer: an opportunity for improvement / Pediatr Emerg Care 33:334~338
Alessandrini EA / 2010 / A new diagnosis grouping system for child emergency department visits / Acad Emerg Med 17:204~213
United States / 2008 / Pediatric emergency department visits in community hospitals from selected states / Agency for Health Care Policy and Research :1~12
Noh H / 2015 / Comparisons of Pediatric patients who visited to the pediatric emergency department and the general emergency department / Pediatr Emerg Med J 2:29~34
Gattu RK / 2017 / Consideration of cost of care in pediatric emergency transfer: an opportunity for improvement / Pediatr Emerg Care 33:334~338
Alessandrini EA / 2010 / A new diagnosis grouping system for child emergency department visits / Acad Emerg Med 17:204~213
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