COVID-19 기간 119구급차를 통해 일개 응급의료센터에 내원한 환자 중증도의 변화-
Change in the severity of patients visiting emergency medical centers through the 119 ambulance during the COVID19 pandemic
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: Despite the fact that emergency medical centers (ED) are used by emergency patients, more than 50% of non-emergency patients have been reported to be admitted in EDs, of which more than 10% of them used the 119 ambulance. Therefore, this study investigated whether there was a change in the severity of patients visiting EDs during the first year of the COVID19 pandemic. Methods: This was a retrospective study of patients who visited the ED through the 119 ambulance in 2019 (13,735) and 2020 (11,015). Patient data were analyzed using the medical information system. Results: There was an increase in non-emergency patients at the emergency departments (KTAS levels 4-5) in 2020 with a rate of 58.0% (6,393), as compared to the 2019 data with a rate of 44.9% (6,169). However, the 2020 median length of stay in the emergency department was 188 minutes (IQR: 0-5,909minutes) (p=.000), which was decreased as compared to the 2019 median length of stay of 231 minutes (IQR: 5-6,211minutes) (p=.003). Conclusion: Providing emergency ambulance guidelines for selecting proper hospitals and educating patients to refrain from using the ED for non-emergency patients should be taken into consideration to prevent overcrowding and construct a more effective emergency medical system (EMS).
Abstract
Purpose: Despite the fact that emergency medical centers (ED) are used by emergency patients, more than 50% of non-emergency patients have been reported to be admitted in EDs, of which more than 10% of them used the 119 ambulance. Therefore, this study investigated whether there was a change in the severity of patients visiting EDs during the first year of the COVID19 pandemic. Methods: This was a retrospective study of patients who visited the ED through the 119 ambulance in 2019 (13,735) and 2020 (11,015). Patient data were analyzed using the medical information system. Results: There was an increase in non-emergency patients at the emergency departments (KTAS levels 4-5) in 2020 with a rate of 58.0% (6,393), as compared to the 2019 data with a rate of 44.9% (6,169). However, the 2020 median length of stay in the emergency department was 188 minutes (IQR: 0-5,909minutes) (p=.000), which was decreased as compared to the 2019 median length of stay of 231 minutes (IQR: 5-6,211minutes) (p=.003). Conclusion: Providing emergency ambulance guidelines for selecting proper hospitals and educating patients to refrain from using the ED for non-emergency patients should be taken into consideration to prevent overcrowding and construct a more effective emergency medical system (EMS).
참고문헌 (17)
- "Annual report on the cause of death statistics" (2019)[URL]
- 이정찬, "응급실 다방문 결정 요인: 종합병원급 이상 권역응급의료센터를 중심으로", 대한보건연구, 44(3), pp.129~146 (2018), 사단법인 대한보건협회[DOI]
- 김윤, "중동호흡기증후군 사태 이후 병원감염관리를 강화하기위한 의료정책과 의료이용문화 개선", 대한의사협회지, 58(7), pp.598~605 (2015), 대한의사협회[DOI]
- Nathan R. Hoot, "Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions", Annals of Emergency Medicine, 52(2), pp.126~136.e1 (2008), Elsevier BV[DOI]
- 이보령, "3차 병원 응급실에 내원한 환자 중 1차 진료에 적합한 환자 비율에 대한 분석", Korean Journal of Family Practice, 9(6), pp.527~531 (2019), 대한가정의학회[DOI]
- 김성주, "COVID-19 발현 이후 병원간 이송 시 민간 이송업체를 통해 응급실로 전원된 환자들의 특성 변화 : 후향적 연구", 한국응급구조학회지, 25(1), pp.125~134 (2021), 사단법인 한국응급구조학회[DOI]
- "Medicaltimes" (2020)[URL]
- Lee YS, "A mixed methods study on the policy processes for improving emergency medical services system and infection control program after MERS outbreak in Korea", doctor, pp.2020
- 정은경, "국가 감염병 공중보건위기 대비와 대응체계", 대한의사협회지, 60(4), pp.296~299 (2017), 대한의사협회[DOI]
- Adeel A. Butt, "Impact of COVID-19 upon changes in emergency room visits with chest pain of possible cardiac origin", BMC Research Notes, 13(1), pp.539~ (2020), Springer Science and Business Media LLC[DOI]
- 안병기, "상급종합병원 응급실 공휴일 이용의 영향 요인", 병원경영학회지, 24(1), pp.11~20 (2019), 한국병원경영학회
- 허영진, "외래의료 민감 질환으로 응급실을 내원한 환자의 특성 분석: 의료전달체계 중심으로", 융합정보논문지, 10(10), pp.253~258 (2020), 중소기업융합학회[DOI]
- Seul Ki Choi, "The view of Emergency Medicine physician over the Korean Emergency Medical System; Problems and Improvements", Public Health Affairs, 3(1), pp.177~183 (2019), Korean Society for Public Health and Medicine[DOI]