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J Korean Soc Emerg Med > Volume 32(1); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(1): 69-76.
신경학적 증상이 없는 어지럼증에 대한 한국형 중증도 분류체계의 적절성
손승우, 민문기 , 류지호, 이대섭, 이민지, 천모세, 현태규, 왕일재, 한상균
부산대학교 의학대학 응급의학교실
Appropriateness of Korean Triage and Acuity Scale-based triage system for dizziness without neurologic symptoms
Seung Woo Son, Mun Ki Min , Ji Ho Ryu, Daesup Lee, Min Jee Lee, Mose Chun, Tae Gyu Hyun, Il Jae Wang, Sang Kyun Han
Department of Emergency Medicine, Pusan National University School of Medicine, Busan, Korea
Correspondence  Mun Ki Min ,Tel: 055-360-2143, Fax: 055-360-2173, Email: minmk99@pusan.ac.kr,
Received: May 18, 2020; Revised: July 16, 2020   Accepted: August 10, 2020.  Published online: February 26, 2021.
ABSTRACT
Objective:
This study aimed to identify the appropriateness of the Korean Triage and Acuity Scale (KTAS) for dizziness without neurological symptoms, which was level 3.
Method:
Using the registry of the National Emergency Department Information System (NEDIS), data regarding consecutive emergency patients from January 2016 to July 2018, who were aged 15 years and older, were reviewed retrospectively. The data were classified using KTAS and Dizziness KTAS level 3 were compared with non-dizziness KTAS level 3 including age, total admission rate, intensive care unit (ICU) admission rate, discharge rate, hospital cost, and length of stay in the emergency department (length of stay [LOS]).
Results:
Of the 76,153 emergency patients, 345 (0.5%) had a KTAS level 1, 4,593 (6.0%) had a KTAS level 2, 21,561 (28.3%) had a KTAS level 3, 45,390 (59.6%) had a KTAS level 4, and 4,264 (5.6%) had a KTAS level 5. As the patient’s triage score decreased, the total admission rate, ICU admission rate, hospital cost, and LOS decreased. Patients discharged to home also had the same result. Dizziness KTAS level 3 had a significantly lower rate of total admission (23% vs. 56.2%, P<0.001) and ICU admission (0.9% vs. 6.2%, P<0.001) compared with non-dizziness KTAS level 3. On the other hand, the hospital cost and LOS were higher when patients were discharged to their home. The predictors of the admission rate of dizziness KTAS level 3 were the transportation method using a private ambulance service and older age, but older age was only slightly associated.
Conclusion:
This study showed that KTAS level 3 for dizziness needs to be adjusted because of lower severity than other level 3. Old age and the transportation method should be considered factors.
Key words: Korean Triage and Acuity Scale; Dizziness; Triage; Emergency department
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