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논문 기본 정보

자료유형
학술저널
저자정보
Lee Jeong-Yong (Department of Pediatrics Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Choi Seung Jun (Department of Pediatrics Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Park Jun Sung (Department of Pediatrics Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Lee Jong Seung (Department of Emergency Medicine Asan Medical Center University of Ulsan College of Medicine Seoul) Ryu Jeong-Min (Department of Emergency Medicine Asan Medical Center University of Ulsan College of Medicine Seoul) Yum Mi-Sun (Department of Pediatrics Asan Medical Center University of Ulsan College of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.33
발행연도
2021.8
수록면
1 - 9 (9page)
DOI
10.3346/jkms.2021.36.e213

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Background: Pediatric sedation in the emergency department (ED) is widely performed in Korea; thus exploring the trends of its use is necessary. This study aimed to investigate the characteristics of patients and sedatives use in the ED and verify their changes over recent years. Methods: A nationwide population-based retrospective study was conducted including pediatric patients aged ≤ 15 years who received sedative medication in the ED and were discharged during 2007?2018, using the Korean Health Insurance Review and Assessment Service database. Patient characteristics (age, sex, level of ED, and diagnosis) and type of sedative used were analyzed. Results: Sedation was performed in total 468,221 visits during 2007?2018 (399,320 visits, at least 3.8% of overall ED visits during 2009?2018). Among these, 71.0% were children aged 1?3 years and 93.5% were sedated to support diagnosis of injury. An increase in total sedation was observed in patients aged 4?6 years during the study period (from 13.8% to 21.8%). A gradual decrease in the use of chloral hydrate (CH) compared with an increase in ketamine use was observed (CH, from 70.6% to 28.6%; ketamine, from 23.8% to 60.7%). Therefore, ketamine was the most used sedative since 2014. The most frequently used sedatives over the study period differed according to age groups (CH in <1 year and 1?3 years; ketamine in 4?6 years and 7?10 years; and midazolam in 11?15 years). Conclusions: The characteristics of patients related to sedatives use in the ED have changed over time. These changes should be considered in the development of future Korean guidelines regarding pediatric sedation in the ED.
#Child #Chloral Hydrate #Conscious Sedation #Emergency Service #Hospital #Ketamine

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참고문헌 (21)

참고문헌 신청
Krieser D / 2016 / Paediatric procedural sedation within the emergency department / J Paediatr Child Health 52(2):197~203 google schola Bhatt M / 2017 / Risk factors for adverse events in emergency department procedural sedation for children / JAMA Pediatr 171(10):957~964 google schola Sahyoun C / 2012 / Clinical implications of pharmacokinetics and pharmacodynamics of procedural sedation agents in children / Curr Opin Pediatr 24(2):225~232 google schola Green SM / 2019 / Unscheduled procedural sedation : a multidisciplinary consensus practice guideline / Ann Emerg Med 73(5):e51~e65 google schola Green SM / 2011 / Clinical practice guideline for emergency department ketamine dissociative sedation : 2011 update / Ann Emerg Med 57(5):449~461 google schola

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