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J Korean Soc Emerg Med > Volume 32(6); 2021 > Article
Journal of The Korean Society of Emergency Medicine 2021;32(6): 647-656.
음독 자살시도로 응급실에 내원한 환자의 응급실 체류시간에 영향을 미치는 인자 분석
이강기1 , 조을아2 , 조지현3 , 심현보2 , 박진형1 , 표창해1 , 박현경1 , 박근홍1
1서울특별시 서울의료원 응급의학과
2서울특별시 서울의료원 정신건강의학과
3동신대학교 사회복지학과
A study of factors influencing the length of stay in the emergency department of patients who were admitted after a self-poisoning suicidal attempt
Ganggi Lee1 , Eulah Cho2 , Ji Hyun Cho3 , Hyun-Bo Sim2 , Jinhyung Park1 , Chang Hae Pyo1 , Hyun Kyung Park1 , Keunhong Park1
1Department of Emergency Medicine, Seoul, Korea
2Department of Psychiatry, Seoul Medical Center, Seoul, Korea
3Department of Social Welfare, Dongshin University, Naju, Korea
Correspondence  Jinhyung Park ,Tel: 02-2276-7404, Fax: 02-2276-7425, Email: park21ccc@naver.com,
Received: July 5, 2021; Revised: October 4, 2021   Accepted: November 1, 2021.  Published online: December 31, 2021.
ABSTRACT
Objective:
A suicide attempt by self-poisoning is a common cause of admissions to the emergency department (ED). Management of such intentiona poisoning often requires complicated medical procedures, resulting in a longer length of stay (LOS) as compared to other cases that require treatment in the ED. This study aimed to determine the factors affecting a longer LOS in self-poisoning patients.
Method:
This was a retrospective study wherein all the medical charts of patients who visited the ED of one hospital, from August 2016 to July 2019, because of intentional self-poisoning, were reviewed.
Results:
Most of the patients visited the ED involuntarily and there were almost twice as many female patients as males. Almost half of the patients were referred to the psychiatry department. A comparison of various factors within the LOS groups revealed significant differences in mental status, guardian co-visitation, patient gender, psychiatric referral, and poisoning substance. Moreover, the LOS had a stronger association with the pre-consultation period than the consultation to decision-making period.
Conclusion:
To reduce the LOS, it seems important to make a rapid decision on whether to observe the patient in the ED and wait until the workup is completed or to admit and then evaluate the patient in the ward. If the clinicians cannot obtain enough information to evaluate the patient for appropriate management, short-term admission may be an option to reduce the LOS and to provide a stable evaluation.
Key words: Suicide; Self-poisoning; Length of stay; Emergency department; Psychiatric referral
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