Journal of Korean Gerontological Nursing 2008;10(2):260-263.

일 권역응급의료센터에 내원한 노인환자의 중증도

이병옥, 신은주

Abstract

Purpose
The purpose of this study was to provide both efficient management and counterplans for emergency medical center (EMC) by analyzing the severity and emergency grade of elders in the hospital, and to utilize the results as a clinical nursing service strategy as well. Method: The survey included medical records of senior patients who used the hospital EMC during 2005, and used the analysis instrument by Lee(1998)'s Triage.
Results
There were 5,432 patients, averaging 73.6 years old. According to severity, 45.3% were semiemergent, 39.9%, emergent, 11.7%, non-emergent and 3.1%, urgent patients. The urgent and emergent patients generally came to the hospital EMC between 6 am and 6 pm, and on Saturday through Monday. Hospital stay for 38.7% of patients was under 6 hours.
Conclusion
It is necessary to relocate nursing personnel and other support persons at times of peak use of emergency facilities by elderly patients. Overflow of elderly patients in the emergency center and improper treatment could be prevented through triage with an instrument for severity classification.

Key words: 응급, 노인, 중증도 분류