Korean Journal of Pediatrics 2007;50(7):622-628.
Published online July 15, 2007.
An analysis of one-year experience of pediatric observation unit: The first report in Korea
Jee Young Lee1, Ui-Yoon Choi1, Soo Young Lee1, Ji-Young Lee2, Byong Chan Lee3, Hui Sung Hwang1, Hye Rin Mok1, Dae Chul Jeong1, Seung Yun Chung1, Jin Han Kang1
1Department of Pediatrics, College of Medicine The Catholic University of Korea
2Department of Nursing, College of Medicine, The Catholic University of Korea
3Department of Pediatrics, Sung-Se Hospital
소아 관찰병실 운영에 대한 분석
이지영1, 최의윤1, 이수영1, 이지영2, 이병찬3, 황희승1, 목혜린1, 정대철1, 정승연1, 강진한1
1가톨릭대학교 의과대학 소아과학교실
2가톨릭대학교 성모자애병원 간호부
3성세병원 소아과
Correspondence: 
Dae Chul Jeong, Email: dcjeong@catholic.ac.kr
Abstract
Purpose
: While pediatric observation units (POU) have become a common practice in hospitals throughout developed countries, there has been no report about POUs in Korea so far. The aims of this study were to analyze our one-year's experience of the POU and to decide which disease entities are suitable for the POU.
Methods
: All children admitted from March 2006 to February 2007 to the POU at the Department of Pediatrics in Our Lady of Mercy Hospital were included in this study. Data were collected from retrospective reviews of their medical records.
Results
: There were a total of 1,076 POU admissions. Median age of patients was 2.4 years and median length of hospital stay 14.0 hours. The most common diagnoses were gastroenteritis (42.7%), pharyngotonsillitis (19.1%), bronchiolitis (7.8%), pneumonia (5.5%) and febrile seizure (5.2%). Overall, 7.5% of the POU patients required subsequent inpatient admissions due to hospital stays of longer than 48 hours. The disease entities that were most likely to require inpatient admission were pneumonia (17.0%), febrile seizure (12.5%) and asthma (11.5%). Diseases that allowed successful discharge from the POU were gastroenteritis (4.6%), upper respiratory tract infection (5.8%), such as otitis media and pharygnotonsillitis and seizure disorder (6.4%). Compared with the previous year when the POU was not in operation, there was a statistically significant reduction in the average length of hospital stays (from 4.69 to 3.75 days), as well as a rise in the bed turnover rate (from 78.8 to 98.2 patients/ bed).
Conclusion
: Our study shows that the POU is efficient for the management of children with certain acute illnesses. Based on this study, we suggest that the POU be used as a new modality which links between the outpatient, inpatient, and emergency departments in the field of pediatrics in Korea.
Key Words: Pediatrics, Day care, Length of stay


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