Risk factor for acutely deteriorated within 24 hours after admitted to the general ward from emergency department
CCCF ePoster library. Jung Y. Oct 31, 2016; 150923; 43
Ms. YounKyung Jung
Ms. YounKyung Jung
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Topic: Retrospective or Prospective Cohort Study

Risk factor for acutely deteriorated within 24 hours after admitted to the general ward from emergency department

Jung, Youn Kyung1; Lee, Ju Ry1; Son, Jeongsuk1; Lee, Soon-Haeng2; Hong, Sang-Bum3; Huh, Jin Won3

1Nurse, Medical Emergency Team, Asan Medical Center, Seoul, South Korea

2Team Manager, Department of Intensive Care Nursing, Asan Medical Center, Seoul, South Korea

3Professor, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Asan Medical Center, Seoul, South Korea

Grant acknowledgements:
' This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI) funded by the Ministry of Health & Welfare, Republic of Korea (grant number : HI15C1234)'


A delayed intensive care unit (ICU) admission from emergency department (ED) reported increasing morbidity and mortality. Triage of ED was usually implemented by clinical judgement of emergency department staffs. Whereby inappropriate judgment for general ward (GW) admission could occur acute deterioration and unplanned ICU admission
To analysis characteristics of patients who were acutely deteriorated within 24 hours after admitted to the GW from ED
This retrospective cohort study was done in a tertiary, academic medical center. We collected data of acute deteriorated patients who were activated by medical emergency team (MET) within 24 hours from GW admission through ED. Basic characteristics, vital sign parameters, oxygenation parameters and Modified Early Warning Score (MEWS) at ED admission, ED discharge, after the GW admission and MET contact. Unplanned ICU transfer and 28 days mortality were recorded.
Of the 165 patients enrolled, 130 (78.8%) patients were stayed in the general ward (general ward group, GW) and 35 (21.2%) patients were transferred to the ICU (ICU group, ICU). Age, sex, ED length of stay and MET contact time were not significantly different between two groups. Activation type was significantly different (p<.05). 65.4% (GW group) and 34.3% (ICU group) were activated by-electronic medical record (EMR) screening. Basic parameters before discharge from ED were not significantly different, but systolic blood pressure, respiration rate, fraction of inspired oxygen and MEWS at the MET contact time were significantly different between two groups.
EMR screening by MET may be useful to detect acutely deteriorated patients admitted from ED early.



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