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KMID : 0353019750120020229
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Korean Journal of Public Health
1975 Volume.12 No. 2 p.229 ~ p.243
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A Study on General and Behavioral Characteristics of Patients Visited a Hospital Emergency Room
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Abstract
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School of Public Health, Seoul National University
(Directed by Associate Professor Joung Soon Kim)
This study was carried out on 6,131 patients who visited emergency room of a Hospital in Seoul city during one year from the March of 1973 to the February of 1974. The study was based on emergency room medical records, discharge note of admission charts, and interview survey on randomly sampled 189 patients. Through data analysis it was attempted to show seasonal fluctuation of the E.R. visit, disposition after the emergency care, distributions by medical specialty, frequency and distribution of diseases by season and age groups, outcome of the patients admitted, and the degree of agreement between the tentative diagnosis made in E.R. and final diagnosis on discharge by specialty.
The result obtained are as follows:
1. The most of the patients (34.9%) were adults, 30∼59 years of age and 27.5% were primary school graduates, 19.6% high school, and 13.7% college graduates, which indicates a little higher educational level than general population.
2. The reason why they visited this particular hospital was mostly because of its reputation being a good hospital (45.8%), and 25.8% of the patients were sent by their doctors; 81.0% of the patients visited this particular hospital had attended or been admitted to other hospitals or doctors clinic once or twice for the same health problem before they came to the emergency room.
3. More than half(50.9%) of the patients were discahrged to home after emergency care and 40.7% were admitted to the hospital; there was no difference by sex, however, the proportion admitted among emergency patients was higher in autumn and winter when compared with spring and summer.
4. 40.8% of the patients visiting the emergency room came for the diseases of internal medicine, 17.2% of pediatrics, 10.1% of general surgery, and 8.8% of neurosurgery.
5. Infectious diseases were the most frequent during spring and summer for children of 0∼7 years old, and neuro-psychiatric diseases showed high frequency among female adults(20∼30 years of age) in spring and summer. However the distribution of cerebrovascular diseases, nervous sense organ diseases, diseases of digestive system and accidents showed no seasonal variation; The frequency of cerebrovascular diseases was high in the age group over 50 years old, diseases of digestive system in 20∼50 years old age group, 15∼30 years.
6. In the study of agreement between tentative diagnosis made in E.R. and final diagnosis on discharge, the over all agreement was in 47% with the highest agreement rate 50.2% for general surgery.
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