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J Korean Soc Emerg Med > Volume 28(6); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(6): 557-563.
일개 어린이병원 응급실에서 시행한 새롭게 개발된 소아 5단계 중증도 분류의 타당도 연구
신진욱1, 이성화2*, 이대섭1, 김형빈2, 조영모2, 배병관2, 왕일재2, 박맹렬1
1양산부산대학교병원 응급의학과
2부산대학교병원 응급의학과
Validity of the Newly Developed Five Level Pediatric Triage System Implemented in a Children’s Hospital Emergency Department
Jin Wook Shin1, Seong Hwa Lee2*, Dae Sup Lee1, Hyung Bin Kim2, Young Mo Jo2, Byung Gwan Bae2, Il Jae Wang2, Maeng Real Park1
1Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
2Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea
Correspondence  Seong Hwa Lee ,Tel: 051-240-7503, Fax: 051-253-6472, Email: 2seonghwa@gmail.com,
Received: May 27, 2017; Revised: June 1, 2017   Accepted: September 11, 2017.  Published online: December 31, 2017.
ABSTRACT
Purpose:
Korean Acuity and Triage Scale (KTAS) has been used nationally since 2016 for triage in emergency departments. After the newly developed triage tool was applied, there have been few studies of the validity of pediatric KTAS. The purpose of this study was to evaluate the validity of KTAS in children under the age of 15 who visited a single children’s hospital.
Method:
This retrospective study was conducted on 7,011 pediatric patients under the age of 15 who visited a single child hospital between January 1 and December 31, 2016, the difference in the admission rate, intensive care unit admission rate, length of stay in the emergency department, and total hospital cost in emergency department were analyzed using the KTAS level.
Results:
The number of patients triaged as KTAS IV was highest with 48.2%. The length of stay was longest in KTAS I and shortest in KTAS V. The medical cost in emergency department was highest in KTAS I and lowest in KTAS V. All dependent variables except for the intensive care unit admission rate showed significant differences according to the KTAS level.
Conclusion:
When the KTAS of the newly developed five level triage system was applied to pediatric patients, there were statistically significant difference in hospitalization, length of stay in emergency department, and total cost to the emergency department according to the KTAS level. Therefore, it will be necessary to evaluate the validity of KTAS through multicenter studies including hospitals with various characteristics.
Key words: Child, Emergencies, Triage
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