원저 : 응급실에 내원한 폐결핵환자에서 행려환자와 일반환자와의 임상적 비교
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의약학 > 외과학
저자
박관진 ( Kwan Jin Park ) , 신상도 ( Sang Do Shin ) , 박창배 ( Chang Bae Park ) , 홍기정 ( Ki Jeong Hong ) , 신종환 ( Jong Hwan Shin ) , 송경준 ( Kyoung Jun Song ) , 김유진 ( Yu Jin Kim ) , 정진희 ( Jin Hee Jeong ) , 강창우 ( Chang Woo Kang )
발행기관
대한응급의학회
간행물정보
대한응급의학회지 2012년, 제23권 제6호, 847~852페이지(총6페이지)
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18402541.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Purpose: We compared characteristics and outcomes of pulmonary tuberculosis in homeless and non-homeless patients. Methods: A retrospective, cross-sectional study was conducted in a Seoul municipal medical center between January 2007 and December 2011. All adult patients diagnosed with pulmonary tuberculosis were included. We classified these patients into homeless and non-homeless and compared the disease characteristics, risk factors, mortality, treatment completion rate, and resistance rate. Results: All 157 patients were diagnosed with pulmonary tuberculosis (75 homeless and 82 non-homeless). Most homeless patients were male (97.3%) and had higher emergency medical service (EMS) use (77.3%). Additionally, most homeless patients used alcohol l(76%) and smoked (77.3%). When compared with the non-homeless group, the homeless group had a higher in-hospital mortality rate (14.7%; adjusted odds ratio (OR), 4.69; 95% confident interval (CI), 1.03-21.34), and were more likely to be admitted for (adjusted OR=3.27(1.07-9.97)), but not to complete tuberculosis treatment (adjusted OR=9.10(2.24-36.98)). Conclusion: Pulmonary tuberculosis showed higher mortality in homeless than non-homeless patients. Additionally, homeless had a lower treatment completion rate and fewer resistant microorganisms.
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