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Author(s)
박명화박희준김윤년조원현
Alternative Author(s)
Park, Myong HwaPark, Hee JunKim, Yoon NyunCho, Won Hyun
Issued Date
2008
Keyword
Abdominal painClinical pathway assistant programMedical records analysis
Abstract
This study was applied to analyse medical records for patients with abdominal pain
who were visited Emergency Department and find out the differences of treatments according to
the diagnosis using CPA (clinical pathway assistant) program. Subjects were medical records for
patients with abdominal pain who visited emergency department from July 2006 to June 2007.
Procedure was done with the following steps: making patients; lists according to chief complaint
or diagnosis; data analysis by using CPA program; expert validity test; and confirmation of final
clinical pathway. Total 1;870 people had visited emergency department with abdominal pain and
1;113 people (60%) were admitted. Acute appendicitis; cholangitis; cholecystitis; pancreatitis;
stomach cancer; intestinal obstruction; CAPD(continuous ambulatory peritoneal dialysis)
peritonitis were most common cases among the admitted patients. Questionnaire was used to
confirm the treatment for patients with abdominal pain in emergency department. This study
could save time and effort in analysis of medical records for patients with abdominal pain by
using CPA program and this results are expected to be used for development of algorithm related
to diagnosis and treatment for patients who visit emergency department with abdominal pain.
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