Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

Related Factors of Severity Rated by Korean Triage and Acuity Scale (KTAS) among Older Adults at the Emergency Departments

일개 지역 응급의료센터 방문 노인의 중증도 영향 요인

  • Shin, Dong-Soo (Division of Nursing, Hallym University.Research Institute of Nursing Science) ;
  • Kim, Mi Sook (Department of Nursing, Kaya University)
  • 신동수 (한림대학교 간호학부.한림대학교 간호학 연구) ;
  • 김미숙 (가야대학교 간호학과)
  • Received : 2018.08.10
  • Accepted : 2018.10.26
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify characteristics and severity assessed by Korean Triage and Acuity Scale (KTAS) among 2,496 older adults aged 65 and over who visited an emergency department (ED) located in Chuncheon city. Methods: Data were collected via electronic medical records from two hospitals from January to December of 2016. Chi square test and logistic regression were applied using SPSS 22.0. Results: 53.5% of the participants were women and 17.6% of visits were done by aged 85 and older. ED visits by ambulance were 33.9%. More than two-third of older adults' ED visits were emergent status. Severity of the ED visits of older adults were rated by KTAS. Commonly reported chief complaints of the ED visits were dizziness, dyspnea, chest pain, abdominal pain, and hypoalbuminemia. Among them, dizziness, chest pain, dyspnea, and hypoalbuminemia were related factors for being-emergent condition. Conclusion: Strategies for older adults' chief complaints are needed in order to reduce unexpected ED visits.

Keywords

Table 1. General Characteristics

DSKHBO_2018_v24n2_146_t0001.png 이미지

Table 2. Differences in Triage according to Characteristics of the Participants

DSKHBO_2018_v24n2_146_t0002.png 이미지

Table 3. Related Factors of Triage according to General Characteristics

DSKHBO_2018_v24n2_146_t0003.png 이미지

References

  1. Kahn JH, Magauran BG Jr, Olshaker JS, Shankar KN. Current trends in geriatric emergency medicine. Emergency Medicine Clinics of North America. 2016;34(3):435-452. https://doi.org/10.1016/j.emc.2016.04.014
  2. Lee HM, Cho KH. Use of medical resources by the elderly population in emergency department. Journal of the Korean Geriatrics Society. 2007;11(3):139-144.
  3. National Emergency Medical Center. The annals of emergency medical statistics for 2016 [Internet]. Seoul: National Emergency Medical Center; 2017 [cited 2017 October 10]. Available from: http://www.e-gen.or.kr/nemc/statistics_annual_report.do.
  4. Centers for Disease Control and Prevention. Emergency department visits for injury and illness among adults aged 65 and over: United States, 2012-2013 [Internet]. U.S.: National Center for Health Statistics; 2017 [cited 2017 February 21]. Available from: https://www.cdc.gov/nchs/products/databriefs/db272.htm.
  5. Yim VW, Graham CA, Rainer TH. A comparison of emergency department utilization by elderly and younger adult patients presenting to three hospitals in Hong Kong. International Journal of Emergency Medicine. 2009;2:19-24. https://doi.org/10.1007/s12245-009-0087-x
  6. Kim J, Kim M, Kim M, Kim K, Yoo C, Lee E. Analysis on advanced practice performance by emergency nurse practitioners. Journal of the Korean Data Analysis Society. 2010;12(2B):781-796.
  7. Ministry of Health and Welfare. Korea Triage and Acuity Scale [Internet]. Sejong-si: Ministry of Health and Welfare; 2015 [cited 2015 December 29]. Available from: http://www.mohw.go.kr/react/jb/sjb0406vw.jsp?PAR_MENU_ID=03&MENU_ID=030406&CONT_SEQ=329273&page=1.
  8. Kim JN, Kim TH, Kang YW, Kim, SC, Kim SH, Kwon KH, et al. Analysis of elderly patients who visited emergency room. The Korean Geriatrics Society. 2001;5(3):224-231.
  9. Choi GJ, Lee BC, Sun ML. Characteristics and illness behaviors of the elderly patients who visited emergency department by emergency medical service. Korean Journal of Family Practice. 2012;2(3):241-249.
  10. Wang SJ. Introduction of geriatric emergency department medicine. The Korean Geriatrics Society. 2003;7(1):1-13.
  11. Kim KH, Han ST, Kang HC. A study on property of emergency patients using health medical information, Journal of the Korean Data Analysis Society. 2004;6(5):1403-1413.
  12. Kim KW, Jang SN. Characteristics and mortality risk factors in geriatric hospital patients visiting one region-wide emergency department. Journal of Korean Academy of Community Health Nursing. 2016;27(4):327-336. https://doi.org/10.12799/jkachn.2016.27.4.327
  13. Lee KS. Research about chief complaint and principal diagnosis of patients who visited the university hospital emergency room. The Society of Digital Policy & Management. 2012;10(10):347-352.
  14. Feyzullah I, Pembe K. Analysis of emergency department visits by elderly patients in an urban public hospital in Turkey. Journal of Clinical Gerontology & Geriatrics. 2014;5(4):127-131. https://doi.org/10.1016/j.jcgg.2014.07.001
  15. Ham EM, Kim HB, Pyo CH, Park SH, Kwak MK, Shin SY, Oh SB, Choi HJ. Analysis of epidemiologic characteristics between patients visited from residental aged care facilities and elderly patients visited from home admitted to the emergency department with disease. The Korean Society of Emergency Medicine. 2017;28(1):87-96.
  16. Lee BO, Shin EJ. Severity of elderly patients using one region wide emergency medical center, Korean Gerontological Nursing Society. 2008;10(2):164-172.
  17. Gil EH, Oh HY. Factors influencing satisfaction with the emergency medical services between adults and the elderly. Korean Journal of Adult Nursing. 2017;29(1):12-21. https://doi.org/10.7475/kjan.2017.29.1.12
  18. Lee BC, Choi KJ, Sun ML. Factors Associated with early revisits and hospitalization after a revisit to the emergency department in elderly patients, Journal of the Korean Geriatrics Society. 2010;14(2):77-83. https://doi.org/10.4235/jkgs.2010.14.2.77
  19. Kim HR, Kim EH. Prevalence of depression and its related factors between elderly living alone and elderly living with others in Korea. Journal of the Korean Data Analysis Society. 2011;16(1):463-477.
  20. Kim TH. The challenges of social welfare education in the health and medical service sector: focusing on relationship between unmet health services needs and social isolation. Korean Journal of Social Welfare Education. 2014;25:123-146.
  21. Centers for Disease Control and Prevention. National hospital ambulatory medical care survey: 2014 emergency department summary tables [Internet]. U.S.: National Center for Health Statistics; 2015 [cited 2015 November 6]. Available from: http://www.cdc.gov/nchs/data/ahcd/nhamcs_emergency/2014_ed_web_tables.pdf
  22. Shah MN, Glushak C, Karrison TG, Mulliken R. Predictors of emergency medical services utilization by elders. Academic Emergency Medicine. 2003;10:52-58. https://doi.org/10.1197/aemj.10.1.52
  23. Toloo GS, FitzGerald GJ, Aitken PJ, Ting JY, McKenzie K, Reqo J, Enraqht-Moony E. Ambulance use is associated with higher self-rated illness seriousness: user attitudes and perceptions. Academic Emergency Medicine. 2013;20(6):576-583. https://doi.org/10.1111/acem.12149
  24. Kim SJ, Kim BR, Park SJ. Preventable hospitalizations and emergency room visits: focus on medical aid beneficiaries with chronic conditions. Health and Social Welfare Review. 2015;35(2):405-428. https://doi.org/10.15709/hswr.2015.35.2.405
  25. Eom HD, Oh SS, Park SH, Yoo SI, Jung JH, Won HS. Clinical analysis of elderly patients with acute abdominal pain in emergency department. Journal of the Korean Geriatrics Society. 2009;13(2):89-94. https://doi.org/10.4235/jkgs.2009.13.2.89
  26. Gomi I, Fukushima H, Shiraki M, Miwa Y, Ando T, Takai K, et al. Relationship between serum albumin level and aging in communitydwelling self-supported elderly population. Journal of Nutrition Science and Vitaminology. 2007;53(1):37-42. https://doi.org/10.3177/jnsv.53.37
  27. Jung I, Kim JS. Approach to dizziness in the emergency department. Clinical and Experimental Emergency Medicine. 2015;2(2):75-88. https://doi.org/10.15441/ceem.15.026
  28. Fernandez L, Breinbauer HA, Delano PH. Vertigo and dizziness in the elderly. Frontiers in Neurology. 2015;6:144. https://doi.org/10.3389/fneur.2015.00144
  29. Rhee CK, Kim JS, Chung YW, Park KW. Woo SH, Jung SY. Clinical features and management of dizziness in the aged. Journal of the Korean Geriatrics Society. 2005;9(2):91-97.
  30. Bae HA, Ryu JY, Eo EK, Jung KY. Study of the appropriateness of 119 rescue usage. Journal of the Korean Society of Emergency Medicine. 2004;15(1):36-46.

Cited by

  1. 지역별 응급의료접근성이 노인의 허혈성 심장질환 사망률에 미치는 영향 vol.25, pp.2, 2018, https://doi.org/10.14408/kjems.2021.25.2.019