Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Identifieur interne : 000D43 ( Main/Exploration ); précédent : 000D42; suivant : 000D44Impact of Middle East respiratory syndrome outbreak on the use of emergency medical resources in febrile patients
Auteurs : Hyunho Jeong [Corée du Sud] ; Sikyoung Jeong [Corée du Sud] ; Juseok Oh [Corée du Sud] ; Seon Hee Woo [Corée du Sud] ; Byung Hak So [Corée du Sud] ; Jeong Hee Wee [Corée du Sud] ; Ji Hoon Kim [Corée du Sud] ; Ji Yong Im [Corée du Sud] ; Seung Pill Choi [Corée du Sud] ; Kyoungnam Park [Corée du Sud] ; Byul Nim Hee Cho [Corée du Sud] ; Sungyoup Hong [Corée du Sud]Source :
- Clinical and Experimental Emergency Medicine [ 2383-4625 ] ; 2017.
Abstract
Outbreaks of transmissible respiratory infection are suspected to have significant effects on the health of pediatric and geriatric patients. The objective was to assess the impact of the Middle East respiratory syndrome (MERS) outbreak on the use of emergency resources.
An ecologic analysis of emergency department (ED) records between September and December 2015, was performed. Data was obtained from the National Emergency Department Information System database for Korea. All demographic and diagnostic data from patients presenting with febrile symptoms as a main complaint were collected. The data were compared to the equivalent period in the three years preceding the MERS outbreak in Korea.
Following the MERS outbreak, there was an increase in overall ED visits by febrile patients and the proportion of visits by febrile patients, relative to total ED attendances. This effect was more prominent in the children under five years. The duration of the chief complaint before ED arrival and the length of ED stay were significantly increased among younger pediatric patients. Decreased body temperature on arrival was observed in younger pediatric patients.
MERS outbreak appears to have had a significant effects on ED use by febrile patients. The use of emergency care services by pediatric patients makes them more vulnerable to an outbreak of a transmissable disease. An effective strategy to control emergency center visits by non-urgent febrile patients and provide proper medical services is urgently needed.
Url:
DOI: 10.15441/ceem.16.166
PubMed: 28717779
PubMed Central: 5511955
Affiliations:
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nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Ji Hoon" sort="Kim, Ji Hoon" uniqKey="Kim J" first="Ji Hoon" last="Kim">Ji Hoon Kim</name><affiliation wicri:level="1"><nlm:aff id="af6-ceem-16-166">Department of Emergency Medicine, Bucheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Bucheon,<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="Im, Ji Yong" sort="Im, Ji Yong" uniqKey="Im J" first="Ji Yong" last="Im">Ji Yong Im</name><affiliation wicri:level="1"><nlm:aff id="af7-ceem-16-166">Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Seoul,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country 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strict</wicri:regionArea></affiliation></author><author><name sortKey="Cho, Byul Nim Hee" sort="Cho, Byul Nim Hee" uniqKey="Cho B" first="Byul Nim Hee" last="Cho">Byul Nim Hee Cho</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<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="Hong, Sungyoup" sort="Hong, Sungyoup" uniqKey="Hong S" first="Sungyoup" last="Hong">Sungyoup Hong</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<country>Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country 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id="af1-ceem-16-166">Department of Emergency Medicine, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Uijeongbu,<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="Jeong, Sikyoung" sort="Jeong, Sikyoung" uniqKey="Jeong S" first="Sikyoung" last="Jeong">Sikyoung Jeong</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<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="Oh, Juseok" sort="Oh, Juseok" uniqKey="Oh J" first="Juseok" last="Oh">Juseok Oh</name><affiliation wicri:level="1"><nlm:aff id="af1-ceem-16-166">Department of Emergency Medicine, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Uijeongbu,<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="Woo, Seon Hee" sort="Woo, Seon Hee" uniqKey="Woo S" first="Seon Hee" last="Woo">Seon Hee Woo</name><affiliation wicri:level="1"><nlm:aff id="af3-ceem-16-166">Department of Emergency Medicine, Incheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Incheon,<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="So, Byung Hak" sort="So, Byung Hak" uniqKey="So B" first="Byung Hak" last="So">Byung Hak So</name><affiliation wicri:level="1"><nlm:aff id="af4-ceem-16-166">Department of Emergency Medicine, St. Vincent’s Hospital, The Catholic University of Korea College of Medicine, Suwon,<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="Wee, Jeong Hee" sort="Wee, Jeong Hee" uniqKey="Wee J" first="Jeong Hee" last="Wee">Jeong Hee Wee</name><affiliation wicri:level="1"><nlm:aff id="af5-ceem-16-166">Department of Emergency Medicine, Yeouido St. Mary’s Hospital, The Catholic University of Korea College of Medicine, 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="Kim, Ji Hoon" sort="Kim, Ji Hoon" uniqKey="Kim J" first="Ji Hoon" last="Kim">Ji Hoon Kim</name><affiliation wicri:level="1"><nlm:aff id="af6-ceem-16-166">Department of Emergency Medicine, Bucheon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Bucheon,<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="Im, Ji Yong" sort="Im, Ji Yong" uniqKey="Im J" first="Ji Yong" last="Im">Ji Yong Im</name><affiliation wicri:level="1"><nlm:aff id="af7-ceem-16-166">Department of Emergency Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea College of Medicine, 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="Choi, Seung Pill" sort="Choi, Seung Pill" uniqKey="Choi S" first="Seung Pill" last="Choi">Seung Pill Choi</name><affiliation wicri:level="1"><nlm:aff id="af5-ceem-16-166">Department of Emergency Medicine, Yeouido St. Mary’s Hospital, The Catholic University of Korea College of Medicine, 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="Park, Kyoungnam" sort="Park, Kyoungnam" uniqKey="Park K" first="Kyoungnam" last="Park">Kyoungnam Park</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<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="Cho, Byul Nim Hee" sort="Cho, Byul Nim Hee" uniqKey="Cho B" first="Byul Nim Hee" last="Cho">Byul Nim Hee Cho</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<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="Hong, Sungyoup" sort="Hong, Sungyoup" uniqKey="Hong S" first="Sungyoup" last="Hong">Sungyoup Hong</name><affiliation wicri:level="1"><nlm:aff id="af2-ceem-16-166">Department of Emergency Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine, Daejeon,<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">Clinical and Experimental Emergency Medicine</title><idno type="eISSN">2383-4625</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>Outbreaks of transmissible respiratory infection are suspected to have significant effects on the health of pediatric and geriatric patients. The objective was to assess the impact of the Middle East respiratory syndrome (MERS) outbreak on the use of emergency resources.</p></sec><sec><title>Methods</title><p>An ecologic analysis of emergency department (ED) records between September and December 2015, was performed. Data was obtained from the National Emergency Department Information System database for Korea. All demographic and diagnostic data from patients presenting with febrile symptoms as a main complaint were collected. The data were compared to the equivalent period in the three years preceding the MERS outbreak in Korea.</p></sec><sec><title>Results</title><p>Following the MERS outbreak, there was an increase in overall ED visits by febrile patients and the proportion of visits by febrile patients, relative to total ED attendances. This effect was more prominent in the children under five years. The duration of the chief complaint before ED arrival and the length of ED stay were significantly increased among younger pediatric patients. Decreased body temperature on arrival was observed in younger pediatric patients.</p></sec><sec><title>Conclusion</title><p>MERS outbreak appears to have had a significant effects on ED use by febrile patients. The use of emergency care services by pediatric patients makes them more vulnerable to an outbreak of a transmissable disease. An effective strategy to control emergency center visits by non-urgent febrile patients and provide proper medical services is urgently needed.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Al Tawfiq, Ja" uniqKey="Al Tawfiq J">JA Al-Tawfiq</name></author><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hunter, Jc" uniqKey="Hunter J">JC Hunter</name></author><author><name sortKey="Nguyen, D" uniqKey="Nguyen D">D Nguyen</name></author><author><name sortKey="Aden, B" uniqKey="Aden B">B Aden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Hy" uniqKey="Park H">HY Park</name></author><author><name sortKey="Lee, Ej" uniqKey="Lee E">EJ Lee</name></author><author><name sortKey="Ryu, Yw" uniqKey="Ryu Y">YW Ryu</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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uniqKey="Gayer M">M Gayer</name></author><author><name sortKey="Ryan, Mj" uniqKey="Ryan M">MJ Ryan</name></author><author><name sortKey="Salama, P" uniqKey="Salama P">P Salama</name></author><author><name sortKey="Spiegel, P" uniqKey="Spiegel P">P Spiegel</name></author><author><name sortKey="Heymann, Dl" uniqKey="Heymann D">DL Heymann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brownstein, Js" uniqKey="Brownstein J">JS Brownstein</name></author><author><name sortKey="Mandl, Kd" uniqKey="Mandl K">KD Mandl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lopez, Ma" uniqKey="Lopez M">MA Lopez</name></author><author><name sortKey="Cruz, At" uniqKey="Cruz A">AT Cruz</name></author><author><name sortKey="Kowalkowski, Ma" uniqKey="Kowalkowski M">MA Kowalkowski</name></author><author><name sortKey="Raphael, Jl" uniqKey="Raphael J">JL Raphael</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Y" uniqKey="Kim Y">Y Kim</name></author><author><name sortKey="Oh, D" uniqKey="Oh D">D Oh</name></author><author><name sortKey="Kang, M" uniqKey="Kang M">M Kang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Jeong, Hyunho" sort="Jeong, Hyunho" uniqKey="Jeong H" first="Hyunho" last="Jeong">Hyunho Jeong</name></noRegion><name sortKey="Cho, Byul Nim Hee" sort="Cho, Byul Nim Hee" uniqKey="Cho B" first="Byul Nim Hee" last="Cho">Byul Nim Hee Cho</name><name sortKey="Choi, Seung Pill" sort="Choi, Seung Pill" uniqKey="Choi S" first="Seung Pill" last="Choi">Seung Pill Choi</name><name sortKey="Hong, Sungyoup" sort="Hong, Sungyoup" uniqKey="Hong S" first="Sungyoup" last="Hong">Sungyoup Hong</name><name sortKey="Im, Ji Yong" sort="Im, Ji Yong" uniqKey="Im J" first="Ji Yong" last="Im">Ji Yong Im</name><name sortKey="Jeong, Sikyoung" sort="Jeong, Sikyoung" uniqKey="Jeong S" first="Sikyoung" last="Jeong">Sikyoung Jeong</name><name sortKey="Kim, Ji Hoon" sort="Kim, Ji Hoon" uniqKey="Kim J" first="Ji Hoon" last="Kim">Ji Hoon Kim</name><name sortKey="Oh, Juseok" sort="Oh, Juseok" uniqKey="Oh J" first="Juseok" last="Oh">Juseok Oh</name><name sortKey="Park, Kyoungnam" sort="Park, Kyoungnam" uniqKey="Park K" first="Kyoungnam" last="Park">Kyoungnam Park</name><name sortKey="So, Byung Hak" sort="So, Byung Hak" uniqKey="So B" first="Byung Hak" last="So">Byung Hak So</name><name sortKey="Wee, Jeong Hee" sort="Wee, Jeong Hee" uniqKey="Wee J" first="Jeong Hee" last="Wee">Jeong Hee Wee</name><name sortKey="Woo, Seon Hee" sort="Woo, Seon Hee" uniqKey="Woo S" first="Seon Hee" last="Woo">Seon Hee Woo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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