Division of General Internal Medicine, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.
Hospital Medicine Center, Seoul National University Bundang Hospital, Seongnam, Korea.
J Korean Med Sci. 2017 Dec;32(12):1917-1920. doi: 10.3346/jkms.2017.32.12.1917.
A hospitalist-run acute medical unit (AMU) opened at a tertiary care hospital on August 2015 for the first time in Korea. Patients visiting the emergency department (ED) with acute medical problems are admitted to the AMU. They stay in that unit for less than 72 hours and are discharged or transferred to specialty wards if longer treatment is necessary. We reviewed 19,450 medical admissions through the ED from January 2014 to September 2016. The median length of stay (LOS) significantly decreased from 10.0 days (interquartile range [IQR], 5.5-16.7) to 9.1 days (IQR, 5.1-15.0) (P < 0.001) after the establishment of the AMU. The median waiting time in the ED significantly shortened by 40% (P < 0.001). Future studies on the impact of AMU on in-patient morbidity, mortality, re-admission rate, and patient or staff satisfaction are necessary.
韩国一家三级医院于 2015 年 8 月首次开设了由医院内科医生管理的急性内科病房（AMU）。因急性内科问题到急诊就诊的患者被收入 AMU。如果需要更长时间的治疗，他们将在该病房内停留不到 72 小时，并出院或转至专科病房。我们回顾了 2014 年 1 月至 2016 年 9 月期间通过急诊收治的 19450 例住院患者。AMU 成立后，患者的平均住院时间（LOS）从 10.0 天（IQR，5.5-16.7）显著缩短至 9.1 天（IQR，5.1-15.0）（P < 0.001）。急诊的平均等候时间缩短了 40%（P < 0.001）。有必要开展进一步的研究，评估 AMU 对住院患者发病率、死亡率、再入院率以及患者或工作人员满意度的影响。
