The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns
Identifieur interne : 000E54 ( Main/Exploration ); précédent : 000E53; suivant : 000E55The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns
Auteurs : So Hyun Paek [Corée du Sud] ; Do Kyun Kim [Corée du Sud] ; Jin Hee Lee [Corée du Sud] ; Young Ho Kwak [Corée du Sud]Source :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2017.
Abstract
Changes occurred in the patterns of utilization of emergency medical services during the Middle East respiratory syndrome (MERS) outbreak. The purpose of this study was to analyze the patterns of adult and pediatric patients who visited the emergency department (ED) during the outbreak. This retrospective study was conducted by analyzing changes in the patterns of visits among adult and pediatric patients in the ED at one tertiary teaching hospital in Korea. The study was performed from June 1, 2013 to July 31, 2015. The MERS outbreak period was from June 1 to July 31, 2015, and we compared that period to the same periods in 2013 and 2014. We compared and analyzed the patients' characteristics, emergency severity index (ESI) level at the visit, cause of visit, diagnosis, final dispositions, injury/non-injury, length of stay at the ED (EDLOS), and hospitalization rate. A total of 9,107 patients visited the ED during this period. Of these patients, 2,572 (28.2%) were pediatric patients and 6,535 (71.8%) were adult patients. The most common cause of an ED visit was fever (adult patients: 21.6%, pediatric patients: 56.2%). The proportion of non-urgent visits involving an ESI level of 4 or 5 and the EDLOS decreased significantly in pediatric and adult patients in comparison to that during the past two years. This change was significant in pediatric patients. Among adult patients, the rate of injury decreased, whereas it increased among pediatric patients. During the MERS outbreak period, pediatric ED visits due to non-urgent cases decreased significantly and there were more pronounced differences in ED utilization patterns in pediatric patients than in adult patients.
Url:
DOI: 10.3346/jkms.2017.32.10.1576
PubMed: 28875599
PubMed Central: 5592169
Affiliations:
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Emergency Medicine, Kangwon National University, Graduate School of Medicine, Chuncheon,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Do Kyun" sort="Kim, Do Kyun" uniqKey="Kim D" first="Do Kyun" last="Kim">Do Kyun Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Emergency Medicine, Seoul National University Hospital, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Jin Hee" sort="Lee, Jin Hee" uniqKey="Lee J" first="Jin Hee" last="Lee">Jin Hee Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Emergency Medicine, Seoul National University Hospital, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kwak, Young Ho" sort="Kwak, Young Ho" uniqKey="Kwak Y" first="Young Ho" last="Kwak">Young Ho Kwak</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Emergency Medicine, Seoul National University Hospital, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Korean Medical Science</title><idno type="ISSN">1011-8934</idno><idno type="eISSN">1598-6357</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Changes occurred in the patterns of utilization of emergency medical services during the Middle East respiratory syndrome (MERS) outbreak. The purpose of this study was to analyze the patterns of adult and pediatric patients who visited the emergency department (ED) during the outbreak. This retrospective study was conducted by analyzing changes in the patterns of visits among adult and pediatric patients in the ED at one tertiary teaching hospital in Korea. The study was performed from June 1, 2013 to July 31, 2015. The MERS outbreak period was from June 1 to July 31, 2015, and we compared that period to the same periods in 2013 and 2014. We compared and analyzed the patients' characteristics, emergency severity index (ESI) level at the visit, cause of visit, diagnosis, final dispositions, injury/non-injury, length of stay at the ED (EDLOS), and hospitalization rate. A total of 9,107 patients visited the ED during this period. Of these patients, 2,572 (28.2%) were pediatric patients and 6,535 (71.8%) were adult patients. The most common cause of an ED visit was fever (adult patients: 21.6%, pediatric patients: 56.2%). The proportion of non-urgent visits involving an ESI level of 4 or 5 and the EDLOS decreased significantly in pediatric and adult patients in comparison to that during the past two years. This change was significant in pediatric patients. Among adult patients, the rate of injury decreased, whereas it increased among pediatric patients. During the MERS outbreak period, pediatric ED visits due to non-urgent cases decreased significantly and there were more pronounced differences in ED utilization patterns in pediatric patients than in adult patients.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Oh, Md" uniqKey="Oh M">MD Oh</name></author><author><name sortKey="Choe, Pg" uniqKey="Choe P">PG Choe</name></author><author><name sortKey="Oh, Hs" uniqKey="Oh H">HS Oh</name></author><author><name sortKey="Park, Wb" uniqKey="Park W">WB Park</name></author><author><name sortKey="Lee, Sm" uniqKey="Lee S">SM Lee</name></author><author><name sortKey="Park, J" uniqKey="Park J">J Park</name></author><author><name sortKey="Lee, Sk" uniqKey="Lee S">SK Lee</name></author><author><name sortKey="Song, Js" uniqKey="Song J">JS Song</name></author><author><name sortKey="Kim, Nj" uniqKey="Kim N">NJ Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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sortKey="Lee, Jin Hee" sort="Lee, Jin Hee" uniqKey="Lee J" first="Jin Hee" last="Lee">Jin Hee Lee</name><name sortKey="Paek, So Hyun" sort="Paek, So Hyun" uniqKey="Paek S" first="So Hyun" last="Paek">So Hyun Paek</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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