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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Objective: The number of elderly people visiting emergency rooms is rapidly increasing. Fever is one of the common complaints of patients who come to the emergency room, and it is often difficult to determine its cause in elderly patients only through basic examinations and tests. This study sought to verify the relationship between computed tomography and emergency department revisits of febrile elderly patients.
Methods: This study is a retrospective medical record analysis study. Patients who came to our emergency room between September 2016 and September 2019, aged 65 years or more, and with body temperature higher than 37.8 C at the time of presentation or during their stay in the emergency room were enrolled. Patient age, sex, vital signs at triage, laboratory tests, whether computed tomography (CT) was conducted or not were analyzed. The primary outcome was set as revisits to the emergency department within 72 hours after discharge, due to any reason.
Results: Three thousand two hundred and forty patients were enrolled and of these 289 patients revisited the emergency department (ED). In the revisit (-) group, CT was performed on 44.09% of patients and 54.67% of patients in the revisit (+) group thus showing a statically significant difference.
Conclusion: This study showed that in elderly patients with fever presenting to the ED, patients who underwent a CT had 1.558 higher odds of revisit to the ED compared to patients who did not undergo a CT. From this result, it should be considered that the decision to discharge the febrile elderly patients based on the results of CT examination may not be appropriate.
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등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Lowthian J / 2016 / Unplanned early return to the emergency department by older patients : the Safe Elderly Emergency Department Discharge(SEED)project / Age Ageing 45:255~261
Naughton C / 2010 / The role of health and non-health-related factors in repeat emergency department visits in an elderly urban population / Emerg Med J 27:683~687
Pines JM / 2013 / National trends in emergency department use, care patterns, and quality of care of older adults in the United States / J Am Geriatr Soc 61:12~17
Wester AL / 2013 / Age-related differences in symptoms, diagnosis and prognosis of bacteremia / BMC Infect Dis 13:346
Walls RM / 2017 / Rosen’s emergency medicine: concepts and clinical practice / Elsevier Health Sciences
Naughton C / 2010 / The role of health and non-health-related factors in repeat emergency department visits in an elderly urban population / Emerg Med J 27:683~687
Pines JM / 2013 / National trends in emergency department use, care patterns, and quality of care of older adults in the United States / J Am Geriatr Soc 61:12~17
Wester AL / 2013 / Age-related differences in symptoms, diagnosis and prognosis of bacteremia / BMC Infect Dis 13:346
Walls RM / 2017 / Rosen’s emergency medicine: concepts and clinical practice / Elsevier Health Sciences
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