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KMID : 0378019730160020116
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New Medical Journal
1973 Volume.16 No. 2 p.116 ~ p.120
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Analysis of the Interdepartmental Consultation
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Abstract
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One hundred cases of the written interdepartmental Consultations were received during March 1971 to July 1972 and were analyzed.
There were 85 elective surgical cases and 15 emergency cases. The analysis are as follows; 1. In age group, 81% was over 21 years old which include 21 % of the over 61 years old. 2. In sex group, male was 44% and female was 56%.
3. The ratio of the consultation was 2.9% of total 3470 operation cases and the number of received every month consultation was average 6 cases.
4. Major number of the departmental consultation were received 32% from the orthopedic department,
27% from the general surgery department, and 23% from the gynecology & obstetric department.
These three major depaLLuental consultations were 82% of the total number. 5. In preoperative diagnosis, there were around 50 diseases.
6. Problems of the consultations were 155 varieties. 45.2% of the consulted problem were cardiovas￢cular ones, including ECG abnormality (11.6%) and hypertension (11.6%). 23.8% of the consulted problem was endocrinological & metabolic, in which 9% were fluid balance. Next was Pulmonary dysfunction (17.4%), they include advanced pulmonary tuberculosis (11%), asthma (3.2%) and others. It suggested us that in postgraduate education, more knowledge of the cardiovascular prob￢lems than respiratory were demanded.
7. 5.8% of the consulted problems were nonspecific ones which were beyond the character of the consultation.
8. 6% was internal departmental consultation, in which only 3% was pain control and therapeutic
block. It suggested us that pain clinic in our country was less demanded.
9. In one hundred preoperative consultations, there was only one postoperative consultation.
10. Through this study, the anesthesiologists are requested to have much broad medical knowledge to
keep their high standard of speciality.
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KEYWORD
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