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KMID : 0374919920130040479
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Inje Medical Journal
1992 Volume.13 No. 4 p.479 ~ p.488
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A Clinical Study in Neuropsychiatric Patients Admitted Via the Emergency Room
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Abstract
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The authors investigated the clinical characteristics of 170 neuropsychiatric patients admitted to Seoul Paik Hospital via the E.R. from January 1, 1987 to Decemenber 31. 1989.
@ES The results were as follows:
@EN 1. The proportion of patients admitted via the E.R. was 23.7% of total neuropsychiatric admissions.
2. The readmission proportin of patients admitted via the E.R. was 32.4% which was higher than the readmission proportion of 24.7% of patients admitted via the O.P.D
3. The average duration of hospitalization of neuropsychiatric patients admitted via the E.R. was 39.4 days which was shorter than the average duration of 48.6 days for patients admitted via the O.P.D.
4. 53% of the emergency admission patients were in their twenties or thirties in age. Male to female ratio was 1.02:1.
5. 25.9% of the emergency admission patients were diagnosed as shizophrenia, which was the most frequent diagnosis in all patients.
6. 40% of the energency admission patients were discharged within 2 weeks.
7. Presenting porblems, in the order of frequency, were paralysis or numbness of extremities and somatic symptoms, hallucination of paranoid idea, anxiety or panic state. Neurotic symptoms are prominant over psychotic symptoms in chief
complaints.
8. 19.4% of the emergency admission patients were discharged A.M.A. without satisfactory improvement of symptoms.
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