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
- 2013.1
- 수록면
- 1,110 - 1,118 (9page)
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초록· 키워드
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Purpose: The evaluation of syncope is often disorganized and ineffective. The objective of this study was to examine whether implementation of a standardized emergency department (ED) protocol improves the quality of syncope evaluation. Materials and Methods: This study was a prospective, non-randomized study conducted at a 1900-bed, tertiary teaching hospital in South Korea. We compared two specific periods, including a 12-month observation period (control group, January-December 2009) and a 10-month intervention period after the implementation of standardized approaches, comprising risk stratification, hospital order sets and establishment of a syncope observational unit (intervention group, March-December 2010). Primary end points were hospital admission rates and medical costs related to syncope evaluation. Results: A total of 244 patients were enrolled in this study (116 patients in the control group and 128 patients in the intervention group). The admission rate decreased by 8.3% in the intervention group (adjusted odds ratio 0.31, 95% confidence interval 0.13-0.70, p=0.005). There was a cost reduction of about 30% during the intervention period [369000 Korean won (KRW), interquartile range (IQR) 240000-602000 KRW], compared with the control period (542000 KRW, IQR 316000-1185000 KRW). The length of stay in the ED was also reduced in the intervention group (median: 4.6 hours vs. 3.4 hours). Conclusion:Standardized approaches to syncope evaluation reduced hospital admissions, medical costs and length of stay in the overcrowded emergency department of a tertiary teaching hospital in South Korea.
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참고문헌 (22)
참고문헌 신청
Ammirati F / 2000 / Diagnosing syncope in clinical practice. Implementation of a simplified diagnostic algorithm in a multicentre prospective trial-the OESIL 2 study (Osserv
Ammirati F / 2008 / Management of syncope: clinical and economic impact of a Syncope Unit / Europace 10 : 471 ~ 476
Blanc JJ / 2002 / Prospective evaluation and outcome of patients admitted for syncope over a 1 year period / Eur Heart J 23 : 815 ~ 820
Brignole M / 2004 / Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive Summary / Eur Heart J 25 : 2054 ~ 2072
Brignole M / 2006 / Standardized-care pathway vs. usual management of syncope patients presenting as emergencies at general hospitals / Europace 8 : 644 ~ 650
Ammirati F / 2008 / Management of syncope: clinical and economic impact of a Syncope Unit / Europace 10 : 471 ~ 476
Blanc JJ / 2002 / Prospective evaluation and outcome of patients admitted for syncope over a 1 year period / Eur Heart J 23 : 815 ~ 820
Brignole M / 2004 / Guidelines on management (diagnosis and treatment) of syncope-update 2004. Executive Summary / Eur Heart J 25 : 2054 ~ 2072
Brignole M / 2006 / Standardized-care pathway vs. usual management of syncope patients presenting as emergencies at general hospitals / Europace 8 : 644 ~ 650
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