COVID-19 발현 이후 병원간 이송 시 민간 이송업체를 통해 응급실로 전원된 환자들의 특성 변화 : 후향적 연구
Changes in the characteristics of patients transferred to the emergency room through private institutions during inter-hospital transport after the COVID-19 outbreak : A retrospective study
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The purposes of this study were to determine the changes in the pattern of patients who were transferred to the emergency room through inter-hospital private institutions and to determine how long transport takes following the COVID-19 outbreak. Methods: This retrospective observational study analyzed the emergency medical services reports of private institutions following the COVID-19 outbreak in South Korea. The study was conducted in Busan between January 19, 2019 and January 18, 2020, and between January 19, 2020 and January 18, 2021. Results: Upon comparing the patient transport times during the “Pre-COVID-19 period” and “COVID-19 period,” a significant delay was noticed in the preparation for transfer of patients during the “COVID-19 period” (p<.05). There were significantly more patients with respiratory infections and patients who complained of general symptoms during the “COVID-19 period.” Moreover, there was a higher frequency of patients who were transferred to a ‘Level I’ emergency room during the “COVID-19 period” compared to during the “Pre-COVID-19 period” (p<.05). Conclusion: Following the COVID-19 outbreak, there is a delay in patient transport to the emergency room through private institution inter-hospital transport and an increase in the number of patients complaining of respiratory infection symptoms. Thus, emergency medical services need additional administrative and economic support to transport infected patients.
Abstract
Purpose: The purposes of this study were to determine the changes in the pattern of patients who were transferred to the emergency room through inter-hospital private institutions and to determine how long transport takes following the COVID-19 outbreak. Methods: This retrospective observational study analyzed the emergency medical services reports of private institutions following the COVID-19 outbreak in South Korea. The study was conducted in Busan between January 19, 2019 and January 18, 2020, and between January 19, 2020 and January 18, 2021. Results: Upon comparing the patient transport times during the “Pre-COVID-19 period” and “COVID-19 period,” a significant delay was noticed in the preparation for transfer of patients during the “COVID-19 period” (p<.05). There were significantly more patients with respiratory infections and patients who complained of general symptoms during the “COVID-19 period.” Moreover, there was a higher frequency of patients who were transferred to a ‘Level I’ emergency room during the “COVID-19 period” compared to during the “Pre-COVID-19 period” (p<.05). Conclusion: Following the COVID-19 outbreak, there is a delay in patient transport to the emergency room through private institution inter-hospital transport and an increase in the number of patients complaining of respiratory infection symptoms. Thus, emergency medical services need additional administrative and economic support to transport infected patients.
참고문헌 (18)
- Paraminder Dhillon, "COVID‐19 breakthroughs: separating fact from fiction", The FEBS Journal, 287(17), pp.3612~3632 (2020), Wiley[DOI]
- 이무식, "지역사회와 함께 하는 코로나19(COVID-19) 극복", 농촌의학.지역보건, 45(1), pp.41~46 (2020), 한국농촌의학.지역보건학회
- Tanu Singhal, "A Review of Coronavirus Disease-2019 (COVID-19)", The Indian Journal of Pediatrics, 87(4), pp.281~286 (2020), Springer Science and Business Media LLC[DOI]
- Hanie Esakandari, "A comprehensive review of COVID-19 characteristics", Biological Procedures Online, 22(1) (2020), Springer Science and Business Media LLC[DOI]
- Lee SY, "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
- Michael Heiber, "Effect of the SARS outbreak on visits to a community hospital emergency department", CJEM, 8(05), pp.323~328 (2006), Springer Science and Business Media LLC[DOI]
- 강지훈, "COVID-19 발현 초기 119 구급대를 경유해 응급실로 내원하는 환자들의 이송 시간과 호소하는 증상의 변화: 부산지역 일개 응급의료센터로 이송된 환자의 구급활동일지를 중심으로", 한국응급구조학회지, 24(3), pp.161~169 (2020), 사단법인 한국응급구조학회[DOI]
- Jung JW, "The Appropriateness in triage and se-lection of transported hospital by emergency transport systems", master, pp.2002
- 정진우, "부산 지역의 응급환자 이송체계에 대한 전향적 분석", 대한응급의학회지, 13(1), pp.31~38 (2002), 대한응급의학회
- 이삼범, "응급의료센터 환자의 내원 정보 및 실태 분석", Yeungnam University Journal of Medicine, 16(2), pp.277~282 (1999), 영남대학교 의과대학[DOI]
- Konrad Stadler, "SARS — beginning to understand a new virus", Nature Reviews Microbiology, 1(3), pp.209~218 (2003), Springer Science and Business Media LLC[DOI]
- Gary Wong, "MERS, SARS, and Ebola: The Role of Super-Spreaders in Infectious Disease", Cell Host & Microbe, 18(4), pp.398~401 (2015), Elsevier BV[DOI]
- Ali Aminian, "COVID-19 Outbreak and Surgical Practice", Annals of Surgery, 272(1), pp.e27~e29 (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]
- N. Petrosillo, "COVID-19, SARS and MERS: are they closely related?", Clinical Microbiology and Infection, 26(6), pp.729~734 (2020), Elsevier BV[DOI]
- Damodharan Dinakaran, "Neuropsychiatric aspects of COVID-19 pandemic: A selective review", Asian Journal of Psychiatry, 53, pp.102188~ (2020), Elsevier BV[DOI]
- Joseph Friedman, "Excess Out-of-Hospital Mortality and Declining Oxygen Saturation: The Sentinel Role of Emergency Medical Services Data in the COVID-19 Crisis in Tijuana, Mexico", Annals of Emergency Medicine, 76(4), pp.413~426 (2020), Elsevier BV[DOI]
- 조석주, "병원간 전원에 대한 부산지역 응급실 의사들의 입장", 대한응급의학회지, 24(2), pp.131~141 (2013), 대한응급의학회
- Lars Petter Bjørnsen, "Pasienttilstrømming i et akuttmottak i påvente av covid-19-pandemien", Tidsskrift for Den norske legeforening, 140(8) (2020), Norwegian Medical Association[DOI]