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J Korean Soc Emerg Med > Volume 28(1); 2017 > Article
Journal of The Korean Society of Emergency Medicine 2017;28(1): 54-61.
응급의료센터에 내원한 중증 알코올 중독 환자 선별을 위한 중증도 분류도구의 유용성
오상희1, 김대희1, 이운정1, 우선희1, 설승환1, 김선호2
1가톨릭대학교 의학전문학원 응급의학교실
2가천대학교 보건대학원
The Validity of the Triage Tool as a Method to Screen Severe Alcoholic Intoxication Patients in the Emergency Department
Sang Hee Oh1, Dae Hee Kim1, Woon Jeoung Lee1, Seon Hee Woo1, Seung Hwan Seol1, Seon Ho Kim2
1Department of Emergency Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
2Graduate School of Public Health, Gachon University, Incheon, Korea
Correspondence  Dae Hee Kim ,Tel: 032-280-6116, Fax: 032-280-5556, Email: md.kim.daehee@gmail.com ,
Received: June 29, 2016; Revised: June 30, 2016   Accepted: November 8, 2016.  Published online: February 28, 2017.
ABSTRACT
Purpose:
Altered mental status is common to alcohol intoxicated patients, resulting in difficulties to perform detailed physical examination and history taking. With this condition, the development of appropriate tools for evaluation was required. This study was conducted to investigate a better method for predicting the prognosis among alcohol intoxicated patients in the emergency department by modifying the Korean Triage Acuity Scale (KTAS).
Method:
We retrospectively reviewed the medical records of 1,155 alcohol intoxicated patients who presented to the ED between January and December of 2013. The correlation between admission and demographical characteristics of patients was analyzed. We applied the clinical values to KTAS (overdose category) and modified KTAS (alcoholic intoxication category). The efficiency of two triage methods was compared by using the receiver operating characteristic (ROC) curve analysis.
Results:
Among these 1,155 patients, 201 were admitted and 954 were discharged. The sensitivity and specificity of the overdose category were 0.736 and 0.623, respectively. Those of the alcoholic intoxication category were 0.647 and 0.979, respectively. The area under ROC curves for overdose category and alcoholic intoxication category were 0.679± 0.020 and 0.813±0.021, respectively (95% confidence interval, p<0.001).
Conclusion:
This study showed that the sensitivities of the overdose category and the alcoholic intoxication category were similar. However, the specificity of the alcoholic intoxication category was higher than that of the overdose category. Therefore, the alcoholic intoxication category was superior to the overdose category in predicting the prognosis among alcohol intoxicated patients.
Key words: Alcoholic intoxication, Emergencies, Triage
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