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Triage method for out-of-hospital poisoned patients

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dc.contributor.authorKwon, Woon Yong-
dc.contributor.authorRhee, Joong Eui-
dc.contributor.authorGang, Hong Seong-
dc.contributor.authorShin, Sang Do-
dc.contributor.authorCho, Jun Hwi-
dc.contributor.authorSong, Hyoung Gon-
dc.contributor.authorSuh, Gil Joon-
dc.date.accessioned2009-12-11T05:05:45Z-
dc.date.available2009-12-11T05:05:45Z-
dc.date.issued2007-
dc.identifier.citationJ Korean Med Sci 2007; 22: 336-41en
dc.identifier.issn1011-8934 (Print)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17449946-
dc.identifier.urihttps://hdl.handle.net/10371/20040-
dc.description.abstractThe aim of this study was to develop and evaluate a triage method to prevent unnecessary emergency department visits of out-of-hospital poisoned patients. From October 2003 to September 2004, the calls that lay persons gave to the Seoul Emergency Medical Information Center to seek advice on the out-of-hospital poisoned patients were enrolled. We designed a triage protocol that consisted of five factors and applied it to the patients. According to the medical outcomes, we classified the patients into two groups, the toxicity-positive and the toxicity-negative. We arranged the factors on the basis of the priority that was determined in order of the odds ratio of each factor for the toxicity-positive and made a flow chart as a triage method. Then we calculated a sensitivity, specificity, positive predictive value and negative predictive value of the method. We regarded the specificity as the ability of the method and the sensitivity as the safety. A total of 220 patients were enrolled in this study. The method showed a sensitivity, specificity, positive predictive value, and negative predictive value of 99.2%, 53.4%, 76.2%, and 97.9%, respectively. Our triage method prevented 53.4% of the unnecessary emergency department visits of out-of-hospital acutely poisoned patients, safely.en
dc.language.isoen-
dc.publisherKorean Academy of Medical Scienceen
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectDecision Treesen
dc.subjectEmergency Medical Services/methods/*organization & administrationen
dc.subjectFemaleen
dc.subjectHumansen
dc.subjectKoreaen
dc.subjectMaleen
dc.subjectPoisoning/*diagnosis/*therapyen
dc.subjectPrognosisen
dc.subjectReproducibility of Resultsen
dc.subjectRisk Assessment/*methodsen
dc.subjectRisk Factorsen
dc.subjectSensitivity and Specificityen
dc.subjectSeverity of Illness Indexen
dc.subjectTelemedicine/methods/*organization & administrationen
dc.subjectTelephoneen
dc.subjectTriage/methods/*organization & administrationen
dc.subjectDecision Support Techniques-
dc.titleTriage method for out-of-hospital poisoned patientsen
dc.typeArticleen
dc.contributor.AlternativeAuthor권운용-
dc.contributor.AlternativeAuthor이중의-
dc.contributor.AlternativeAuthor강홍성-
dc.contributor.AlternativeAuthor신상도-
dc.contributor.AlternativeAuthor조준휘-
dc.contributor.AlternativeAuthor송형곤-
dc.contributor.AlternativeAuthor서길준-
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