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논문 기본 정보

자료유형
학술저널
저자정보
저널정보
대한의료정보학회 Healthcare Informatics Research Healthcare Informatics Research 제19권 제4호
발행연도
2013.1
수록면
278 - 285 (8page)

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Objectives: This study considered whether there could be a change of mortality and length of stay as a result of inter-hospital transfer, clinical department, and size of hospital for patients with organophosphates and carbamates poisoning via National Patients Sample data of the year 2009, which was obtained from Health Insurance Review and Assessment Services (HIRA). The utility and representativeness of the HIRA data as the source of prognosis analysis in poisoned patients were also evaluated. Methods: Organophosphate and carbamate poisoned patients’ mortality and length of stay were analyzed in relation to the initial and final treating hospitals and departments, as well as the presence of inter-hospital transfers. Results: Among a total of 146 cases, there were 17 mortality cases, and the mean age was 56.8 ± 19.2 years. The median length of stay was 6 days. There was no inter-hospital or inter-departmental difference in length of stay. However, it significantly increased when inter-hospital transfer occurred (transferred 11 days vs. non-transferred 6 days; p = 0.037). Overall mortality rate was 11.6%. The mortality rate significantly increased when inter-hospital transfer occurred (transferred 23.5% vs. non-transferred 7.0%; p = 0.047), but there was no statistical difference in mortality on inter-hospital and inter-department comparison at the initial treating facility. However, at the final treating facility, there was a significant difference between tertiary and general hospitals (5.1% for tertiary hospitals and 17.3% for general hospitals; p = 0.024), although there was no significant inter-departmental difference. Conclusions: We demonstrated that hospital, clinical department, length of stay, and mortality could be analyzed using insurance claim data of a specific disease group. Our results also indicated that length of stay and mortality according to inter-hospital transfer could be analyzed, which was previously unknown.
#Pesticides #Insecticides #Poisoning #Mortality #Hospital Admitting Department

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참고문헌 (23)

참고문헌 신청
Bertolote JM / 2006 / Deaths from pesticide poisoning: a global response / Br J Psychiatry 189 : 201 ~ 203 google schola Choi OK / 1995 / Acute drug intoxication in ED of urban area / J Korean Soc Emerg Med 6 (2) : 324 ~ 329 google schola Eddleston M / 2000 / Patterns and problems of deliberate self-poisoning in the developing world / QJM 93 (11) : 715 ~ 731 google schola Eddleston M / 2004 / Self poisoning with pesticides / BMJ 328 (7430) : 42 ~ 44 google schola Etxebarria MJ / 1998 / Prospective application of risk scores in the interhospital transport of patients / Eur J Emerg Med 5 (1) : 13 ~ 17 google schola

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