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交通伤患者韩国医疗保健利用的特点:对 3 家医院电子健康记录数据库的分析。

Characteristics of Korean medical care utilization in patients with traffic injury: Analysis of 3 hospital electronic health record databases.

机构信息

Department of Korean Medicine, Graduate School, Pusan National University, Yangsan, Gyeongnam, Republic of Korea.

College of Korean Medicine, Dongshin University, Naju, Jeonnam, Republic of Korea.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38495. doi: 10.1097/MD.0000000000038495.

Abstract

This retrospective study aimed to identify the characteristics of Korean medical care utilization in patients with traffic injury (TI) and to explore the clinical effectiveness of Korean medical interventions for TI through a multicenter chart review. This multicenter, retrospective registry study gathered electronic health records from 3 hospitals between January 1, 2018 and December 31, 2021. Data included treatment dates, demographic information, the Korean Standard Classification of Diseases codes, collision data, Korean medicine treatment modalities, and treatment outcomes. In total, 384 patients (182 inpatients and 202 outpatients) were included in the analysis. Patients were categorized into acute (207 patients, 53.9%), subacute (77 patients, 20.1%), and chronic (100 patients, 26.0%) phases based on the period until the visit. The most frequent Korean Standard Classification of Diseases code was "sprain and strain of cervical spine (S13.4)." All patients, except one, received Korean physiotherapy, followed by acupuncture and cupping. Comparative intragroup analysis revealed significant pain reduction in patients treated with the combination of Chuna manual therapy, herbal medicine, and pharmacopuncture and those treated with pharmacopuncture and herbal medicine only. This study highlights the characteristics of patients with TI visiting medical institutions providing Korean medicine and describes the effectiveness of Korean medicine interventions. Further comprehensive analysis with more data is necessary for future research.

摘要

本回顾性研究旨在通过多中心病历回顾,确定交通事故损伤(TI)患者的韩国医疗保健利用特点,并探讨韩国医学干预措施对 TI 的临床疗效。这项多中心回顾性注册研究收集了 3 家医院 2018 年 1 月 1 日至 2021 年 12 月 31 日期间的电子健康记录。数据包括治疗日期、人口统计学信息、韩国疾病分类标准代码、碰撞数据、韩国医学治疗方式和治疗结果。共纳入 384 例患者(182 例住院患者和 202 例门诊患者)进行分析。根据就诊前的时间,患者分为急性(207 例,53.9%)、亚急性(77 例,20.1%)和慢性(100 例,26.0%)期。最常见的韩国疾病分类标准代码是“颈脊椎扭伤和拉伤(S13.4)”。除 1 例患者外,所有患者均接受了韩国物理疗法,其次是针灸和拔罐。组内比较分析显示,接受 Chuna 手法治疗、草药和药针联合治疗以及仅接受药针和草药治疗的患者疼痛明显减轻。本研究强调了到提供韩国医学的医疗机构就诊的 TI 患者的特点,并描述了韩国医学干预措施的疗效。未来研究需要进一步进行更全面的分析并增加更多数据。

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