응급실을 통한 정신과 입원환자에 대한 임상적 고찰 = A Clinical Study in Neuropsychiatric Patients Admitted Via the Emergency Room

국문 초록 (Abstract)

본 연구는 1987년 1월 1일 부터 1989년 12월 31일까지 서울백병원 응급실을 통해 신경정신과에 입원한 환자 170례를 대상으로 병력지를 분석정리하여 응급실 및 외래를 통한 입원환자의 재입원 환자수의 비교, 평균재원일수의 비교, 진단별 분류, 응급실 내원 동기, 퇴원시 치료 반응 등을 분석, 연구하였다.

다국어 초록 (Multilingual Abstract)

The authors investigated the clinical characteristics of 170 neuropsychiatric patients admitted to Seoul Paik Hospital via the E.R. from January 1, 1987 to Decemenber 31, 1989. The results were as follows :
1.The proportion of patients admitted via the E.R. was 23.7% of total neuropsychiatric admissions.
2.The readmission proportin of patients admitted via the E.R. was 32.4% which was higher than the readmission proportion of 24.7% of patients admitted 1 via the O.P.D
3.The average duration of hospitalization of neuropsychiatric patients admitted via the E.R. was 39.4 days which was shorter than the average duration of 48.6 days for patients admitted via the O.P.D.
4.53% of the emergency admission patients were in their twenties or thirties in age. Male to female ratio was 1.02:1.
5.25.9% of the emergency admission patients is were diagnosed as shizophrenia, which was the most frequent diagnosis in all patients.
6.40% of the energency admission patients were discharged within 2 weeks.
7.Presenting porblems, in the order of frequency, were paralysis or numbness of extremities and somatic symptoms, hallucination of paranoid idea, anxiety or panic state. Neurotic symptoms are prominant over psychotic symptoms in chief complaints.
8.17.4% of the emergency admission patients were discharged A.M.A. without satisfactory improvement of symptoms.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.조사대상 및 방법
• Ⅲ.조사결과
• 1.연도별 응급실 및 외래 입원환자
• 2.응급실 및 외래 입원환자의 재입원 상태
• 3.응급실 및 외래 입원환자의 평균 재원일수
• 4.연령 및 성별
• 5.직업
• 6.교육 정도
• 7.진단별 분류
• 8.진단별 재원 상태
• 9.응급실 내원 동기
• 10.퇴원시 치료에 대한 반응
• Ⅳ.고찰
• Ⅴ.결론