| Database study for clinical guidelines of children with pneumonia who visited an emergency department |
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Dae Young Hong1, Kyung Mi Lee1, Ji Hye Kim1, Jun Sig Kim1, Seung Baik Han1, Dae-Hyun Lim2, Byoung Kwan Son2, Hun Jae Lee3, Kyung-Hee Lee4 |
1Department of Emergency Medicine, College of Medicine, Inha University, Incheon, Korea
2Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea
3Department of Social and Preventive Medicine, College of Medicine, Inha University, Incheon, Korea
4Department of Radiology, College of Medicine, Inha University, Incheon, Korea |
| 응급의료센터에 내원한 소아 폐렴의 진료 지침을 위한 기초 자료 연구 |
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홍대영1, 이경미1, 김지혜1, 김준식1, 한승백1, 임대현2, 손병관2, 이훈재3, 이경희4 |
1인하대학교 의과대학 응급의학교실
2인하대학교 의과대학 소아과학교실
3인하대학교 의과대학 사회의학교실
4인하대학교 의과대학 방사선과학교실 |
Correspondence:
Seung Baik Han, Email: LIFSAV@inha.ac.kr
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| Abstract |
Purpose
: Pneumonia is one of the most common infections in children who visit emergency departments(ED), but standard clinical guidelines for children with pneumonia in Korea have not been studied. This study was performed to collect and evaluate a data-base of children with pneumonia for establishing clinical guidelines in ED.
Methods
: This study reviewed 304 children who were diagnosed and treated for pneumonia in the ED at one tertiary hospital between January 2003 and December 2003 retrospectively by reviewing the charts and analyzing the clinical characteristics, laboratory findings, and radiologic findings between an admission group and a discharge group.
Results
: The 2 year-5 year age group was the top of age distribution and the peak incidence of monthly distribution was December. Two hundred forty seven(81.3 percent) children were hospitalized(admission group), and the mean length of hospitalization was 7.24¡¾3.24 days. The most common indications of admission were fever, tachypnea and an age of less than three months. There was statistical differences in the outpatient department follow-up between the two groups(85.8 percent in admission group vs 35.1 percent in discharge group).
Conclusion
: More prospective studies are needed to establish clinical standard guidelines for children with pneumonia. This will be helpful in ED management and will aid the prevention of pneumonia. |
| Key Words:
Pneumonia , Child , Emergencies |
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