|
KMID : 1140520230270030047
|
|
Korean Journal of Emergency Medical Services
2023 Volume.27 No. 3 p.47 ~ p.58
|
|
|
Comparison of the characteristics of patient who cancel after presentation to an emergency department by 119 ambulance
|
|
Kim Yong-Joon
Lee Kyoung-Youl
|
|
|
Abstract
|
|
|
Purpose: The purpose of this study was to analyze the characteristics of patients who canceled their ED visits and to determine the factors that influence ED cancellation.
Methods: Retrospective study that analyzed data from the electronic medical records(EMR) and Prehospital Care Reports(PCRs) of 305 patients who cancelled their appointments at a single emergency medical center over a six-month period from October 12, 2022, to April 12, 2023.
Results: ED cancellations were 2.287 times higher if the patient presented to the ambulance after outpatient hours(09:00∼17:00) (p=.007), and ED cancellations were 3.712 times higher if the patient presented to the ambulance under the influence of alcohol(p=.011). For patients' symptoms, medical diseases were associated with a 1.965 times increase in cancelled ED visits compared to other modes of transport (p=.005), while mental and chronic diseases were associated with a 67.3% decrease in cancelled ED visits compared to other modes of transport (OR=0.327, CI=[0.130-0.822], p=.018). symptomatic improvement was associated with a 2.482 times increase in presentations to a 119 ambulance compared to delayed waiting time(p=.022).
Conclusion: Emergency medical centers should consider improving the legal system, such as increasing emergency medical care fees, to reduce the number of patients who cancel their appointments.
|
|
|
KEYWORD
|
|
|
119 ambulance, Cancellation reception, Emergency department
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|