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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 81 - 86 (6page)
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Purpose: Fluid therapy for diarrhea-induced dehydration inadvertently increases emergency department length of stay (EDLOS). To prevent this delay, we investigated the usefulness of triage using point-of-care (POC) lactate in infants with diarrhea.
Methods: This study was performed on infants with diarrhea who visited the emergency department from January 2019 through December 2020. According to the POC lactate concentration and the Korean Triage and Acuity Scale (KTAS) level, the infants were separately divided into the low (< 2 mmol/L), moderate (2-3.9), and high (≥ 4) lactate groups and the mild (KTAS 4-5) and severe (1-3) groups, respectively. Using these 2 group designations, we compared variables regarding the emergency medicine resource use and outcomes. To predict the prolonged EDLOS (≥ median value) we performed logistic regression and receiver operating characteristic analyses.
Results: A total of 540 infants were included. The median of EDLOS was 169 minutes (interquartile range, 103-220). Fluid therapy was more frequently performed in the high lactate group than in the low-moderate lactate groups (85.0% vs. 60.4%- 73.6%; P = 0.025). The high lactate and severe groups respectively showed higher rates of hospitalization (40.0% vs. 3.8%- 7.6% [P < 0.001] and 10.9% vs. 1.4% [P = 0.015]), and longer median EDLOS (259 minutes vs. 147-178 [P < 0.001] and 185 vs. 131 [P = 0.001]) compared to the low-moderate lactate and mild groups. Compared to the KTAS, lactate is more strongly associated with the prolonged EDLOS (lactate, adjusted odds ratio, 4.80 [95% confidence interval, 1.87-15.34] vs.
KTAS, 3.52 [1.90-6.54]). The areas under curve for lactate and for the KTAS were 0.66 (0.60-0.73) and 0.62 (0.55-0.69), respectively (P = 0.058).
Conclusion: In infants with diarrhea, POC lactate can be a predictor of emergency medicine resource use and outcomes
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Dekate P / 2013 / Management of acute diarrhea in emergency room / Indian J Pediatr 80:235~246
Denno DM / 2012 / Diarrhea etiology in a pediatric emergency department : a case control study / Clin Infect Dis 55:897~904
Doan Q / 2019 / The impact of pediatric emergency department crowding on patient and health care system outcomes : a multicentre cohort study / CMAJ 191:E627~35
Guttmann A / 2011 / Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada / BMJ 342:d2983
박준범 / 2017 / 한국형 응급환자 분류도구의 이해 / 대한응급의학회지 28(6):547~551
Denno DM / 2012 / Diarrhea etiology in a pediatric emergency department : a case control study / Clin Infect Dis 55:897~904
Doan Q / 2019 / The impact of pediatric emergency department crowding on patient and health care system outcomes : a multicentre cohort study / CMAJ 191:E627~35
Guttmann A / 2011 / Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada / BMJ 342:d2983
박준범 / 2017 / 한국형 응급환자 분류도구의 이해 / 대한응급의학회지 28(6):547~551
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