The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns.
Identifieur interne : 000B68 ( PubMed/Corpus ); précédent : 000B67; suivant : 000B69The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns.
Auteurs : So Hyun Paek ; Do Kyun Kim ; Jin Hee Lee ; Young Ho KwakSource :
- Journal of Korean medical science [ 1598-6357 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Fever.
- epidemiology : Coronavirus Infections, Republic of Korea.
- Adolescent, Child, Child, Preschool, Disease Outbreaks, Emergency Medical Services, Humans, Infant, Length of Stay, Patient Admission, Retrospective Studies, Tertiary Care Centers.
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.
DOI: 10.3346/jkms.2017.32.10.1576
PubMed: 28875599
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns.</title><author><name sortKey="Paek, So Hyun" sort="Paek, So Hyun" uniqKey="Paek S" first="So Hyun" last="Paek">So Hyun Paek</name><affiliation><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea. birdbeak@snuh.org.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28875599</idno><idno type="pmid">28875599</idno><idno type="doi">10.3346/jkms.2017.32.10.1576</idno><idno type="wicri:Area/PubMed/Corpus">000B68</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000B68</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns.</title><author><name sortKey="Paek, So Hyun" sort="Paek, So Hyun" uniqKey="Paek S" first="So Hyun" last="Paek">So Hyun Paek</name><affiliation><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea. birdbeak@snuh.org.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></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><nlm:affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of Korean medical science</title><idno type="eISSN">1598-6357</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Coronavirus Infections (epidemiology)</term><term>Disease Outbreaks</term><term>Emergency Medical Services</term><term>Fever (diagnosis)</term><term>Humans</term><term>Infant</term><term>Length of Stay</term><term>Patient Admission</term><term>Republic of Korea (epidemiology)</term><term>Retrospective Studies</term><term>Tertiary Care Centers</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Fever</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Coronavirus Infections</term><term>Republic of Korea</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child, Preschool</term><term>Disease Outbreaks</term><term>Emergency Medical Services</term><term>Humans</term><term>Infant</term><term>Length of Stay</term><term>Patient Admission</term><term>Retrospective Studies</term><term>Tertiary Care Centers</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28875599</PMID><DateCompleted><Year>2018</Year><Month>05</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1598-6357</ISSN><JournalIssue CitedMedium="Internet"><Volume>32</Volume><Issue>10</Issue><PubDate><Year>2017</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Journal of Korean medical science</Title><ISOAbbreviation>J. Korean Med. Sci.</ISOAbbreviation></Journal><ArticleTitle>The Impact of Middle East Respiratory Syndrome Outbreak on Trends in Emergency Department Utilization Patterns.</ArticleTitle><Pagination><MedlinePgn>1576-1580</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3346/jkms.2017.32.10.1576</ELocationID><Abstract><AbstractText>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.</AbstractText><CopyrightInformation>© 2017 The Korean Academy of Medical Sciences.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Paek</LastName><ForeName>So Hyun</ForeName><Initials>SH</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-1412-7347</Identifier><AffiliationInfo><Affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Emergency Medicine, Kangwon National University, Graduate School of Medicine, Chuncheon, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Do Kyun</ForeName><Initials>DK</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-6144-302X</Identifier><AffiliationInfo><Affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea. birdbeak@snuh.org.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Jin Hee</ForeName><Initials>JH</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-2385-2834</Identifier><AffiliationInfo><Affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kwak</LastName><ForeName>Young Ho</ForeName><Initials>YH</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-2062-7575</Identifier><AffiliationInfo><Affiliation>Department of Emergency Medicine, Seoul National University Hospital, Seoul, Korea.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>J Korean Med Sci</MedlineTA><NlmUniqueID>8703518</NlmUniqueID><ISSNLinking>1011-8934</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="N">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004632" MajorTopicYN="Y">Emergency Medical Services</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005334" MajorTopicYN="N">Fever</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010343" MajorTopicYN="N">Patient Admission</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D056910" MajorTopicYN="N">Republic of Korea</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062606" MajorTopicYN="N">Tertiary Care Centers</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Adults</Keyword><Keyword MajorTopicYN="N">Emergency Department</Keyword><Keyword MajorTopicYN="N">MERS</Keyword><Keyword MajorTopicYN="N">Pediatric Patients</Keyword></KeywordList><CoiStatement>The authors have no potential conflicts of interest to disclose.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>04</Month><Day>03</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>06</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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