ArticleJournal of clinical medicine2020
Impact of COVID-19 Pandemic on the Overall Diagnostic and Therapeutic Process for Patients of Emergency Department and Those with Acute Cerebrovascular Disease.
Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- From prediction to action: a retrospective observational study on the real-world implementation of Critical Interventions (CrIs), an AI-based clinical decision support system changing clinical behavior in the emergency department.BMC medical informatics and decision making · 2025Observational
- Role of the Critical Care Resuscitation Unit in a Comprehensive Stroke Center: Operations for Mechanical Thrombectomy During the Pandemic.The western journal of emergency medicine · 2024Article
- Optimization of Radiology Diagnostic Services for Patients with Stroke in Multidisciplinary Hospitals.Materia socio-medica · 2024Review
- Impact of an Emergency Department Isolation Policy for Patients With Suspected COVID-19 on Door-to-Electrocardiography Time and Clinical Outcomes in Patients With Acute Myocardial Infarction.Journal of Korean medical science · 2023Article
- Epidemiologic trends of patients who visited nationwide emergency departments: a report from the National Emergency Department Information System (NEDIS) of Korea, 2018-2022.Clinical and experimental emergency medicine · 2023Article
- Impact of COVID-19 outbreak on acute gallbladder disease in the emergency department.Clinical and experimental emergency medicine · 2023Article
- The impact of the COVID-19 pandemic on in-hospital mortality in patients admitted through the emergency department.Clinical and experimental emergency medicine · 2023Article
- Impact of COVID-19 pandemic on emergency department patient volume and flow: Two countries, two hospitals.Emergency medicine Australasia : EMA · 2023Observational
- An external validation study of the Score for Emergency Risk Prediction (SERP), an interpretable machine learning-based triage score for the emergency department.Scientific reports · 2022Article
- Artificial intelligence decision points in an emergency department.Clinical and experimental emergency medicine · 2022Article
- Machine learning-based suggestion for critical interventions in the management of potentially severe conditioned patients in emergency department triage.Scientific reports · 2022Observational
- Effect of fever or respiratory symptoms on leaving without being seen during the COVID-19 pandemic in South Korea.Clinical and experimental emergency medicine · 2022Article
- Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
(1) Background: During a pandemic, patients and processes in the emergency department (ED) change. These circumstances affect the length of stay (LOS) or degree of crowding in the ED. The processes for patients with acute critical illness, such as cerebrovascular disease (CVD), can be also delayed. Using the process mining (PM) method, this study aimed to evaluate LOS, ED processes for CVD, and delayed processes during the coronavirus disease 2019 (COVID-19) pandemic. (2) Methods: Data were collected from the Clinical Data Warehouse of a medical center. Phase 1 included patients who visited the ED before the COVID-19 outbreak. In Phase 2, post-COVID-19 ED patients were divided into the COVID-19 tested group (CTG) and COVID-19 not tested group (CNTG) according to whether polymerase chain reaction test was performed. We analyzed patients' ED processes before and after COVID-19 using the PM method. We analyzed patients with acute CVD separately to determine whether the process and LOS of patients with acute critical illness were changed or delayed. (3) Results: After the COVID-19 outbreak, the overall LOS was delayed and all processes in CTG patients were delayed. Registration to triage and triage were delayed in both CTG and CNTG patients. The brain imaging process for CTG patients with acute CVD was also delayed. (4) Conclusion: After a pandemic, some processes were changed, new processes were developed, and processes for patients with acute CVD who needed proper time management were not exempted.
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