Kim June-Sung, Seo Dong Woo, Kim Youn-Jung, Hong Seok In, Kang Hyunggoo, Kim Su Jin, Han Kap Su, Lee Sung Woo, Moon Sungwoo, Kim Won Young
Department of Emergency Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Korea.
Department of Emergency Medicine, Hanyang University College of Medicine, Seoul 04763, Korea.
J Clin Med. 2021 Apr 17;10(8):1747. doi: 10.3390/jcm10081747.
(1) Background: The emergency department provides lifesaving treatment and has become an entry point to hospital admission. The purpose of our study was to describe the characteristics and outcomes of patients who were admitted through the emergency department to the intensive care unit or general ward. (2) Methods: We performed a retrospective, cross-sectional, descriptive analysis using the National Emergency Department Information System, analyzing patient data including disease category, diagnosis, and mortality from 1 January 2016, to 31 December 2018. (3) Results: During the study period, about 13.6% were admitted through the emergency department. Of these, the overall in-hospital mortality was 4.6%. The frequent disease class for the intensive care unit admissions was the cardiovascular system, and the classes for the general ward admissions were as follows: injury and toxicology, digestive system, and respiratory system. Cardiovascular system-related emergencies were the predominant cause of death among patients admitted to the intensive care unit; however, oncologic complications were the leading cause of death in the general ward. (4) Conclusions: Emergency departments are incrementally utilized as the entry point for hospital admission. Health care providers need to understand emergency department admission epidemiology and prepare for managing patients with certain common diagnoses.
(1) 背景：急诊科提供挽救生命的治疗，已成为医院住院的入口。我们研究的目的是描述通过急诊科收治到重症监护病房或普通病房的患者的特征和结局。(2) 方法：我们使用国家急诊科信息系统进行了一项回顾性、横断面描述性分析，分析了2016年1月1日至2018年12月31日期间的患者数据，包括疾病类别、诊断和死亡率。(3) 结果：在研究期间，约13.6%的患者通过急诊科收治。其中，院内总死亡率为4.6%。重症监护病房收治患者中常见的疾病类别是心血管系统，普通病房收治患者的疾病类别如下：损伤与毒理学、消化系统和呼吸系统。心血管系统相关急症是重症监护病房收治患者死亡的主要原因；然而，肿瘤并发症是普通病房患者死亡的主要原因。(4) 结论：急诊科越来越多地被用作医院住院的入口。医疗保健提供者需要了解急诊科收治的流行病学情况，并为管理某些常见诊断的患者做好准备。
