천식 악화로 응급실을 방문한 소아 환자의 표준 진료 지침 적용 효과

• Published in: Chʻŏnsik mit alrerugi Vol. 31; no. 1; pp. 41 - 47
• Main Authors: 이진영, Jin Young Lee, 남지선, Ji Sun Nam, 전윤홍, Yoon Hong Chun, 윤종서, Jong Seo Yoon, 김현희, Hyun Hee Kim, 김진택, Jin Tack Kim, 이준성, Joon Sung Lee
• Format: Journal Article
• Language: Korean
• Published: 대한천식알레르기학회 30.03.2011
• Subjects: Asthma; Children; Clinical pathway; Emergency department; 임상병리학
• ISSN: 1226-8739

Background: The use of the clinical pathway (CP) for asthma management may ensure appropriate treatment for asthmatic patients. Objective: The objective was to evaluate the effect of the CP on the management of asthma exacerbation in the emergency department (ED) of a hospital in South, Korea. Method: The subjects consisted of the patients being children at the ages of 3∼15 years presented with asthma exacerbation in the ED. We conducted a retrospective before-after study on the CP under the 2006 GINA guidelines. The CP was implemented in 2008 (postimplementation), whereas the strategy used in 2007 (pre-implementation) was not standardized. Result: In 2008, 3 of the 36 patients were hospitalized (8.3%, post-implementation); in 2007, 7 of 53 patients were hospitalized (13.2%, pre-implementation) (P=0.734). According to the results of outpatient observation, continuous wheezing decreased from 12 of 21 patients (57.1%) in 2007 to 7 of 22 patients (31.8%) in 2008 (P=0.043), and the administration of relievers decreased from 9 of 21 patients (42.9%) in 2007 to 4 of 22 patients (18.2%) in 2008 (P=0.038). Conclusion: The CP was successfully implemented in the ED of a hospital in South, Korea and reduced wheezing and the need for relievers in the outpatient clinic. (Korean JAsthma Allergy Clin Immunol 2011;31:41-47)