DOI QR코드

DOI QR Code

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

COVID-19 발현 이후 병원간 이송 시 민간 이송업체를 통해 응급실로 전원된 환자들의 특성 변화 : 후향적 연구

  • Kim, Seong-Ju (Department of Emergency Medical Service, Dongju University) ;
  • Ji, Jae-Gu (Department of Emergency Medicine, Busan Paik Hospital) ;
  • Jang, Yun-Deok (Department of Emergency Medicine, Busan Paik Hospital) ;
  • Lee, Si-Weon (Department of Emergency Medicine, Busan Paik Hospital) ;
  • Yu, Jae-Kwang (Department of Emergency Medicine, Busan Paik Hospital) ;
  • Kang, Ji-Hun (Department of Emergency Medicine, Busan Paik Hospital)
  • Received : 2021.03.01
  • Accepted : 2021.04.20
  • Published : 2021.04.30

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.

Keywords

References

  1. Dhillon P, Breuer M, Hirst N. COVID-19 breakthroughs: separating fact from fiction. The FEBS Journal 2020;287(17):3612-32. https://doi.org/10.1111/febs.15442
  2. Lee MS. Overcoming the covid-19 epidemics with communities in Korea. Journal of Agricultural Medicine and Community Health 2020;45(1):41-6. https://doi.org/10.5393/JAMCH.2020.45.1.041
  3. Singhal T. Review of coronavirus disease-2019 (COVID-19). Indian J Pediatr 2020;87(4): 281-6. https://doi.org/10.1007/s12098-020-03263-6
  4. Esakandari H, Nabi-Afjadi M, Fakkari-Afjadi J, Farahmandian N, Miresmaeili SM, Bahreini E. A comprehensive review of COVID-19 characteristics. Biol Proced Online 2020;22:19. https://doi.org/10.1186/s12575-020-00128-2
  5. 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. Unpublished doctoral dissertation, Seoul National University 2020, Seoul, Korea. http://dcollection.snu.ac.kr/common/orgView/000000159790
  6. Heiber M, Lou WY. Effect of the SARS outbreak on visits to a community hospital emergency department. Canadian J Emerg Med 2006;8(5):323-8. https://doi.org/10.1017/s148180350001397X
  7. Kang JH, Ji JG, Jang YD, Lee SW, Kim SJ. Comparing the "pre-COVID-19 period" and the "COVID-19 early-stage period" for emergency medical services. Korean J Emerg Med Ser 2020;24(3):161-9. https://doi.org/10.14408/KJEMS.2020.24.3.161
  8. Jung JW. The Appropriateness in triage and selection of transported hospital by emergency transport systems. Unpublished master's thesis, Pusan National University 2002, Busan, Korea.
  9. Jeong JW, Cho SJ, Lee HR, Kim SK, Chung JY. Prospective analysis on the emergency transport systems in Pusan area. J Korean Soc Emerg Med 2002;13(1):31-8.
  10. Lee SB, Do BS. Analysis of arrival information and status of the patients in emergency department. Yeungnam Univ J Med 1999;16 (2):277-82. https://doi.org/10.12701/yujm.1999.16.2.277
  11. Stadler K, Masignani V, Eickmann M, Becker S, Abrignani S, Klenk HD et al. SARS-beginning to understand a new virus. Nature Reviews Microbiology 2003;1(3):209-18. https://doi.org/10.1038/nrmicro775
  12. Wong G, Liu W, Liu Y, Zhou B, Bi Y, Gao GF. MERS, SARS, and Ebola: The role of super-spreaders in infectious disease. Cell Host Microbe 2015;18(4):398-401. https://doi.org/10.1016/j.chom.2015.09.013
  13. Aminian A, Safari S, Razeghian-Jahromi A, Ghorbani M, Delaney CP. COVID-19 outbreak and surgical practice: unexpected fatality in perioperative period. Ann Surg 2020;272(1): e27-e29. https://doi.org/10.1097/SLA.0000000000003925
  14. Petrosillo N, Viceconte G, Ergonul O, Ippolito G, Petersen E. COVID-19, SARS and MERS: are they closely related? Clin Microbiol Infect 2020;26(6):729-34. https://doi.org/10.1016/j.cmi.2020.03.026
  15. Dinakaran D, Manjunatha N, Kumar CN, Suresh BM. Neuropsychiatric aspects of COVID-19 pandemic: A selective review. Asian J Psychiatr 2020;53:102188. https://doi.org/10.1016/j.ajp.2020.102188
  16. Friedman J, Calderon-Villarreal A, Bojorquez I, Hernandez CV, Schriger DL, Hirashima ET. Excess out-of-hospital mortality and declining oxygen saturation: The sentinel role of EMS data in the COVID-19 crisis in Tijuana, Mexico. Annals Emerg Med 2020;76(4):413-26. https://doi.org/10.1016/j.annemergmed.2020.07.035
  17. Cho SJ, Hwang SY, Lee JH, Kim HH, Lee SH, Park MR et al. Survey of emergency-related physicians on inter-hospital transfers via 1339 in Busan. J Kor Soc Emerg Med 2013;24(2): 131-41.
  18. Bjornsen LP, Naess-Pleym LE, Dale J, Laugsand LE. Patient visits to an emergency department in anticipation of the COVID-19 pandemic. Tidsskr Nor Laegeforen 2020;140(8). https://doi.org/10.4045/tidsskr.20.0277