요양병원에서 응급실로 전입된 노인의 복합만성질환 유무 비교
Comparison of the Presence of Multiple Chronic Diseases Older Adults Transferred from Long-term Care Hospitals to Emergency Departments
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본 연구는 요양병원에서 응급실로 전입된 노인의 복합만성질환 유무에 관한 특성 및 연관성을 분석하였다. 2019년 1월 1일부터 12월 31일까지의 국가응급진료정보망 자료에서 만성질환으로 응급실에 내원한 환자 중 장기요양병원에서 전입된 고령 환자들의 수는 13,608건이었다. 복합만성질환자 중 75세 이상이 79.9%이며, 복합만성질환으로 입원한 비율은 74.0%로 나타났다. 응급실 재실시간은 복합만성질환 유무에 따라 차이가 있었으며(P<0.001), 복합만성질환의 유병률은 응급실 내원환자와 응급실 경유 입원환자의 교차비(Odds ration, OR)에서 광주(OR 8.899 vs. 8.142)와 전북(OR 13.865 vs. 10.676)이 높게 나타났다. 이와 같이 본 연구는 복합만성질환의 유무에 대한 환자들의 특성들이 연령과 지역 등에 따라 서로 다르다는 것을 보여주었다.
Abstract
This study analyzed the characteristics of the presence of multiple chronic diseases (MCDs) in older adults who transferred from long-term care hospitals (LTCHs) to emergency departments (EDs). According to the data from the national emergency department information system from January 1, to December 31, 2019, the number of older adults transferred from LTCHs to the ED due to chronic diseases was 13,608. Among those who MCDs, 79.9% were over 75 years old, and 74.0% were hospitalized for MCDs. The length of stay in the ED differed according to the presence of MCDs (P<0.001). As for the prevalence of MCDs, the odds ratio (OR) of the ED and in the hospitalized patients was high in Gwangju (OR 8.899 vs. 8.142) and Jeonbuk (OR 13.865 vs. 10.676). As described above, the characteristics of patients regarding the presence of MCDs varied according to age and region.
참고문헌 (24)
- "2020 Statistics on the Aged" (2020)[URL]
- Y. K. Lee, "Health and Care of Older Adults in Korea", Health and Welfare Policy Forum, 264, pp.19~30 (2018)
- M. E. Salive, "Multimorbidity in order adults", Epidemiologic Reviews, 35(1), pp.75~83 (2013)[DOI]
- D. C. Roberts, "Increasing rates of emergency department visits for elderly patients in the United States, 1993 to 2003", Annals of Emergency Medicine, 51(6), pp.769~774 (2008)[DOI]
- 김제선, "초고령사회 진입 지방자치단체 노인의 의료비부담과 가구 유형의 영향", 한국콘텐츠학회 논문지, 17(7), pp.610~621 (2017), 한국콘텐츠학회[DOI]
- S. M. Kim, "2019 National Health Insurance Statistical Yearbook" (2019), Health Insurance Review &Assessment Service
- H. Ga, "Establishing the role of nursing hospitals and nursing facilities" (2017), Research Institute for Health Policy
- 황주희, "응급실 이용 노인의 재방문 관련 요인", 디지털콘텐츠학회논문지, 20(12), pp.2555~2563 (2019), 한국디지털콘텐츠학회
- 조한진, "노인요양병원으로부터 응급의료센터로 전원된 환자의 역학적 특징 분석-사례군 연구", 대한응급의학회지, 22(5), pp.531~535 (2011), 대한응급의학회
- A Report on the Korea health panel survey of 2016: Chronic disease, morbidity, health behaviour and health status, "N. S. Kim", Korea Institute for Health and Social Affairs, ~ (2018)
- L. L. Low, "Epidemiologic characteristics of multimorbidity and sociodemographic factors associated with multimorbidity in a rapidly aging Asian country", JAMA Network Open, 2(11) (2019)[DOI]
- 이명화, "만성질환을 동반한 노인 응급환자 추이: 2014-2019", 융합정보논문지, 11(1), pp.183~190 (2021), 중소기업융합학회[DOI]
- M. P. Powell, "National trends in hospital emergency department visits among those with and without multiple chronic conditions, 2007-2012", Hospital topics, 96(10), pp.1~8 (2017)[DOI]
- T. Xia, "Predictors of ED attendance in older patients with chronic disease: a data linkage study", Australian Health Review, 44(4), pp.550~556 (2020)[DOI]
- A. A. Uijen, "Multimorbidity in primary care : Prevalence and trend over the last 20 years", European Journal of General Practice, 14(1), pp.28~32 (2009)[DOI]
- Effectiveness analysis and suggestion for management of multiple chronic diseases pilot project, "S. H. Lee", NHIS Ilsan Hospital Imstitute of Health Insurance & Clinical Research, ~ (2018)
- J. P. Stuttard, "Multimorbidity-a defining challenge for health systems", The Lancet Public Health, 4(12), pp.599~600 (2019)[DOI]
- 김경완, "일 권역응급의료센터를 방문하는요양병원 환자들의 특성 및 사망 위험요인", 지역사회간호학회지, 27(4), pp.327~336 (2016), 한국지역사회간호학회[DOI]
- K. Kim, "Identifying potentially avoidable emergency department visits of long-term care hospital residents in Korea: A multicenter retrospective cohort study", BioMed Research International, 2019(1), pp.1~7 (2019)[DOI]
- S. E. Lemoyne, "Appropriateness of transferring nursing home residents to emergency departments: a systematic review", BMC Geriatrics, 19(1) (2019)[DOI]
- E. G. Marshall, "Improving continuity of care reduces emergency department visits by long-term care residents", The Journal of the American Board of Family Medicine, 29(2), pp.201~208 (2019)[DOI]
- A. Cassell, "The epidemiology of multimorbidity in primary care : a retrospective cohort study", British Journal of General Practice, 68(669), pp.245~251 (2018)[DOI]