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J Korean Soc Emerg Med > Volume 29(5); 2018 > Article
Journal of The Korean Society of Emergency Medicine 2018;29(5): 391-398.
일개 대도시의 병원전 단계와 병원 단계의 중증도 분류체계 간의 결과 분석
최효정1, 김호중1, 이효주2, 이보라3
1순천향대학교 부천병원 응급의학과
2선문대학교 응급구조학과
3중앙대학교 대학원 통계학과
Comparison with in-hospital Korean Triage and Acuity Scale (KTAS) and prehospital triage system in a metropolitan city
Hyo Jeong Choi1, Ho Jung Kim1, Hyo Ju Lee2, Bo Ra Lee3
1Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea
2Department of Emergency Medical Technology, Sun Moon University, Asan, Korea
3Department of Statistics, Graduate School of Chung-Ang University, Seoul, Korea
Correspondence  Ho Jung Kim ,Tel: 032-621-5119, Fax: 032-621-6560, Email: lovelydr@schmc.ac.kr,
Received: May 18, 2018; Revised: July 11, 2018   Accepted: August 10, 2018.  Published online: October 31, 2018.
This study was conducted to analyze and compare the classifications of a prehospital triage system and an in-hospital triage system.
The records of patients transferred from the ‘119’ emergency service for 5 months (from January 1 to May 31, 2016) were collected and records of first aid activities were assessed. We examined cases classified as four (urgent, semi-urgent, potentially urgent, and non-urgent) of five stages, excluding death. In the hospital, data were collected from medical records and classifications made using the five Korean Triage and Acuity Scale (KTAS) stages (1, resuscitation; 2, emergency; 3, urgent; 4, less urgent; and 5, non-urgent) were analyzed.
The number of patients enrolled in the study was 3,457. Of them, 2,301 were discharged after treatment and 1,156 were hospitalized. According to the prehospital triage classification, 726 of the 3,457 cases were urgent, 593 were semiurgent, 1,944 were potentially urgent, and 194 were non-urgent. The results of the in-hospital triage were as follows: 114 KTAS 1 (3.3%), 491 KTAS 2 (14.2%), 1,345 KTAS 3 (38.9%), 1,227 KTAS 4 (35.5%), and 280 KTAS 5 (8.1%). The odds ratio trend for hospitalization showed a larger decrease according to in-hospital staging (95% CI, 0.32-0.39) than according to prehospital staging (95% CI, 0.50-0.60). The odds ratio trend for intensive care unit (ICU) admission also showed a larger decrease according to in-hospital staging (95% CI, 0.16-0.22) than according to prehospital staging (95% CI, 0.37-0.48).
We found little correspondence in classifications made according to the KTAS and prehospital triage systems. However, the tendencies toward decreases in the hospitalization and ICU admission rates were similar.
Key words: Urgent; Hospitalization; Intensive care units; Triage; Patient acuity; Classification
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