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논문 기본 정보

자료유형
학술저널
저자정보
정화윤 (서울대학교병원 응급의학과) 박정호 (서울대학교병원 응급의학과) 김기홍 (서울대학교병원 응급의학과) 이선영 (서울대학교병원 의생명연구원 응급의료연구실) 노영선 (서울대학교병원 응급의학과) 송경준 (서울대학교병원 의생명연구원 응급의료연구실) 신상도 (서울대학교병원 응급의학과)
저널정보
대한응급의학회 대한응급의학회지 대한응급의학회지 제34권 제1호
발행연도
2023.2
수록면
10 - 19 (10page)

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초록· 키워드

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Objective: This study aimed to investigate the association between the change in the National Early Warning Score (NEWS) before and after interhospital transport and the survival of critically ill patients transported by critical care transport. Methods: A retrospective analysis of SMICU (Seoul Mobile Intensive Care Unit) transfer records and the National Emergency Department Information System (NEDIS) was conducted. Adult patients who used SMICU from 2016 to 2018 were included. Trauma patients and post-cardiac arrest patients were excluded. The NEWS before departure from the transferring hospital and the NEWS before the arrival at the receiving hospital were extracted, and the difference between both NEWS ( NEWS) was calculated. The NEWS was categorized into three groups: -2 or less, -1 to 1, and 2 or more. The primary outcome was 24-hour post-transport mortality. Multivariable logistic regression was applied to calculate the adjusted odds ratio (AOR) and 95% confidence interval (CI) for the outcomes. Results: Of the total number of 1,837 patients, 1,065 patients were included. NEWS were -2 or less in 131 (12.3%), -1 to 1 in 805 (75.6%), and 2 or more in 129 (12.1%) of the patients. The 24-hour mortality rate was 3.1%, 2.9%, and 7.0% in the NEWS≤-2, -1≤ NEWS≤1, and NEWS≥2 groups, respectively. Relative to -1≤ NEWS≤1, the AORs for the 24-hour mortality were 1.11 (95% CI, 0.38-3.29) in NEWS≤-2 and 2.56 (95% CI, 1.15-5.70) in NEWS≥2. Conclusion: The changes in NEWS in critical care interhospital transport are associated with patient prognosis.

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