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The Journal of Internal Korean Medicine > Volume 33(2); 2012 > Article
The Journal of Internal Korean Medicine 2012;33(2): 172-179.
한방병원 중증치료실 입원 환자의 임상적 분석 - 주 질환 및 합병증 위주로 -
노현인1, 이지숙1, 윤다래1, 이서라1, 류재환2
1경희대학교 한의과대학 내과학교실
2경희대학교 동서의학대학원 동서의학과
Clinical Study about Patients in Intensive Care Unit at an Oriental Medical Hospital - Focused on Main Disease and Complications -
Hyun-in Noh1, Jee-sook Lee1, Da-rae Yoon1, Seo-ra Yi1, Jae-hwan Ryu2
1Dept. of Oriental Internal Medicine. College of Oriental Medicine, Kyung-Hee university
2East-west medicine department, Graduate school of east-west medical science, Kyung-hee University
Correspondence  Jae-hwan Ryu ,Tel: 02-958-1812, Fax: 02-958-9212, Email: intmed@khu.ac.kr
  Published online: June 30, 2012.
ABSTRACT
Objectives:
This study was designed to quantify the characteristics, main diagnosis and complications in the intensive care unit (ICU) at an Oriental Medical Hospital.

Methods :
The medical records of 44 patients admitted to the ICU at Kyunghee Oriental Medical Hospital between January 1, 2011 and December 31, 2011 were reviewed. Basic characteristics of patients, admission channel, main diagnosis, east-western medical therapy, mortality, and complications were investigated retrospectively based on medical notes.

Results:
1. The total number of patients was 44. Males were 63.6%, females 36.3%. Average admission days was 15.9. 2. The most frequent age group is eighties, 38.6%. 3. The most frequent disease is cerebrovascular disease, 61.3%. 4. The medical therapy done after admission to ICU was intubation. Central vein insertion was performed next, followed by Foley’s catheter insertion, ventilator, tracheostomy, nasogastric intubation, and thoracentesis in order. The proportion of Oriental medical treatment provided to the patients of ICU was as follows: herbal medication only 6.8%; herbal medication plus acupuncture 31.8%; herbal medication, acupuncture electro-acupuncture, plus subcutaneous acupuncture 2.3%; and none 27.3%. 5. The number of cases of complications occurred since ICU admission was 18. The most frequently observed complication was infection, including 6 cases of pneumonia and 4 cases of urinary tract infection.

Conclusions:
We suggest that ICUs of Oriental medical hospitals need to be managed effectively to treat diseases including cerebrovascular disease and prevent complications.
Key words: intensive care unit, complications, East-west integrated treatment
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