Osong Public Health and Research Perspectives

Original Articles

Characteristics of Inpatients Who Survive Suicide Attempts: Sang Mi Kim, Hyun-Sook Lee; Osong Public Health Res Perspect. 2019;10(1):32-38. Published online February 28, 2019; DOI: https://doi.org/10.24171/j.phrp.2019.10.1.07

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Objectives

The purpose of this study was to analyze the characteristics and factors affecting the survival of inpatients admitted following a suicide attempt.

Methods

A total of 3,095 cases retrieved from the Korean National Hospital Discharge In-depth Injury Survey data (from 2011 to 2015) were grouped according to survival and death and analyzed using descriptive statistics chi-square and logistic regression analysis.

Results

The following factors had statistically significant risks on reducing survival: female (OR = 2.352, p < 0.001), 40–59 years old (OR = 0.606, p = 0.014), over 60 years old (OR = 0.186, p < 0.001), poisoning (OR = 0.474, p = 0.009), hanging (OR = 0.031, p < 0.001), jumping (OR = 0.144, p < 0.001), conflicts with family (OR = 2.851, p < 0.001), physical diseases (OR = 1.687, p = 0.046), mental health problems (OR = 2.693, p < 0.001), financial problems (OR = 3.314, p = 0.002), 2014 (OR = 2.498, p = < 0.001) and 2015 (OR = 2.942, p = 0.005).

Conclusion

The survival group that had a history of attempted suicide (high-risk suicide group), should be further characterized. It is necessary to identify the suicide methods and risk factors for suicide prevention management policies and to continuously expand the management policy according to these characteristics.

Citations

Citations to this article as recorded by

Factors Affecting Inpatients’ Mortality through Intentional Self-Harm at In-Hospitals in South Korea
Sulki Choi, Sangmi Kim, Hyunsook Lee
International Journal of Environmental Research an.2023; 20(4): 3095. CrossRef
The economic burden of adolescent internet addiction: A Korean health cost case study
Robert W. Mead, Edward Nall
The Social Science Journal.2023; : 1. CrossRef
Loss to follow-up in a population-wide brief contact intervention to prevent suicide attempts - The VigilanS program, France
Larissa Djembi Fossi, Christophe Debien, Anne-Laure Demarty, Guillaume Vaiva, Antoine Messiah, Xenia Gonda
PLOS ONE.2022; 17(3): e0263379. CrossRef

Effects of Physical Activity on Depression in Adults with Diabetes: Deok-Ju Kim; Osong Public Health Res Perspect. 2018;9(4):143-149. Published online August 31, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.4.02

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Abstract PDF

Objectives

The purpose of this study was to identify the current state of physical activity in adults with diabetes and to investigate the effect of physical activity on depression.

Methods

The present study was conducted using data from the 2^nd year of the 6^th Korea National Health and Nutritional Examination Survey. From the total of 7,550 individuals, 418 adults diagnosed with diabetes were selected as participants, and their physical activity and depression levels were examined.

Results

The physical activity status of the participants showed that they did not usually engage in physical activities at work, and only a few participants were involved in moderate intensity physical leisure activity. Apart from walking for 10 minutes each day, which accounted for 1/3 of the participants, most of the participants did not engage in specific forms of exercise. An examination of the effects of physical activity on depression revealed that moderate intensity physical activity at work and leisure influenced depression. In terms of demographic characteristics, gender, occupation, income quintile, and subjective health status were all found to affect depression.

Conclusion

For elderly (60 years or older) patients with diabetes, which accounted for the majority of the diabetic population, a systematic leisure program and professional education are necessary to help them to manage stress and depression in daily life. Additionally, provision of community and family support should encourage regular, moderate intensity exercise and promote lifestyle changes to encourage increased physical activity.

Citations

Citations to this article as recorded by

Prevalence of comorbid depression and associated factors among hospitalized patients with type 2 diabetes mellitus in Hunan, China
Rehanguli Maimaitituerxun, Wenhang Chen, Jingsha Xiang, Atipatsa C. Kaminga, Xin Yin Wu, Letao Chen, Jianzhou Yang, Aizhong Liu, Wenjie Dai
BMC Psychiatry.2023;[Epub] CrossRef
Modeling the effects of physical activity, education, health, and subjective wealth on happiness based on Indonesian national survey data
Bhina Patria
BMC Public Health.2022;[Epub] CrossRef
Triad of impairment in older people with diabetes-reciprocal relations and clinical implications
A.H. Abdelhafiz, P.C. Davies, A.J. Sinclair
Diabetes Research and Clinical Practice.2020; 161: 108065. CrossRef
Association between exercise and health-related quality of life and medical resource use in elderly people with diabetes: a cross-sectional population-based study
Chien-Cheng Huang, Chien-Chin Hsu, Chong-Chi Chiu, Hung-Jung Lin, Jhi-Joung Wang, Shih-Feng Weng
BMC Geriatrics.2020;[Epub] CrossRef
Challenges and Strategies for Diabetes Management in Community-Living Older Adults
Alan J. Sinclair, Ahmed H. Abdelhafiz
Diabetes Spectrum.2020; 33(3): 217. CrossRef

Treatment with Sofosbuvir and Daclatasvir (with or without Ribavirin) Improves Patient Reported Outcomes in Hepatitis C: Lucas Pereira Jorge de Medeiros, Mario Barreto Correa Lima, Marcia Maria Amêndola Pires, Alessandra Mendonça Almeida Maciel, Renata Barboza Vianna Medeiros, Mariana Dermínio Donadel, Isabela Martins Becattini Pereira, Fábio Marchon Leão, Luiz Eduardo Amorim Correa Lima Pires, Helio Rzetelna, Carlos Eduardo Brandão-Mello; Osong Public Health Res Perspect. 2018;9(2):50-58. Published online April 30, 2018; DOI: https://doi.org/10.24171/j.phrp.2018.9.2.03

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4 Citations

Abstract PDF

Objectives

To evaluate the impact of 3 treatment regimens upon health-related quality of life and work productivity using patient-reported outcomes (PROs) in chronic hepatitis C infected patients: sofosbuvir (SOF) + daclatasvir (DCV); SOF + DCV + ribavirin (RBV); SOF + simeprevir (SMV).

Methods

4 questionnaires were used to evaluate PROs before, during and after treatment: Short Form-36 (SF-36), Chronic Liver Disease Questionnaire (CLDQ) - hepatitis C virus (HCV), Work Productivity and Activity Index, Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F).

Results

Of the global sample of 55 patients included in this study; SOF + DCV (n = 10); SOF + DCV + RBV (n = 29); SOF + SMV (n = 16) all had a statistically significant improvement in SF-36, CLDQ and FACIT-F scores during and post-treatment. No statistically significant differences in the PRO questionnaire values were observed between the distinct treatment regimens. The SOF and SMV patient groups presented higher mean PRO variations during and post-treatment, compared to the other groups: SF-36 functional capacity (16.1); SF-36 mental health (21.4); CLDQ activity (1.8); CLDQ emotional function (1.2); FACIT-F physical well-being (8.0); Total FACIT-F (21.6).

Conclusion

Treatment with SOF + DCV, with or without RBV, results in an improved PRO similar to treatment with SOF + SMV in chronic hepatitis C patients.

Citations

Citations to this article as recorded by

Health-related quality of life in people receiving opioid agonist treatment and treatment for hepatitis C virus infection
Olav Dalgard, Alain H. Litwin, Oren Shibolet, Jason Grebely, Ronald Nahass, Frederick L. Altice, Brian Conway, Edward J. Gane, Anne F. Luetkemeyer, Cheng-Yuan Peng, David Iser, Isaias Noel Gendrano, Michelle M. Kelly, Barbara A. Haber, Heather Platt, Amy
Journal of Addictive Diseases.2022; : 1. CrossRef
Impact of sofosbuvir and daclastavir on health-related quality of life in patients co-infected with hepatitis C and human immunodeficiency virus
Evy Yunihastuti, Fhadilla Amelia, Arini Ika Hapsari, Bramantya Wicaksana, Veritea Natali, Alvina Widhani, Andri Sanityoso Sulaiman, Teguh Harjono Karjadi
Health and Quality of Life Outcomes.2021;[Epub] CrossRef
Health-related quality of life and fatigue in patients with chronic hepatitis C with therapy with direct-acting antivirals agents interferon-free
Raíssa Neves Fagundes, Lincoln Eduardo Villela Vieira de Castro Ferreira, Fábio Heleno de Lima Pace, Yury E. Khudyakov
PLOS ONE.2020; 15(8): e0237005. CrossRef
Efficacy and safety of sofosbuvir-based pangenotypic direct-acting antiviral agents for chronic hepatitis C patients without genotype determination
Juan Li, Dong-Bo Wu, Wei Jiang, Xue-Bin Chen, Gui-Bao Xiao, Yong-Hong Wang, Meng-Lan Wang, Ya-Chao Tao, En-Qiang Chen
Medicine.2020; 99(43): e22726. CrossRef

Comparative Analysis of the Trends in Medical Utilization of Cancer Inpatients in Korea: Hyun-Ju Lee, Sung-Soo Kim; Osong Public Health Res Perspect. 2017;8(5):342-350. Published online October 31, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.5.08

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Abstract PDF: Objectives
Cancer has attracted worldwide attention. The incidence and prevalence are increasing, and it is the main cause of death. The purpose of this study was to identify the characteristics of hospitalized cancer patients.
Methods
This study is a secondary data study using the Korean National Hospital Discharge In-depth Injury Survey Data conducted annually by the Korea Centers for Disease Control and Prevention. Using these data, we extracted inpatients who principal diagnosis is cancer for nine years from 2005 to 2013.
Results
According to the analysis, the annual trend of cancer inpatients is steadily increasing. In 2025, it is expected to increase to about 670,000 inpatients. A cancer diagnosis created a change in medical utilization depending on the characteristics of patients and hospital. Men are more at risk of cancer than women. The number of hospital beds and hospital days were inversely proportional to cancer inpatients. There was also a difference in the equity of medical utilization by region. Other cancer management policies should be based on sex.
Conclusion
Populations between the ages of 45 and 64 years should be a priority in cancer policy. Because of the long-term hospitalization of patients with death as the outcome, a terminal cancer patient care facility is needed. These conclusions can provide a basis for various health policies.

Quality of Life of Chronic Hepatitis C Patients and Its Associated Factors: Hoo Jeung Cho, Euna Park; Osong Public Health Res Perspect. 2017;8(2):124-129. Published online April 30, 2017; DOI: https://doi.org/10.24171/j.phrp.2017.8.2.04

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7 Citations

Abstract PDF

Objectives

This study aimed to investigate the factors affecting the health-related quality of life (HRQOL) of patients with chronic hepatitis C (CHC).

Methods

This study is based on a descriptive survey and involved 125 gastroenterology outpatients visiting a university hospital in South Korea as the participants. HRQOL was assessed using the Liver Disease Quality of Life 1.0, which consisted of Short Form-36 (SF-36) and the Liver Disease Targeted Scale. Data were collected from December 2015 to April 2016, which were then analyzed through multiple regression analysis.

Results

HRQOL had a statistically significant correlation with age, sex, educational level, living type, employment status, monthly income level, and comorbidity status. This study showed that age > 51 years, female sex, high educational level, living alone, unemployment status, low monthly income, and presence of comorbidity had negative effects on the HRQOL of patients with CHC (R² = 8.7%–34.6%).

Conclusion

Based on the result of this study, intervention for patients with CHC needs to be developed to enhance their HRQOL. The findings can serve as a useful reference for nursing personnel in the development of therapeutic plans to upgrade the care of CHC patients.

Citations

Citations to this article as recorded by

Risk factors of severe hepatotoxicity among HIV-1 infected individuals initiated on highly active antiretroviral therapy in the Northwest Region of Cameroon
Lem Edith Abongwa, Anthony Kebira Nyamache, Fokunang Charles, Judith Torimiro, Nshom Emmanuel, Irénée Domkam, Mbu Eyongetah, Beriyuy Jude, Fung Holgar Mua, Sama Bella, Tankou Colman Tamboh, Erna Charlene Moungang, Victorine Ngum, Paul Okemo
BMC Gastroenterology.2022;[Epub] CrossRef
Cathepsin B and Plasma Kallikrein Are Reliable Biomarkers to Discriminate Clinically Significant Hepatic Fibrosis in Patients with Chronic Hepatitis-C Infection
Alexia de Cassia Oliveira Zanelatto, Gilmar de Souza Lacerda, Camila de Melo Accardo, Natalia Fonseca do Rosário, Andréa Alice da Silva, Guacyara Motta, Ivarne Luis dos Santos Tersariol, Analucia Rampazzo Xavier
Microorganisms.2022; 10(9): 1769. CrossRef
Impact of newer direct-acting antiviral drugs based on quality-adjusted life years: A prospective pharmacoeconomic study in hepatitis C patientsImpact of newer direct-acting antiviral drugs based on quality-adjusted life years: A prospective pharmacoecono
BhavyaH Vyas, NishitaH Darji, DevangA Rana, KaushalY Vyas, SupriyaD Malhotra
Perspectives in Clinical Research.2021; 12(2): 76. CrossRef
Exploring Perception of Chronic Hepatitis C: An Idiographic Case Study
Hana Arshad, Subha Malik
Pakistan Journal of Psychological Research.2020; 34(4): 735. CrossRef
Changes in Quality of Life of Chronic Hepatitis C Patients Participating in Clinical Trial
Hoo-Jeung CHO, Euna PARK
JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2018; 30(5): 1725. CrossRef
Treatment with Sofosbuvir and Daclatasvir (with or without Ribavirin) Improves Patient Reported Outcomes in Hepatitis C
Lucas Pereira Jorge de Medeiros, Mario Barreto Correa Lima, Marcia Maria Amêndola Pires, Alessandra Mendonça Almeida Maciel, Renata Barboza Vianna Medeiros, Mariana Dermínio Donadel, Isabela Martins Becattini Pereira, Fábio Marchon Leão, Luiz Eduardo Amor
Osong Public Health and Research Perspectives.2018; 9(2): 50. CrossRef
Quality of life in Brazilian patients with treated or untreated chronic hepatitis C
Cássio Marques Perlin, Vinicius Lins Ferreira, Helena Hiemisch Lobo Borba, Astrid Wiens, Cláudia Alexandra Pontes Ivantes, Luana Lenzi, Roberto Pontarolo
Revista do Instituto de Medicina Tropical de São P.2017;[Epub] CrossRef

Evaluating Service Quality from Patients' Perceptions: Application of Importance–performance Analysis Method: Rafat Mohebifar, Hana Hasani, Ameneh Barikani, Sima Rafiei; Osong Public Health Res Perspect. 2016;7(4):233-238. Published online August 31, 2016; DOI: https://doi.org/10.1016/j.phrp.2016.05.002

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38 Citations

Abstract PDF

Objectives
Providing high service quality is one of the main functions of health systems. Measuring service quality is the basic prerequisite for improving quality. The aim of this study was to evaluate the quality of service in teaching hospitals using importance–performance analysis matrix.
Methods
A descriptive–analytic study was conducted through a cross-sectional method in six academic hospitals of Qazvin, Iran, in 2012. A total of 360 patients contributed to the study. The sampling technique was stratified random sampling. Required data were collected based on a standard questionnaire (SERVQUAL). Data analysis was done through SPSS version 18 statistical software and importance–performance analysis matrix.
Results
The results showed a significant gap between importance and performance in all five dimensions of service quality (p < 0.05). In reviewing the gap, “reliability” (2.36) and “assurance” (2.24) dimensions had the highest quality gap and “responsiveness” had the lowest gap (1.97). Also, according to findings, reliability and assurance were in Quadrant (I), empathy was in Quadrant (II), and tangibles and responsiveness were in Quadrant (IV) of the importance–performance matrix.
Conclusion
The negative gap in all dimensions of quality shows that quality improvement is necessary in all dimensions. Using quality and diagnosis measurement instruments such as importance–performance analysis will help hospital managers with planning of service quality improvement and achieving long-term goals.

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Factors associated with health services utilization between the years 2010 and 2012 in Korea: using Andersen's Behavioral model: Han-Kyoul Kim, Munjae Lee; Osong Public Health Res Perspect. 2016;7(1):18-25. Published online February 28, 2016; DOI: https://doi.org/10.1016/j.phrp.2015.11.007

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56 Citations

Abstract PDF

Objectives
This study aimed to examine the factors associated with health services utilization using Andersen's behavioral model.
Methods
We collected Korea Health Panel data between the years 2010 and 2012 from the consortium of the National Health Insurance Service and the Korea Institute for Health and Social Affairs, and analyzed the data to determine the outpatients and inpatients of health services utilization.
Results
Health services utilization was more significantly explained by predisposing and need factors than enabling factors. The outpatients were examined more specifically; sex, age, and marital status as predisposing factors, and chronic illness as a need factor were the variables that had significant effects on health-services-utilization experience. The inpatients were examined more specifically: sex, age, and marital status in predisposing factors; education level, economic activities, and insurance type in enabling factors; and chronic illness and disability status in need factors were the significant variables having greater effects on health-services-utilization experience.
Conclusion
This study suggests the practical implications for providing health services for outpatients and inpatients. Moreover, verifying the general characteristics of outpatients and inpatients by focusing on their health services utilization provides the baseline data for establishing health service policies and programs with regard to the recently increasing interest in health services.

Citations

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Outpatient Service Use in Korean Older Adult Women with Degenerative Arthritis Based on Andersen’s Model
Soyoung Jang, Eunyoung E. Suh
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Yao Li, Lei Li, Junxia Liu
Social Science & Medicine.2023; 324: 115884. CrossRef
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Lian-Shin Lin, Ling-Hui Huang, Szu-Pei Chien, Chun-Li Wang, Lung-Chun Lee, Chung-Chieh Hu, Pi-Shan Hsu, Wei-Min Chu
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Nurse-Perceived Patient Adverse Events depend on Nursing Workload: Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee; Osong Public Health Res Perspect. 2016;7(1):56-62. Published online February 28, 2016; DOI: https://doi.org/10.1016/j.phrp.2015.10.015

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Abstract PDF

Objectives
The purpose of this study was to investigate the correlation between nursing workload and nurse-perceived patient adverse events.
Methods
A total of 1,816 nurses working in general inpatient units of 23 tertiary general hospitals in South Korea were surveyed, and collected data were analyzed through multilevel logistic regression analysis.
Results
Among variables related to nursing workload, the non-nursing task experience had an influence on all four types of patient adverse events. Nurses with non-nursing tasks experienced patient adverse events—falls [odds ratio (OR) = 1.31], nosocomial infections (OR = 1.23), pressure sores (OR = 1.16), and medication errors (OR = 1.23)—more often than occasionally. In addition, when the bed to nurse ratio was higher, nurses experienced cases of pressure sores more often (OR = 1.35). By contrast, nurses who said the nursing workforce is sufficient were less likely than others to experience cases of pressure sores (OR = 0.78). Hospitals with a relatively high proportion of nurses who perceived the nursing workforce to be sufficient showed a low rate of medication error (OR = 0.28).
Conclusion
The study suggested that the high level of nursing workload in South Korea increases the possibility of patient adverse events.

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Phenotypic Assays to Determine Virulence Factors of Uropathogenic Escherichia coli (UPEC) Isolates and their Correlation with Antibiotic Resistance Pattern: Mohsen Tabasi, Mohammad Reza Asadi Karam, Mehri Habibi, Mir Saeed Yekaninejad, Saeid Bouzari; Osong Public Health Res Perspect. 2015;6(4):261-268. Published online August 31, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.08.002

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Abstract PDF

Objectives
Urinary tract infection caused by uropathogenic Escherichia coli (UPEC) strains is one of the most important infections in the world. UPEC encode widespread virulence factors closely related with pathogenesis of the bacteria. The purpose of this study was to evaluate the presence of different phenotypic virulence markers in UPEC isolates and determine their correlation with antibiotic resistance pattern.
Methods
UPEC isolates from patients with different clinical symptoms of UTI were collected and screened for biofilm and hemolysin production, mannose resistant, and mannose sensitive hemagglutination (MRHA and MSHA, respectively). In addition, antimicrobial resistance pattern and ESBL-producing isolates were recorded.
Results
Of the 156 UPEC isolates, biofilm and hemolysin formation was seen in 133 (85.3%) and 53 (34%) isolates, respectively. Moreover, 98 (62.8%) and 58 (37.2%) isolates showed the presence of Types 1 fimbriae (MSHA) and P fimbriae (MRHA), respectively. Our results also showed a relationship between biofilm formation in UPEC isolated from acute cystitis patients and recurrent UTI cases. Occurrence of UTI was dramatically correlated with the patients' profiles. We observed that the difference in antimicrobial susceptibilities of the biofilm and nonbiofilm former isolates was statistically significant. The UPEC isolates showed the highest resistance to ampicillin, tetracycline, amoxicillin, and cotrimoxazole. Moreover, 26.9% of isolates were ESBL producers.
Conclusion
This study indicated that there is a relationship between the phenotypic virulence traits of the UPEC isolates, patients' profiles, and antibiotic resistance. Detection of the phenotypic virulence factors could help to improve understanding of pathogenesis of UPEC isolates and better medical intervention.

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A Study on the Characteristics of Infrequent and Frequent Outpatients Visiting Korean Traditional Medical Facilities: Jinwon Yoon, Haemo Park, Chaeshin Chu, Sung-Yong Choi, Kibum Lee, Sundong Lee; Osong Public Health Res Perspect. 2015;6(3):170-183. Published online June 30, 2015; DOI: https://doi.org/10.1016/j.phrp.2015.06.001

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Abstract PDF

Objectives
This study was intended to analyze the characteristics of infrequent and frequent outpatients visiting Korean medical facilities, and find the related variables of frequent users.
Methods
The data source was the Report on the Usage and Consumption of Korean Medicine (2011) published by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. We analyzed outpatient data using SAS 9.2.
Results
As much as 46.6% of the patients used Korean medical services over 11 times in 3 months. The proportion of frequent users increased depending on age, and their proportion was high in the low-income and low-education group. People with musculoskeletal disease, stroke, hypertension, and obesity were more likely to use Korean medical services. In general, patients were satisfied with their treatment, with frequent outpatients being more satisfied than infrequent outpatients. In logistic regression analysis, age and musculoskeletal disease were significant determinants of frequency of use of Korean medical services.
Conclusion
Age, musculoskeletal disease, and specific diseases were highly associated with frequent Korean medical utilization.

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Identifying the Relationship between the Korean Medicine and Western Medicine in Factors Affecting Medical Service Use
Young-eun Choi, Chul-woung Kim
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Association between subjective health status and frequency of visits to acupuncture clinic: A cross-sectional study
Takumi Kayo, Masao Suzuki, Ryuji Kato, Naoto Ishizaki, Tadamichi Mitsuma, Fumihiko Fukuda, Vijay S. Gc
PLOS ONE.2022; 17(11): e0277686. CrossRef
Characteristics of Herbal Medicine Users and Adverse Events Experienced in South Korea: A Survey Study
Soobin Jang, Kyeong Han Kim, Seung-Ho Sun, Ho-Yeon Go, Eun-Kyung Lee, Bo-Hyoung Jang, Yong-Cheol Shin, Seong-Gyu Ko
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Sunju Park, In-Hwan Oh, Bo-Hyoung Jang, Minjung Park, YongCheol Shin, Kanghee Moon, Seong-Gyu Ko
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Determinants of the Length of Stay in Stroke Patients: Sang Mi Kim, Sung Wan Hwang, Eun-Hwan Oh, Jung-Kyu Kang; Osong Public Health Res Perspect. 2013;4(6):329-341. Published online December 31, 2013; DOI: https://doi.org/10.1016/j.phrp.2013.10.008

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16 Citations

Abstract PDF

Objectives
The study objective was to identify the factors that influence the length of stay (LOS) in hospital for stroke patients and to provide data for managing hospital costs by managing the LOS.
Methods
This study used data from the Discharge Injury Survey of the Korea Centers for Disease Control and Prevention, which included 17,364 cases from 2005 to 2008.
Result
The LOS for stroke, cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage was 18.6, 15.0, 28.9, and 25.3 days, respectively. Patients who underwent surgery had longer LOS. When patients were divided based on whether they had surgery, there was a 2.4-time difference in the LOS for patients with subarachnoid hemorrhage, 2.0-time difference for patients with cerebral infarction, and 1.4-time difference for patients with intracerebral hemorrhage. The emergency route of admission and other diagnosis increased LOS, whereas hypertension and diabetic mellitus reduced LOS.
Conclusion
In the present rapidly changing hospital environments, hospitals approach an efficient policy for LOS, to maintain their revenues and quality of assessment. If LOS is used as the indicator of treatment expenses, there is a need to tackle factors that influence the LOS of stroke patients for each disease group who are divided based on whether surgery is performed or not for the proper management of the LOS.

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Association Between Race and Length of Stay Among Stroke Patients: The National US Emergency Departments Data Set
Karan Patel, Kamil Taneja, Jared Wolfe, Joseph V. Campellone, Mudassir Farooqui, Santiago Ortega‐Gutierrez, James E. Siegler
Stroke: Vascular and Interventional Neurology.2023;[Epub] CrossRef
Can HRV Predict Prolonged Hospitalization and Favorable or Unfavorable Short-Term Outcome in Patients with Acute Ischemic Stroke?
Joanna Aftyka, Jacek Staszewski, Aleksander Dębiec, Aleksandra Pogoda-Wesołowska, Jan Żebrowski
Life.2023; 13(4): 856. CrossRef
Does the Implementation of a National Health Insurance Program Result in Rationing Care for Ischemic Stroke Management? Analysis of the Indonesian National Health Insurance Program
Lisda Amalia
Risk Management and Healthcare Policy.2023; Volume 16: 455. CrossRef
Teleneurocritical care is associated with equivalent billable charges to in-person neurocritical care for patients with acute stroke
Nick M. Murray, Katherine Thomas, Dean Roller, Scott Marshall, Julie Martinez, Robert Hoesch, Kyle Hobbs, Shawn Smith, Kevin Meier, Adrian Puttgen
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Systematic Review of Resource Use and Costs in the Hospital Management of Intracerebral Hemorrhage
Steven Mulackal Thomas, Yarin Reindorp, Brandon R. Christophe, Edward Sander Connolly
World Neurosurgery.2022; 164: 41. CrossRef
Relationship between time of referral for physiotherapy and length of stay after stroke in a Nigerian tertiary hospital: a retrospective study
A. Aderonmu Joseph, O. Obembe Adebimpe
Bulletin of Faculty of Physical Therapy.2022;[Epub] CrossRef
Teleneurocritical Care for Patients with Large Vessel Occlusive Ischemic Stroke Treated by Thrombectomy
Nick M. Murray, Scott Marshall, Robert Hoesch, Kyle Hobbs, Shawn Smith, Dean Roller, Katherine Thomas, Kevin Meier, Adrian Puttgen
Neurocritical Care.2022;[Epub] CrossRef
Predicting length of stay in patients admitted to stroke rehabilitation with severe and moderate levels of functional impairments
Alejandro García-Rudolph, Blanca Cegarra, Eloy Opisso, Josep María Tormos, Montserrat Bernabeu, Joan Saurí
Medicine.2020; 99(43): e22423. CrossRef
Propensity score matching analysis on inpatient period differences of hemorrhagic stroke survivors depending on medical insurance coverage
Sang-Mi Kim, Young Kim, Seong-A Lee
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Does service heterogeneity have an impact on acute hospital length of stay in stroke? A UK-based multicentre prospective cohort study
Michelle Tørnes, David McLernon, Max Bachmann, Stanley Musgrave, Elizabeth A Warburton, John F Potter, Phyo Kyaw Myint
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Janine Ghielen, Sezgin Cihangir, Karin Hekkert, Ine Borghans, Rudolf Bertijn Kool
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Andjela Milojevic Samanovic, Dragan Milovanovic, Vladimir Gajic, Aleksandar Raskovic, Dragan Milojevic
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Evaluating the Duration of Hospitalization and Its Related Factors Among Stroke Patients
Maedeh Majidi Shad, Alia Saberi, Maryam Shakiba, Shademan Rezamasouleh
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Critical Care Medicine.2017; 45(2): e138. CrossRef

The Impact of Emergency Room Utilization by Depression Patients on Medical Treatment Expense in Korea: Hyun Sook Lee; Osong Public Health Res Perspect. 2013;4(5):240-245. Published online October 31, 2013; DOI: https://doi.org/10.1016/j.phrp.2013.09.007

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3 Citations

Abstract PDF

Objectives
To investigate the determinants of total medical expense for depression patients admitted through the emergency room (ER).
Methods
Data were selected from the Korean National Health Insurance sample data for 2009. SPSS version 18 was used for the statistical analysis such as descriptive analysis, correlation analysis, and multiple regression analysis. Data included 1203 cases admitted through the ER with ICD-10 codes (F31–F39).
Results
In the multiple regression analysis, significant variables affecting total payment were gender (p < 0.001), age (p < 0.001), main illness (p < 0.001), course of admission to the ER (p < 0.05), and length of stay (p < 0.001).
Conclusion
It is necessary to build a long-term program and system for high-risk depression groups.

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The economic burden of adolescent internet addiction: A Korean health cost case study
Robert W. Mead, Edward Nall
The Social Science Journal.2023; : 1. CrossRef
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Jee-Ae Kim, Seokjun Yoon, Log-Young Kim, Dong-Sook Kim
Journal of Korean Medical Science.2017; 32(5): 718. CrossRef
A Comparative Study on Total Payment of Mental and Behavioral Disorders Patients Admitted through the Emergency Room: Focusing on Main & Sub Sick
Hyun-Sik Choi, Hyun-Sook Lee
The Journal of the Korea Contents Association.2014; 14(10): 562. CrossRef

Modeling for Estimating Influenza Patients from ILI Surveillance Data in Korea: Joo-Sun Lee, Sun-Hee Park, Jin-Woong Moon, Jacob Lee, Yong Gyu Park, Yong Kyun Roh; Osong Public Health Res Perspect. 2011;2(2):89-93. Published online June 30, 2011; DOI: https://doi.org/10.1016/j.phrp.2011.08.001

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7 Citations

Abstract PDF

Objective Prediction of influenza incidence among outpatients from an influenza surveillance system is important for public influenza strategy.
Methods
We developed two influenza prediction models through influenza surveillance data of the Korea Centers for Disease Control and Prevention (each year, each province and metropolitan city; total reported patients with influenza-like illness stratified by age) for 6 years from 2005 to 2010 and disease-specific data (influenza code J09-J11, monthly number of influenza patients, total number of outpatients and hospital visits) from the Health Insurance Review and Assessment service.
Results
Incidence of influenza in each area, year, and month was estimated from our prediction models, which were validated by simulation processes. For example, in November 2009, Seoul and Joenbuk, the final number of influenza patients calculated by prediction models A and B underestimated actual reported cases by 64 and 833 patients, respectively, in Seoul and 6 and 9 patients, respectively, in Joenbuk. R-square demonstrated that prediction model A was more suitable than model B for estimating the number of influenza patients.
Conclusion
Our prediction models from the influenza surveillance system could estimate the nationwide incidence of influenza. This prediction will provide important basic data for national quarantine activities and distributing medical resources in future pandemics.

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Assessment of Intensive Vaccination and Antiviral Treatment in 2009 Influenza Pandemic in Korea
Chaeshin Chu, Sunmi Lee
Osong Public Health and Research Perspectives.2015; 6(1): 47. CrossRef
Doing Mathematics with Aftermath of Pandemic Influenza 2009
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2015; 6(1): 1. CrossRef
Antiviral treatment of influenza in South Korea
Young June Choe, Hyunju Lee, Hoan Jong Lee, Eun Hwa Choi
Expert Review of Anti-infective Therapy.2015; 13(6): 741. CrossRef
Years of Epidemics (2009–2011): Pandemic Influenza and Foot-and-Mouth Disease Epidemic in Korea
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2013; 4(3): 125. CrossRef
How to Manage a Public Health Crisis and Bioterrorism in Korea
Hae-Wol Cho, Chaeshin Chu
Osong Public Health and Research Perspectives.2013; 4(5): 223. CrossRef
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Hae-Wol Cho, Chaeshin Chu
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Hae-Wol Cho, Chaeshin Chu
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Prevalence of Antibiotic Resistance in Escherichia coli Fecal Isolates From Healthy Persons and Patients With Diarrhea: Seung-Hak Cho, Yeong-Sik Lim, Mi-Sun Park, Seong-Han Kim, Yeon-Ho Kang; Osong Public Health Res Perspect. 2011;2(1):41-45. Published online June 30, 2011; DOI: https://doi.org/10.1016/j.phrp.2011.05.003

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Abstract PDF

Objectives
This study aimed to investigate the prevalence of antibiotic resistance in fecal Escherichia coli isolates from healthy persons and patients with diarrhea.
Methods
E. coli isolates (n = 428) were obtained from fecal samples of apparently healthy volunteers and hospitalized patients with diarrhea. Susceptibility patterns of isolates to 16 antimicrobial agents were determined by agar disc diffusion.
Results
Most E. coli isolates exhibited less than 10% resistance against imipenem, cefotetan, aztreonam, cefepime, cefoxitin, amikacin and netilamicin, although greater than 65% were resistant to ampicillin and tetracycline. No significant difference in resistance rates for all tested antibiotics was found between isolates from the healthy-and diarrheal-patient groups, including for multi-drug resistance (p = 0.22). The highest number of resistant antibiotics was 12 antibiotics. No significant differences in antibiotic resistance were found among the sex and age strata for isolates from healthy individuals. However, antibiotic resistance rates to cefoxitin, cefotaxime, amikacin, and netilamicin were significantly higher in the isolates of men than those of women (p < 0.05) in isolates from patients with diarrhea. Furthermore, isolates from patients with diarrhea older than 40-years of age showed higher resistance to cefepime and aztreonam (p < 0.05).
Conclusion
High resistance to the antibiotics most frequently prescribed for diarrhea was found in isolates from patients with diarrhea and apparently healthy individuals without any significant difference.

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Phuong Hoai HOANG, Sharda Prasad AWASTHI, Phuc DO NGUYEN, Ngan Ly Hoang NGUYEN, Dao Thi Anh NGUYEN, Ninh Hoang LE, Chinh VAN DANG, Atsushi HINENOYA, Shinji YAMASAKI
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Mahwish Younas, Fariha Siddiqui, Zobia Noreen, Syeda Sadia Bokhari, Oscar G. Gomez-Duarte, Brendan W. Wren, Habib Bokhari
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Distribution of Virulence Genes and Their Association of Serotypes in Pathogenic Escherichia coli Isolates From Diarrheal Patients in Korea: Seung-Hak Cho, Kyung-Hwan Oh, Seong-Han Kim, Hee-Bok Oh, Mi-Sun Park; Osong Public Health Res Perspect. 2010;1(1):29-35. Published online December 31, 2010; DOI: https://doi.org/10.1016/j.phrp.2010.12.008

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Abstract PDF

Objectives
To characterise the genetic and serological diversity of pathogenic Escherichia coli, we tested 111 E coli strains isolated from diarrhoeal patients in Korea between 2003 and 2006.
Methods
The isolates were tested through polymerase chain reaction (PCR) and slide agglutination method for the detection of virulence genes and serotypes, respectively. To compare the expression of Shiga toxin (stx)-1 and stx2 genes, real-time quantitative reverse-transcriptase PCR and rapid exprssion assay, reversed-passive latex agglutination, were performed.
Results
Forty-nine Shiga toxin-producing E coli (STEC) strains and 62 non-STEC strains, including 20 enteropathogenic E coli, 20 enterotoxigenic E coli, 20 enteroaggregative E coli, and 2 enteroinvasive E coli were randomly chosen from the strains isolated from diarrhoeal patients in Korea between 2003 and 2006. PCR analysis indicated that locus of enterocyte effacement pathogenicity island, that is, eaeA, espADB, and tir genes were present in STEC, enteropathogenic E coli, and enteroinvasive E coli. Quorum sensing-related gene luxS was detected in most of pathogenic E coli strains. Major serotypes of the STEC strains were O157 (26%) and O26 (20%), whereas the non-STEC strains possessed various serotypes. Especially, all the strains with serotype O157 carried stx2 and the tested virulence factors. Of the STEC strains, the data of real-time quantitative reverse-transcriptase PCR and reversed-passive latex agglutination tests showed that messenger RNA- and protein expression of stx2 gene were higher than those of stx1 gene.
Conclusion
Our results provide the epidemiological information regarding the trend of STEC and non-STEC infections in the general population and show the fundamental data in association of serotypes with virulence genes in diarrhoeagenic E coli strains from Korea.

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