주 임상경로 추출프로그램을 이용한 응급실 복통 환자의 처방 유형 분석

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.