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논문 기본 정보

자료유형
학술저널
저자정보
노우식 (인제대학교) 김혜진 (인제대학교)
저널정보
대한응급의학회 대한응급의학회지 대한응급의학회지 제31권 제6호
발행연도
2020.1
수록면
576 - 585 (10page)

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초록· 키워드

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Objective: This study aimed to identify the utility of risk-rescue rating scale (RRRS), a psychological scale, and certain biomarkers in determining the disposition of patients visiting the emergency department (ED) after their suicide attempts. Methods: We retrospectively reviewed the medical records of patients who visited the ED after attempting suicide. The patients were classified into three groups for comparison: the discharged (DC) group, the general ward (GW) admission group, and the intensive care unit (ICU) admission group. Results: This study included 454 patients, with 344 patients in the DC group (75.8%), 63 patients in the GW admission group (13.9%), and 47 patients in the ICU admission group (10.3%). The three groups showed statistically significant differences in age, time of visit, physical status, presumptive diagnosis, the RRRS, mental status, C-reactive protein, neutrophil- lymphocyte ratio (NLR), and systemic immune inflammation index. Multivariate logistic regression analysis showed that predictors of the GW admission included the time of visit, mental status, and the RRRS. A receiver operating characteristic curve analysis of RRRS for the decision to admit to GW and ICU showed a cut-off value of 36.5 and 44.5, respectively. However, no inflammatory biomarkers were identified as factors predicting GW and ICU admissions. Conclusion: The RRRS is useful in determining the disposition of patients who visited the ED after suicide attempts.

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