KMID : 0385920210320010089
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Journal of the Korean Society of Emergency Medicine 2021 Volume.32 No. 1 p.89 ~ p.101
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Characteristics analysis of patients being re-transferred among patients who transferred to emergency medical center
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Han Kap-Su
Jeong Jin-Woo Kang Hyung-Goo Kim Won-Young Kim Su-Jin Lee Sung-Woo
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Abstract
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Objective: This study investigates the characteristics of patients who were re-transferred from other hospitals to regional or local emergency medical centers.
Methods: Data from 2016 to 2017 was obtained from the National Emergency Department Information System (NEDIS).
The study population was classified as ¡®transferred group¡¯ and ¡®direct visit group.¡¯ The transferred group was further subdivided into the ¡®re-transfer group¡¯ (patients transferred out to another hospital) and ¡®single transfer group¡¯ (patients not transferred out). Multiple logistic regression analysis was performed to identify factors associated with re-transfer.
Results: The re-transfer rate (3.7%) of the ¡®transferred group¡¯ was higher than the transfer rate (1.3%) of the ¡®direct visit group¡¯. Multiple regression analysis revealed that older age, male (adjusted odds ratio [aOR], 1.082; 95% confidence interval [CI], 1.606-1.105), medical aid (aOR, 1.231; 95% CI, 1.191-1.105), injury origin (aOR, 1.063; 95% CI, 1.006- 1.122), and Korean Triage and Acuity Scale level 1 or 2 (aOR, 1.214; 95% CI, 1.182-1.247), are associated with re-transfer.
The Korean Standard Classification of Diseases group having the highest re-transfer rate was determined to be the neoplasm disease group.
Conclusion: Data from the current study reveals that factors associated with an increased likelihood of re-transfer were high severity, old age, medical aid, and neoplasm diagnosis. Considering these characteristics of re-transferred patients, it is necessary to improve the transfer system to reduce re-transfers. However, further research is required, including the reasons for the transfer.
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KEYWORD
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Patient transfer, Characteristic, Diagnosis
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