원저 : 어지럼을 주소로 응급실에 내원한 환자에서 응급실 비디오 안진 검사의 도입의 효과
분야
의약학 > 외과학
저자
김태균 ( Tae Gyun Kim ) , 신상도 ( Sang Do Shin ) , 박창배 ( Chang Bae Park ) , 곽영호 ( Young Ho Kwak ) , 김주영 ( Joo Yeong Kim ) , 장지연 ( Ji Yeon Jang ) , 홍원표 ( Won Pyo Hong ) , 하소영 ( So Young Ha ) , 강창우 ( Chang Woo Kang )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2012년, 제23권 제6호, 799~810페이지(총12페이지)
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18402535.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: We evaluated the effects of emergency department (ED)-based video-nystagmography (VNG) testing on consultation with other departments and length of ED stay of patients with dizziness. Methods: A before-and-after study was performed at a tertiary ED from May 13, 2011 to May 12, 2012. Adult patients (age≥15 years) with dizziness were enrolled, excluding patients with incomplete information. We defined the before- and after-phase according to implanting of the EDbased VNG test. The VNG test was performed by an internship physician supervised by 2nd or 3rd grade emergency medicine residents. Primary outcome was any consultation to other specialty departments and the secondary outcome was the length of stay at the ED. The adjusted odds ratios (ORs) with 95% confidence interval (95% CI) for outcomes by phase were estimated using multivariate logistic regression analysis adjusting for potential co-variates. Results: Of 1,485 eligible patients, 1,449 patients (male: 37.0%, mean age: 59.2±15.5 years) were enrolled (415 in the before-phase and 1,034 in the after-phase). The final diagnosis group was stroke (4.8%), peripheral vestibulopathy (44.9%), other specific disease (29.0%), and non-diagnostic symptom (21.4%). The consultation request was more reduced in the after-phase (38.1%) than the beforephase (52.5%). The LOS was not changed between both phases (7.4±7.5 hours versus 7.4±7.3 hours, p=0.76). The adjusted OR (95% CI) for the consultation of after-phase compared to before-phase was 0.46(0.35, 0.61), while the adjusted OR (95% CI) for LOS was 1.39(0.99, 1.95). Conclusion: Implementation of ED-based VNG test significantly reduced the consultation with other specialty departments, while LOS was not affected.
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