위장염으로 응급실을 내원한 소아의 연령별 특성
Characteristics of Pediatric Stratified by Age Presenting to the Emergency Department with Gastroenteritis
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본 연구는 위장염으로 응급실을 내원한 소아 환자의 연령에 따른 특성을 알아보았다. 2019년 1월1일부터 12월 31일까지의 국가응급진료정보망 자료에서 19세 미만 소아 환자 중 내원사유가 질병이고 퇴실진단이 주진단이면서 위장염에 해당하는 자료 191,035건을 추출하여 분석하였다. 응급실 내원 소아 환자의 주증상은 복통(32.0%)이 가장 많았으나, 0-1세는 구토(44.5%), 2-11세와 12-18세는복통(34.9% vs 39.5%)이 가장 많았다. 환자들의 내원시간은 18-24시(43.9%), 평일야간(42.7%)과 겨울(30.6%)에 많이 방문하는 것으로 나타났다. 중증도 분류에서 0-1세는 중증(51.3%), 2-11세는 경증(63.5%), 12-18세는 경증(63.9%)이 높았으며 응급진료결과는 전 연령대 모두에서 귀가의 비율이 높았고, 입원의 비율은 0-1세에서 가장 높았다. 연령이 낮을수록 응급실 재실시간이 길었으며 방문횟수도 많았다. 결론적으로 본 연구는 위장염으로 응급실에 내원하는 소아 환자들의 연령에 따른 특성에차이가 있는 것으로 나타났다.
Abstract
This study examined the characteristics of pediatric stratified by age who presented to the emergency department (ED) with gastroenteritis. Using the National Emergency Department Information System from January 1 to December 31, 2019, were analyzed for 191,035 cases of gastroenteritis patients aged < 19 years. In the ED, abdominal pain was the most common symptom among pediatrics (32.0%): the proportion of abdominal pain cases among the 2-11 years, and 12-18 years was 34.9% and 39.5%, respectively; vomiting was the most common among infants aged 0-1 years (44.5%). The patient’s visited 18-24 hours (43.9%), weekdays & nights (42.7%) and winter (30.6%) were high. For the triage, the grades were as follows: 0-1 years, severe (51.3%); 2-11 years, mild (63.5%); 12-18 years, mild (63.9%). ED discharge rates were high for all ages, and the hospitalization rate was the highest for those aged 0-1 years. The younger the age, the longer the length of stay and the more frequent the visits. Age-based differences in the characteristics of pediatrics presenting to the ED with gastroenteritis were observed.
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